What Precautions To Take During Pregnancy With PCOS?

Table of Contents

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. It is characterized by irregular menstrual cycles, high levels of androgens (male hormones), and polycystic ovaries.

Women with PCOS often struggle with infertility and have an increased risk of pregnancy complications. However, with proper precautions and medical care, a healthy pregnancy is achievable. This guide provides a comprehensive overview of such conditions.

Precautions to take During Pregnancy with PCOS

Regular Prenatal Care

Prenatal care is essential for monitoring both the mother’s and baby’s health. Women with PCOS should have frequent checkups to track fetal development, hormone levels, and potential complications.

Regular ultrasounds and blood tests help ensure that any issues are detected and addressed early. So, consult the best fertility doctor and get regular prenatal treatments.

Blood Sugar Monitoring

PCOS is closely linked to insulin resistance, which can lead to gestational diabetes during pregnancy. Regular blood sugar monitoring helps manage glucose levels and reduces the chances of complications.

A balanced diet, exercise, and, if necessary, medication like metformin can help regulate insulin levels.

Blood Pressure Monitoring

Women with PCOS have a higher risk of developing high blood pressure during pregnancy. Frequent blood pressure checks can help prevent conditions like preeclampsia, which can be dangerous for both the mother and baby.

Healthy Lifestyle

Maintaining a healthy lifestyle is one of the best ways to manage PCOS symptoms and ensure a safe pregnancy. Eating a diet rich in whole grains, lean proteins, fruits, vegetables, and healthy fats can stabilize blood sugar levels and support fetal development. For nutritional support, many women benefit from a PCOD diet plan that targets hormonal balance and improves insulin sensitivity.

Medication Management

Some women with PCOS may require medications to regulate their hormones and insulin levels. Doctors will prescribe such medications to ensure the safety and health of both mother and fetus.

Risks Associated with PCOS Pregnancy

  • Miscarriage and PCOS increase the risk of early pregnancy loss due to hormonal imbalances and insulin resistance.
  • Gestational Diabetes: Due to insulin resistance, women with PCOS are more prone to developing gestational diabetes. It can lead to excessive fetal growth and complications during delivery.
  • Preeclampsia: is meant by high blood pressure and protein in the urine. It can be life-threatening if left untreated.
  • Preterm Birth: PCOS increases the likelihood of preterm labor, leading to complications for the baby. 

Women with related conditions like a bulky uterus should also be monitored closely, as these can further affect fertility and pregnancy outcomes.

The Success of Pregnancy with PCOS

Do you know about the success percentage of pregnancies with polycystic ovarian syndrome? Here it is.

Natural Pregnancy Possibility with PCOS

Women under 35 have approximately a 30% chance of conceiving within the first month of trying and about an 85% chance within the first year.

However, the success rate of natural pregnancy with PCOS varies from individual to individual. Factors like diet, regular exercise, stress management, and supplements (such as myo-inositol and vitamin D) significantly improve fertility. Addressing anemia during pregnancy is equally important, and learning how to boost hemoglobin through diet can contribute to a healthier outcome.

Maintaining a healthy BMI, stabilizing blood sugar levels, and monitoring ovulation cycles can also boost the chances of conception. For those trying to conceive with PCOS, understanding the connection between PCOS and infertility is key to making informed decisions.

Treatments for PCOS

Assisted Reproductive Technology is truly a blessing for women with PCOS as IVF can give an enhanced success rate. In Vitro Fertilization is the best ART treatment for 

  • Women with severe PCOS who don’t ovulate even with medications.
  • Couples with multiple failed IUI attempts.
  • PCOS patients with insulin resistance or hormonal imbalances affecting egg quality.

However, the IVF success rates depend on age, embryo quality, and overall health. For women with PCOS under 35, success rates can range from 40-50% per cycle. To improve these chances, following a personalized IVF diet chart that supports hormonal balance and overall reproductive health can make a significant difference.

Can PCOS Be Cured After Pregnancy?

PCOS is a lifelong condition, but pregnancy-related hormonal changes may temporarily improve symptoms. However, maintaining a healthy lifestyle is essential to managing PCOS even after childbirth. For lasting relief, women navigating life after pregnancy should focus on practical strategies to reduce PCOD problems and support hormonal balance.

Is there any serious symptom to seek medical help?

Severe Headaches or Visual Disturbances

Persistent, intense headaches, blurred vision, or sensitivity to light may indicate preeclampsia, a condition characterized by high blood pressure that can pose serious risks if untreated.

Sudden Swelling

Noticeable swelling in the hands, ankles, or face, especially if it appears suddenly, can be a sign of preeclampsia.

Elevated Blood Pressure

Consistently high blood pressure readings are concerning and require immediate medical evaluation to prevent complications.

Decreased Fetal Movement

A noticeable reduction in your baby’s movements may signal distress and warrants a prompt medical assessment.

Severe Abdominal Pain

Intense or persistent abdominal pain could indicate various complications and should be evaluated by a healthcare provider.

Summary

Pregnancy with PCOS requires careful monitoring, lifestyle adjustments, and medical guidance. Regular prenatal care, blood sugar and blood pressure monitoring, a balanced diet, and proper medication management can improve pregnancy outcomes. Despite the challenges, many women with PCOS successfully conceive and deliver healthy babies with the help of gyneacologists.

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Dr. Rukkayal Fathima

Dr Rukkayal Fathima, India's Leading Gynaecologist and the best fertility doctor in Chennai. She has 11+ years of experience and treated 1000+ patients. She finished her M. S., Obstetrics and Gynaecology from the Institute of Obstetrics & Gynaecology (Madras Medical College), Chennai. She is a visiting consultant at St. Isabelle Hospital, Motherhood Hospital, Rainbow Hospital & Mehta Hospital. Dr Rukkayal Fathima specialises in Obstetrics care, Early Pregnancy Scan, IVF, ICSI, TESA/Micro TESE, Menopause advice, Gynaecological surgeries and endoscopy. She is a Co-Founder of Hive Fertility, the Best Fertility Center in Chennai.

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