Women with polycystic ovary syndrome (PCOS) are at higher risk for certain problems or complications during pregnancy. In addition, infants born to mothers with PCOS are at higher risk of spending time in the neonatal intensive care unit or dying before, during, or right after birth.
It is a common misconception that PCOS goes away after pregnancy. However, having a baby does not mean your condition disappears. It's important that you pay attention to any symptoms that may reemerge.
Conclusion: The LIPCOS study shows for the first time that pregnancy and parenthood may have an impact on the long-term course of PCOS. Women with children reported shorter cycles and had lower testosterone levels compared to women without children.
About 75% to 80% women with PCOS will ovulate after CC, and a conception rate of 22% per cycle has been reported.
PCOS after pregnancy
It is important to remember that some of the symptoms of PCOS, such as hormonal imbalance and associated weight gain, can return and even worsen after pregnancy – and that being pregnant and successfully giving birth does not mean that PCOS has gone away.
Polycystic Ovary Syndrome (PCOS) can cause recurrent miscarriages because of high levels of testosterone. PCOS-related insulin resistance can also affect the lining of your uterus. Bacterial infections can live in your or your partner's genital tracts.
PCOS often runs in families. Up to 70 percent of daughters of women with PCOS also develop it, but genetic variation doesn't fully explain the high incidence within families—some genome-wide association studies of PCOS susceptibility reckon genetics explains less than 10 percent of the condition's heritability.
If you have PCOS, you might struggle to get pregnant. Fortunately, with lifestyle changes or infertility treatment, most people with PCOS can become pregnant. Talk to your doctor or fertility specialist for individual advice for your situation.
So women with PCOS are more likely to have trouble conceiving than other women. While most women who have PCOS become pregnant, they often take longer to fall pregnant and are more likely to need fertility treatment than women without PCOS.
Summary. If you have PCOS, you can still expect to conceive within a year (or even less) as long as you are ovulating normally and have no other risk factors for infertility. If you do, it may take longer or require the input of a fertility specialist.
Polycystic ovary syndrome and spontaneous miscarriage
PCOS women are at risk of EPL, defined clinically as first trimester miscarriage. EPL occurs in 30 to 50% of PCOS women compared with 10 to 15% of normal women.
Results: No significant difference in sex ratio was detected between PCOS and controls, even if it resulted significantly different in the full-blown and non-PCO phenotypes.
Women with PCOS may be more likely to have multiples (twins, or more). One study found that while the multiple pregnancy rate is 1.1% in the average population, it is 9.1% for women with PCOS patients.
Yes. Having PCOS does not mean you can't get pregnant. PCOS is one of the most common, but treatable, causes of infertility in women.
You are born with PCOS, but symptoms often start during puberty although for some people this can be later, up to their early twenties. There are lots of different symptoms that can be caused by PCOS.
As previously stated, the shape of a PCOS belly differs from other types of weight gain. It often appears large and bloated but can also be small and round, depending on genetics and other factors. The PCOS belly involves the accumulation of visceral fat in the lower abdomen and typically feels firm to the touch.
However, in older “lean” PCOS women, who by this time usually have become hypo-androgenic, egg quality is, indeed, negatively affected, unless androgen levels are appropriately pre-supplemented, starting at least 6-8 weeks prior to IVF cycle start.
When the congenital abnormalities were analysed by the type of malformation, cardiovascular and urogenital malformations were more common in the offspring of women with PCOS; cardiovascular (1.5% compared with 1.0%, OR 1.37, 95% CI 1.01–1.87) and urogenital defects (2.0% compared with 1.4% OR 1.36, 95% CI 1.03–1.81).
Getting pregnant with PCOS after 30
Natural fertility begins to decline significantly for women around age 32. With the addition of an ovarian syndrome, women over 30 with PCOS will have greater risks associated with pregnancy, but a healthy pregnancy is still possible.
Women with PCOS are at an increased risk of obstetric outcomes including preterm and operative delivery. Association with low birthweight maybe mediated by lower gestational age at delivery.
Post-PSM data showed that the late abortion rate was significantly higher in the PCOS group than in the non-PCOS group only in twin pregnancy (9.50% vs. 3.96%, OR: 2.55, 95%CI 1.10-5.89). There were no statistical differences in other pregnancy outcomes.