Many women with PCOS find that their menstrual cycles become more regular as they get closer to menopause. However, their PCOS hormonal imbalance does not change with age, so they may continue to have symptoms of PCOS.
If you have PCOS, you are also at increased risk of having a baby larger than expected for their gestational age. This comes with a higher risk of needing a caesarean delivery. Babies born to people with PCOS have a higher chance of being admitted to a newborn intensive care unit.
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.
As a result, PCOS is associated with reduced fertility. Age is a key factor in infertility. After the age of 35, a woman's fertility decreases. Some studies suggest that age-related decline (ARD) in fertility is slower in women with PCOS.
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.
A HEALTHY PREGNANCY IS POSSIBLE
Women who get pregnant after 30 or who have PCOS will have more risks associated with pregnancy. One of these risks is gestational diabetes. However, there are steps a woman can take to prevent or manage gestational diabetes and have a healthy pregnancy.
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.
PCOS is one of the most common contributing factors responsible for infertility. However, natural conception is possible. Making changes to your diet and lifestyle are some of the simplest ways to boost your odds. Women with PCOS who have a healthy weight are more likely to get pregnant than those who aren't.
Simply put, PCOS can prevent ovulation, the release of an egg. Without ovulation, pregnancy cannot occur during that cycle. A diagnosis of PCOS does not mean you can't get pregnant either naturally, or with assisted reproductive treatments, but it can make the journey longer and more difficult.
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.
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.
About 75% to 80% women with PCOS will ovulate after CC, and a conception rate of 22% per cycle has been reported.
Recent studies have shown that women who were diagnosed as having PCOS 30 years ago have a completely normal life expectancy. An inspection of more than 700 death certificates from women with PCOS has shown that there is no excess risk of cancer in any organ or of heart disease.
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.
During different stages of life, the PCOS phenotype can change, which requires a personalized diagnostic approach and treatment. With increasing age, the syndrome evolves from a reproductive disease to a more metabolic disorder.
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.
It's also important to keep in mind that just because a woman has PCOS doesn't mean that she also has infertility. As one study points out, 70 to 80 percent of these women are infertile. (5) That leaves up to 30 percent of women who may become pregnant on their own without the use of fertility treatments.
Normally, ovarian follicles contain egg cells, which are released during ovulation. In polycystic ovary syndrome, abnormal hormone levels prevent follicles from growing and maturing to release egg cells. Instead, these immature follicles accumulate in the ovaries. Affected women can have 12 or more of these follicles.
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.
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.