If you're younger than 35, you ovulate regularly (even though you have PCOS). If you and your partner don't have any other medical conditions that affect your fertility, you can get pregnant within a year and possibly sooner.
Best age to get pregnant with PCOS
The best time for women with PCOS to get pregnant is before they turn 30. It's possible to conceive up to the age of 37, but fertility declines after the age of 32 with steeper decline occurring after age 37.
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.
About 75% to 80% women with PCOS will ovulate after CC, and a conception rate of 22% per cycle has been reported. This discrepancy between ovulation and pregnancy rates is thought to be related to the antioestrogenic effect of CC on endometrial receptivity and cervical function.
Getting pregnant naturally with PCOS is possible, but it was definitely not easy. Ever since I was a teenager, fertility specialists told me it is harder for me to get pregnant with PCOS.
Women with PCOS often experience cycles in which ovulation does not occur, but the good news is that there is an easy way to confirm ovulation from the comfort of home. PdG tests measure a urine marker of the hormone progesterone. A presence of PdG after ovulation confirms that ovulation did in fact occur.
Ovulation is the process where the ovaries develop a mature egg that is then released into the uterus and can be fertilized by sperm. Women with PCOS usually have less than nine periods per year, or there is other evidence that they are not ovulating every month.
Stretching, walking, and yoga are all great ways to get your body in motion without the requirement of a gym membership or any equipment. Research has shown that exercise can significantly improve menstrual cycle regularity and ovulation in about 50% of women diagnosed with PCOS .
PCOS and twins
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.
The benefit of metformin on ovulation in women with polycystic ovaries is not seen right away. There is some benefit starting about a month after beginning metformin. Metformin has a more substantial benefit for fertility when the woman has been taking it for at least 60 to 90 days.
A medicine called clomifene may be the first treatment recommended for women with PCOS who are trying to get pregnant. Clomifene encourages the monthly release of an egg from the ovaries (ovulation). If clomifene is unsuccessful in encouraging ovulation, another medicine called metformin may be recommended.
Pregnancy is totally possible with PCOS.
Firstly, many people with PCOS ovulate sometimes, though it may be irregular (with cycles often lasting longer than 35 days). If there's ovulation, there's a chance at pregnancy—with PCOS, it may just take longer, because ovulation isn't as frequent.
Your most fertile day, and the day you are most likely to ovulate on, is the last day of egg-white cervical mucus. You can also track your ovulation hormone using at-home ovulation tests (sometimes called an ovulation predictor kit, or OPK).
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. [12,13] The EPL rate in PCOS women has been difficult to establish due to several confounding factors.
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.
Since follicular growth is disrupted in PCOS patients, especially during Controlled Ovarian Hyper stimulation (COH), a decreased number of good oocytes/embryos in ART cycles are a widespread problem. As previous studies have shown, various factors can affect the quality of the oocytes and embryo.
Your periods cycle will start becoming regular; 2. The dark patches will start to reduce, and your skin will become clearer; 3.
Metformin is used as a hormone balancing drug to help resume the ovulation process in some PCOS women. Sometimes, fertility specialists prescribe Metformin along with Ovulation Induction drugs like Clomiphene or Letoval and Follicle Stimulating Hormone (FSH) for inducing ovulation.
Metformin and fertility
There's no evidence to suggest that taking metformin reduces fertility in either men or women. Metformin is sometimes prescribed to try to improve ovulation and fertility if you have polycystic ovary syndrome (PCOS). Having a healthy body weight is important both for fertility and for pregnancy.
High levels of insulin, a hormone that allows the body to use sugar for energy, may be a cause of PCOS and levels are generally higher in obese women. Metformin helps the body use insulin more effectively and improves ovulation in women with PCOS.
Conclusion: The PCOS phenotypes influenced the sex ratio in the offspring, suggesting that environmental factors could play a role in determination of the offspring gender.
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.
The combination of folate and inositol supplements, taken daily, can improve insulin function and promote ovulation in 60% of women.