How to get pregnant with polycystic ovary syndrome and is it possible? Polycystic ovary syndrome and pregnancy planning: is there a chance of conceiving Where to go to plan a pregnancy polycystic

Date of: 30.10.2023

One of the reasons for the inability to get pregnant may be pilicystic ovarian disease. This is not a death sentence, because timely and competent treatment most often gives a woman every chance of conceiving. In order not to miss the moment when it’s time to see a doctor if you suspect a disease, it is advisable to know as much as possible about it, especially about its symptoms. Pregnancy with polycystic ovary syndrome is possible, the main thing is to notice something is wrong in time.

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Etiology of polycystic ovary syndrome

The root cause of polycystic ovary syndrome (PCOS) is always. Of course, its occurrence at a certain moment can be genetically programmed, but in most cases the reasons are still different. Among them:

diabetes;
diseases associated with the activity of viruses and infections;
excess weight;
high levels of stress;
made at a young age.

All these factors, sooner or later, can provoke a hormonal imbalance, which triggers a chain of reactions that eventually leads to PCOS.

The mechanism is quite simple:

Hormones act on one of the most sensitive female organs to them - the ovaries.
The walls of the ovaries thicken, preventing the successful exit of the mature follicle into the uterus.
The follicle simply cannot “squeeze” through the canal narrowed by thick walls, which means there is no chance of fertilization of the egg.

The unused follicle fills with fluid and remains inside the ovary. And this happens every cycle throughout the course of the disease. You can imagine what will soon happen to the ovary - it will turn into a cluster of watery cysts. This is polycystic ovary syndrome.

Symptoms of PCOS

It is not difficult to suspect the disease. Polycystic disease, the symptoms of which are quite obvious, is today diagnosed in 5-20% of all women who are able to conceive a child. However, with a clear picture of the disease, not everyone, firstly, knows about its symptoms, and secondly, some simply do not attach due importance to them. But the sooner the doctor prescribes treatment, the greater the chance of a woman becoming pregnant over time.

So, the symptoms of PCOS include:

irregular menstruation;
skin problems, acne;
even more weight gain;
excessive secretion of sebum, hair quickly becomes oily, skin becomes oily;
body hair begins to grow according to the male pattern, there is too much of it;
pregnancy does not occur within a year.

Although most often the first five of the described symptoms also appear, in rare cases they may not be present at all. Then only the last symptom becomes a reason to consult a gynecologist - futile attempts to get pregnant.

Diagnosis procedure for PCOS

To accurately determine whether infertility is associated with polycystic ovary syndrome, the doctor will need to carry out a number of diagnostic measures:

First, he interviews the patient, records all the symptoms that bother her, on the gynecological chair.

It is prescribed, during which the pelvic organs are completely examined.

Polycystic ovary syndrome in reproductive age necessarily occurs with changes in hormonal levels, so the hormones present in the blood plasma are carefully examined: 17-OH, LH, free testosterone, DHEA-c, prolactin, FSH. Ovaries affected by multiple cysts produce excessive amounts of male hormones, so the analysis will show their increased levels.

Often, PCOS causes an increase in blood parameters such as the content of cholesterol, glucose and triglycerides, so the blood must be subjected to biochemical analysis.

Pilycystic ovary syndrome can develop against the background of insulin resistance, which means that an oral glucose tolerance test becomes mandatory.

If after all the above studies the picture of the disease remains unclear, diagnostic laparoscopy may be prescribed.

By combining all the results obtained into a single picture, the doctor determines whether polycystic ovary syndrome is the cause of infertility.

Watch this video about whether and how to get pregnant with polycystic ovary syndrome:

Treatment of PCOS

If the diagnosis is made, the first question of any woman to the doctor will be “How to get pregnant with PCOS?” Indeed, there is such a possibility. This can even happen spontaneously, without appropriate treatment, but with such a disease the chances of carrying a baby to term are slim. Therefore, having learned about polycystic ovary syndrome, it is necessary only after eliminating the causes and consequences of the disease.

Weight loss

The first thing a doctor will recommend a woman do is normalize her weight. This condition may seem insignificant to many, but the connection between adipose tissue and FSH hormones is too great to be underestimated. If the pituitary gland of the brain does not produce the required amount of this hormone (and this is precisely the consequence of excess fat in the body), it becomes problematic. A specialist can recommend a specific plan and types of physical activity. If you have to cope with this task on your own, then you can start with simple walking and switching to a healthy diet.

Hormone therapy

The choice of hormones with which the doctor will fight polycystic ovary syndrome depends on the causes of the failure. There may be several of them:

the follicle does not mature;
the follicle matures, but ovulation does not occur;
the woman has insulin resistance;
The level of male hormones in the female body is increased.

Taking birth control pills

Some women are surprised when, instead of drugs that promote pregnancy, they are suddenly prescribed. However, such therapy makes sense. Taking oral contraceptives helps to even out the monthly cycle, and therefore, to regulate the process of follicle maturation with subsequent ovulation. In addition, the most often prescribed contraceptives help to normalize the balance of male and female hormones, thereby eliminating another reason for the failure of pregnancy. Laparoscopy is prescribed no earlier than after three months of hormonal therapy, as a result of which it was not possible to achieve full maturation of the follicle .

The essence of laparoscopy is to insert special cameras into the abdominal cavity, which first find and then “drill” the areas of the ovaries affected by cysts. Drilling is the surgical removal of lumps. As a result, ovulation becomes possible. Moreover, the level of male hormones in a woman’s body naturally decreases, because the tissue that produces them is removed.

Folk remedies for the treatment of polycystic ovary syndrome

It should be remembered that PCOS is a hormonal disease, and treating polycystic disease with folk remedies is risky. All procedures must be discussed with your doctor in advance. It may be advisable to take herbs that strengthen women's health, such as basil, licorice. If the doctor has approved the chosen remedy, then in no case should you exceed the dosage indicated on the drug packaging.

In most cases of polycystic ovary syndrome, pregnancy occurs within the next 6-12 months after hormonal therapy. Of course, provided that there is no factor. If pregnancy did not occur as a result of taking hormones, then after laparoscopy you can conceive a child at the next ovulation (most often this also happens within a year).

If laparoscopy does not help, there is no need to despair. Even if the ovary affected by cysts is removed, it is possible to use IVF methods, which allow you to carry a child conceived using a donor egg.

Useful video

Watch this video about the treatment of polycystic ovary syndrome:

Problems with pregnancy can occur in women of reproductive age due to various reasons, and the pathology of polycystic ovary syndrome is one of them. Having heard such a diagnosis, many people think that they will no longer be able to have children. However, doctors assure that with a competent approach to the treatment of pathology, polycystic ovary syndrome and pregnancy are by no means mutually exclusive.

The insidiousness of the pathology is that at the initial stage of its formation, the symptoms of the disease are ambiguous and often women for some time are not aware of what exactly may be the reason for their unsuccessful attempts to get pregnant.

When the diagnosis is confirmed, this means that a woman can plan a pregnancy with polycystic ovary syndrome, but efforts will be required to overcome all existing deviations in the female sphere associated with the phenomena of hormonal dysfunction. Disturbances in the coordinated interaction of the organs of the endocrine system: adrenal glands, thyroid gland, areas of the pituitary gland and hypothalamus, lead to structural changes in ovarian tissue.

The surface of the ovaries is covered with multiple cysts, formed as a result of underdevelopment of the follicles in which the egg ready for fertilization should mature. As a result, a woman’s menstrual cycle and ovulation process are disrupted, which leads to infertility.

Pathology is found both in nulliparous women and after childbirth. The diagnosis frightens many people so much that they not only don’t think about pregnancy, but begin to fear sexual relations. Is it possible to have sex with polycystic disease? This is not an idle question. Sometimes the pathology is associated with pain or other symptoms that force a woman to make adjustments to her sex life. But you should not give up sex, but take care of your health by turning to experienced specialists.

However, polycystic ovary syndrome is not a death sentence at all; the pathology can be treated. Is it possible to get pregnant with polycystic ovary syndrome? Experts give this chance to all women who want to get pregnant. But for this you need to undergo a certain course of treatment.

Doctors determine which treatment is appropriate for the patient, based on the degree of development of pathological changes in the ovaries, the production of necessary hormones and other related factors. A woman needs to undergo a comprehensive examination so that the doctor can decide on a treatment regimen.

Treatment methods

The question of how to get pregnant with polycystic ovary syndrome remains relevant for all young women. Patients diagnosed with polycystic ovary syndrome should rely on the competent opinion of doctors, and not waste time using the advice of traditional healers. After all, many of them have a very dubious reputation.

I would like to warn all women: do not self-medicate, modern medicine offers several effective methods on how to cure polycystic disease in order to get pregnant. Whether it is possible to completely recover from this pathology is an open question, but pregnancy is possible.

This is what experts say and cite as examples the stories of those patients who became pregnant with polycystic disease.

Methods of conservative therapy make it possible to regulate the regularity of the menstrual cycle, stimulate ovulation, which increases the possibility of pregnancy many times over. The duration of treatment depends on the individual characteristics of the patient and can last up to a year. If during this time the desired pregnancy does not occur, do not despair. Polycystic disease and pregnancy are not so incompatible.

Surgical methods for treating pathology can help restore the functional activity of the ovaries, when, as a result of surgery, conditions will be created for the normal maturation of the egg, which means the likelihood of getting pregnant will increase. Getting pregnant with polycystic ovary syndrome is quite possible if you take treatment measures responsibly.

Conservative (medicinal) method of treating pathology

Conservative treatment involves a step-by-step approach, with which you can:

Regulate the normal cyclicity of the menstrual cycle;
Normalize the production of sufficient amounts of female sex hormones;
Reduce the synthesis of excess male sex hormones - androgens.
Normalize the patient’s body weight;
Balance the amount of hormones produced by other endocrine glands (hypothalamic-pituitary system, adrenal glands, pancreas and thyroid glands).

Medications are selected for each patient individually, based on test results based on hormone production indicators obtained during diagnostic measures. The doctor needs to calculate the ratio of the necessary hormones so that there are enough of them for the ovaries to perform their main functions.

Prescribing hormonal oral contraceptives (Yarina, Diana-35, Chloe) allows you to normalize the cyclicity of menstruation. Androgen antagonist drugs reduce the phenomena of hirsutism caused by their increased level in the patient’s blood. Treatment is also aimed at normalizing blood sugar levels, so some patients are recommended to use Metformin. Conservative therapy is not limited to taking medications containing synthetic analogues of hormones, but also includes physiotherapeutic methods aimed at stimulating blood supply to the pelvic organs, taking immunostimulants, and diet therapy.

OCs for polycystic disease are quite effective and help solve the main problem - to create conditions under which the ovaries will function normally, and the process of normal maturation of the follicle and release of the egg will become possible. On the day the egg leaves the follicle, it is possible to conceive a child. The attending physician may suggest that the patient stimulate the ovulatory process.

Stimulation of ovulation

Schemes for stimulating ovulation have different options for combinations of special hormonal drugs: Clostibelgite, Clomid, Duphaston, depending on the patient’s tests for hormone levels.

The quality of the partner’s sperm is preliminarily assessed using a spermogram and the woman’s level of fallopian tube patency based on the results of hysterosalpingography. If everything is normal, there is no inflammation in the pelvic organs, proceed to the procedure itself.

Treating gynecologist:

Prescribes the use of a selected drug on certain days (Clostibelgit from 5 to 9, Menogon from 2 to 10) and conducts repeated ultrasound monitoring, which begins a few days after the start of the procedure and continues after 2-3 days .
If it is noted that the follicle size has reached 18-20 mm, proceed to the next stage.
To avoid regressive phenomena and the follicle to release the egg without problems, hCG (chorionic gonadotropin) is injected. Its dose, individually selected by the doctor, allows you to “spur” the ovulation process. It is on the day of the injection and during sexual intercourse that the probability of conception is highest (within 36 hours); over the following days it decreases.
A day later, the woman is recommended to take Utrozhestan or Duphaston in order to normalize the processes taking place in the “corpus luteum”
An ultrasound examination is performed to confirm the implantation of the fertilized egg into the endometrial layer of the uterus.

Positive reviews from patients indicate that if you follow the advice and recommendations of a specialist and the right scheme for stimulating ovulation, you can become pregnant with polycystic ovary syndrome. It is possible to conceive a child even with such a diagnosis.

In a situation where the course of the disease is not complicated by serious changes, but only disturbances in the schedule of menstrual cycles are observed, many experts prescribe Duphaston for polycystic ovary syndrome. This drug successfully copes with the regulation of the monthly cycle, which is disrupted in this pathology. Sometimes a course of Duphaston is enough to restore the cycle, debug the ovulation mechanism and make conception real.

Conservative treatment can take up to 6 months, after which the drugs are discontinued and the restored hormonal levels allow the woman to become pregnant on her own.

Surgical treatment methods

A woman's desire to have a child is sacred. One can understand her disappointment when long-term treatment for polycystic ovary syndrome was not effective, and she still wonders “is it possible to get pregnant” with such a pathology? In some women, it is possible that the stimulation of ovulation failed to achieve the desired result; the follicles do not grow to the required size even with an increase in dosage or a change in the group of hormonal agents.

If a woman fails to get pregnant within 12 months, there is no point in using medications anymore, but needs to move on to more radical methods.

Laparoscopic ovarian surgery can achieve what medications cannot do. Correction of altered ovarian tissue, the thickened surface layer of which interferes with the normal development of follicles and the ripening of eggs in polycystic disease, is carried out using the following manipulations:

Wedge resection. Allows you to excise the ovarian tissue affected by cysts with a scalpel and leave part of the healthy tissue, which will facilitate the release of the egg.
Decortication is the procedure for removing the dense layer. Using a needle-shaped electrode, a portion of the tissue is cut off, which makes it softer and allows the follicles to mature and release the egg.
Cauterization of the ovaries done with the aim of excision of the affected layers and the formation of new, healthy tissue in the incisions.

As a result of such manipulations, a woman is able to quickly recover and become pregnant within a short time. According to statistics, more than 90% of pregnancies occur within a year after laparoscopy.

Polycystic disease and threat of miscarriage

Separately, a few words need to be said about the threat of miscarriage during pregnancy in the case of diagnosed polycystic ovary syndrome.

A woman should know that in such a situation the risk of miscarriage or missed abortion increases. This is due to severe hormonal imbalances.

Therefore, pregnant patients with a similar diagnosis are recommended to be regularly monitored by their gynecologist and continue monitoring for some time after childbirth.

Dysfunctions of the reproductive system are being diagnosed more and more every day. The impact is not only from the deteriorating environmental situation, but also from the woman’s lifestyle.

Polycystic ovary syndrome is the main cause of sudden loss of pregnancy and the onset of infertility. For a long time, you may not be aware of the presence of pathology, so it is worth understanding the main causes, signs and methods of treatment.

Main causes of the disease

A cyst forms on the surface of the ovaries; this follicle contains fluid and immature eggs. Hormonal imbalances lead to an increase in insulin synthesis, which in turn affects the production of the male hormone. It is androgen that leads to an imbalance in the body, the appearance of many enlarged follicles.

The main symptoms are increased hair growth, weight gain, and emotional instability. Also characteristic signs are increased oily hair, problematic acne skin, and irregular menstrual cycle. The disease is diagnosed by ultrasound, and with the help of the study it is possible to determine an increase in all parameters of the ovaries.

Causes of polycystic disease:

frequent infectious diseases during puberty;
early abortions;
genetic factor;
consequences of tonsillitis;
suffered stress, nervous shock.

Girls should be taught the basics of sex education from an early age; information work can prevent dangerous consequences for the female body.

How does polycystic disease affect pregnancy?

Pathology can affect conception, as well as the gestation process. But in medical practice, cases of normal pregnancy with this disease have been recorded. The concepts of pregnancy and polycystic ovary syndrome are not mutually exclusive. If a diagnosis was made at the planning stage, the woman needs to undergo treatment, and only then think about conceiving.

Consequences of the pathology:

high risk of bleeding;
placental abruption;
hypoxia;
premature birth;
fading of pregnancy.

In addition to the impact on pregnancy, the condition of the expectant mother worsens. She rapidly gains weight, her blood pressure rises, and gestational diabetes may develop. Pathologies during pregnancy also affect the development of the fetus, and the risk of complications after childbirth is high.

Timely detection of the disease is important; in the advanced phase, there is a high probability of pregnancy failure and infertility. Therefore, women are recommended to undergo a routine gynecological examination every six months.

Therapy

If polycystic ovary syndrome is suspected, a comprehensive examination is performed. Some symptoms may be signs of other diseases, such as hypothyroidism, hyperprolactinemia, and malignant tumors of the genital organs.

Tests to determine polycystic disease:

ultrasound - to determine the parameters of the ovaries, under the influence of androgen they are enlarged;
blood is donated to determine the luteinizing hormone synthesized by the pituitary gland, the collection is carried out strictly on an empty stomach 2 times on days 3-8 and 19-21 of the cycle;
It is mandatory to draw blood for follicle-stimulating hormone, which is also produced by the pituitary gland and affects the menstrual cycle and egg maturation;
Urinalysis allows you to determine the concentration of androgen.

Only a doctor can interpret the results obtained. After diagnosis, the woman is prescribed drug therapy.

Treatment methods for polycystic ovary syndrome:

To restore the balance, hormonal drugs are used, the standard course lasts 3 months, modern means allow you to establish the cycle, stimulate the process of maturation of eggs, treatment is successfully carried out in 90% of cases;
thanks to the achievements of modern medicine, hormonal drugs do not lead to excess weight gain and other side effects;
surgical intervention is used - laparoscopy, which allows you to restore ovarian function, it is possible to remove millimeter-sized cysts;
wedge resection - during the operation, small areas of the ovaries are cut off along with the resulting cysts, the probability of restoring reproductive functions reaches 80%;
electrocoagulation – micro incisions are made on the surface of the ovary, which reduces the density of the follicles;
after laparoscopy, the woman continues to take hormonal corrective therapy for 3 months until ovulation is completely restored;
to stimulate the maturation of eggs, antiestrogenic drugs Clostilbegit, Humegon, Pergonal are prescribed;
You can plan to conceive after surgery in a month; if pregnancy does not occur within a year, you will need to undergo additional examination.

If after treatment it is not possible to achieve conception naturally, you can turn to alternative methods - in vitro fertilization.

If pregnancy has already occurred, a woman should be constantly under the supervision of a doctor and undergo all routine and additional tests. If there is a threat of interruption or worsening of the condition, symptomatic treatment is carried out in a hospital setting. If you follow all medical recommendations, there is a chance to maintain the pregnancy and give birth to a healthy baby.

Prevention

For the normal functioning of the reproductive system, all health indicators must be normal. Any imbalance can lead to hormonal imbalances and a terrible diagnosis - infertility. To prevent pathological conditions, it is worth following the principles of a healthy lifestyle.

Measures to prevent polycystic ovary syndrome:

it is important to control body weight, fat deposits have hormonal activity, leading to an increased concentration of male hormones, especially in women with an “apple” body type;
moderate physical activity, playing sports, you should be attentive to your body, do not exhaust yourself with loads, but also do not lead a passive lifestyle;
proper nutrition includes the correct ratio of proteins, fats and carbohydrates; dieting and fasting also negatively affect the functions of the reproductive system, as do different degrees of obesity;
Routine examinations by a gynecologist allow you to prevent various abnormalities, carry out treatment in the early stages, and the doctor will also help you choose contraceptives, because termination of an unwanted pregnancy is the main cause of infertility;
emotional stability plays a decisive role, you need to learn to control the processes of excitability and inhibition of the nervous system, psychological health can be corrected using various techniques, with the help of meditation, yoga;
bad habits and addictions affect reproductive function; smoking and alcohol reduce the body’s immune properties and lead to chronic diseases.

A woman's reproductive system reacts to any unfavorable factors. Infections, stress, and bad habits can lead to hormonal imbalances and the development of polycystic ovary syndrome. Timely diagnosis and treatment will allow you to restore reproductive functions. After the therapy, there is a high probability of conception and successful pregnancy.

Today, an increasing number of women of childbearing age are being diagnosed with polycystic ovary syndrome. This pathology has a negative impact on pregnancy and can even prevent conception. We will talk further about how to recognize the disease and how to treat it, so that as a result you will see the long-awaited two lines on the test.

The name “polycystic” itself comes from the word “cyst” - that is, a formation, in this case, located on the surface of the ovaries and is a follicle-shaped process filled with fluid. The inside of the cyst is filled with immature eggs. The prefix “poly” indicates a large number of cysts (the minimum number of which is equal to two formations).

Severe hormonal imbalances can lead to this pathology, which in turn is provoked by increased production of the hormone insulin in the body. As a result, the woman begins to produce a large amount of androgen (which is the male sex hormone), which maintains an imbalance of hormones.

Some doctors believe that the development of polycystic ovary syndrome is facilitated by frequent acute respiratory diseases, sore throats and constant stressful situations that happened to the girl during puberty. In some cases, the disease is genetic and can also develop after an early abortion.

The following manifestations of pathology are distinguished:

severe irregularities in the menstrual cycle (characterized by irregular cycles);
the presence of frequent bleeding;
Often women begin to experience increased growth of facial and body hair. In this case, hair growth occurs according to the male type;
acne appears, characterized by an increase in oiliness of the skin of the face and hair;
weight may increase sharply without any reason (this symptom occurs in approximately half of all patients with polycystic disease);
the voice may change, it becomes rough;
On an ultrasound examination, you can see a strong enlargement of the ovaries.

Polycystic disease can occur without visible manifestations, and may remain undetected for a long period of time. Often a woman finds out that she is sick only when she cannot get pregnant and begins to be examined.

Of course, it is best to regularly visit a gynecologist and identify pathology at the earliest stages. In very advanced cases of polycystic disease, complete infertility can occur, obesity also develops, and oncological diseases in this area are also possible. In addition, the ovary or cyst may rupture if it has grown to an impressive size.

Video - symptoms and signs of polycystic ovary syndrome

First of all, upon learning about a diagnosis such as polycystic disease, women ask the doctor whether it is realistic to conceive a child in this case. Practice confirms that most of those who are faced with polycystic ovary syndrome sooner or later become pregnant and give birth to completely healthy babies. But the treatment of the disease itself is often very long and difficult.

The development of healthy eggs is controlled by female sex hormones. With polycystic disease, active production of androgen begins, which in turn suppresses female hormones. As a result, the egg cannot mature and ovulation does not occur.

The disease is also characterized by disruption of the menstrual cycle; pathological changes occur in the ovaries, which make pregnancy impossible.

There are several main reasons for the lack of pregnancy with polycystic disease:

ovulation does not occur - the egg does not have time to mature normally, which in turn makes fertilization impossible;
irregularity of menstruation - in this case it is quite difficult to calculate the days when the egg is in the fallopian tube, you can easily miss the favorable moment;
the fertilized egg does not attach to the uterus.

How to identify the disease

First of all, to clarify the diagnosis, the doctor will need to collect an anamnesis and clarify the presence of the main manifestations of the disease. Next, it is necessary to conduct a general examination, and then a clinical examination. The latter determines the condition of the organs of the reproductive system. As a rule, diagnostic studies consist of ultrasound diagnostics. Using ultrasound, you can confirm the presence of cysts, as well as diagnose the degree of ovarian enlargement.

The diagnosis can be confirmed using a hormonal test of the patient’s blood. An important factor is the presence of metabolic disorders in the body.

In some cases, additional laparoscopic diagnosis is possible. In this case, a fiber optic imaging system is inserted into the abdominal cavity. To clarify concomitant pathologies, other examinations may be prescribed, which ones are decided by the doctor based on each specific situation. After the final diagnosis of polycystic disease is established, appropriate treatment is prescribed.

Conservative treatment

It is necessary to immediately make a reservation that it is not possible to completely get rid of polycystic ovary syndrome. The disease can be cured temporarily, allowing the woman to become pregnant. Treatment is divided into: conservative (with the help of medications) and surgical. Now we will focus on the first treatment option.

To achieve pregnancy, the first step is to increase the amount of female sex hormones. For this purpose, special medications are used. Previously, therapy was carried out by prescribing estrogens and gestagens (which was not always effective). Now there are many drugs belonging to the progesterone series, including synthetic estrogen-gestagen oral contraceptives. Their use brings better results in pregnancy (the effect is observed in half of all patients).

The drug Clomiphene is quite popular. It is very effective for this pathology. The medicinal effect is caused by the overlap of estrogen-sensitive receptors. This in turn helps restore the menstrual cycle and the onset of ovulation.

Other gonadotropic drugs can also stimulate ovulation, among which are: Metrodin, Menogon, Horagon, Clomid and Clostilbegit.

It is also possible to use hypothalamic drugs (for example, Differin-Depot or Zoladex), they regulate the functioning of the pituitary gland. When combined with other medications, they also help restore ovulation. They also affect the ovaries and contribute to their reduction.

The main goal of hormonal treatment is to create favorable conditions for the maturation of the follicle and the onset of ovulation, as a result of which the long-awaited pregnancy occurs. It is better to start conservative therapy as early as possible, then the chance of normalizing the body’s condition remains quite high.

If, after a year of treatment, pregnancy does not occur, the problem must be solved surgically.

Video - how to treat polycystic ovary syndrome? Expert opinion

Surgery

It can be carried out both after conservative therapy and in conjunction with it. The operation is performed in cases where the menstrual cycle has not normalized, and also if the woman is over 30 years old.

Previously, a laparotomy was performed (in this case, an incision was made along the white line of the abdomen and then the necessary manipulations were performed on the ovaries), but then doctors abandoned this method of intervention.

At the moment, instead of laparotomy, laparoscopic surgery is performed, during which flexible optics are inserted into the abdominal cavity. In this case, resection of both ovaries is performed, the ovarian membrane can be dissected in several places, or electrocoagulation of some of their segments can be performed. This way all cysts are removed.

As a result of the operation, the increased production of androgens in the ovaries stops, which makes ovulation possible. If possible, during laparoscopy, drilling of the ovaries is performed (thickened areas of their capsule are removed). At the same time, the opening in the capsule increases, which is a greater guarantee of ovulation.

The effect of the intervention does not last very long - usually from 6 months to a year. Therefore, you can start trying to get pregnant 30 days after the intervention.

Approximately 80% of all women who undergo laparoscopy achieve fertilization. Throughout pregnancy, it is important to constantly see a doctor in order to identify possible failures and disorders in a timely manner.

The danger from polycystic ovary syndrome lies not only in infertility, but also in the fact that even if pregnancy occurs, there remains a high probability of miscarriage, stillbirth, or premature birth. That is why it is important to start treatment as early as possible, in this case there is a very high chance of the safe birth of a healthy baby.

There are diseases whose presence prevents successful conception. One of them is polycystic ovary syndrome.

This disease occurs quite often in girls of childbearing age. It is characterized special structure of the ovaries, which significantly affects implementation. Early diagnosis of the disease increases the likelihood of pregnancy.

What is polycystic disease?

Not all women manage to get pregnant the first time. Sometimes The planning process may drag on for months or many years. One of the causes of developing infertility is polycystic ovary syndrome. In gynecology, the abbreviation PCOS has appeared, characterizing this disease.

PCOS is a hormonal disorder that results in the formation of multiple cysts.

In a healthy body, by the end of the cycle, one dominant follicle matures, but with polycystic disease there are several of them and, due to hormonal imbalance, they all develop into functional cysts.

And in the second, the disease progresses with pronounced symptoms. The woman has amenorrhea or... And also with such a deviation, the following symptoms can be detected:

Male pattern hair growth.

Having excess weight.

Acne on the skin.

Increased sweating.

Increased ovarian volume.

Irregular or absent menstruation.

The combination of symptoms of the disease in one person is very rare. Most often there are 3-4 symptoms. Deviations can be identified using procedures such as:

Ultrasound examination of the pelvic organs.

Laparoscopic diagnosis.

REFERENCE! The diagnosis is made definitively only after the inability to conceive for a year.

Is it possible to get pregnant with polycystic ovary syndrome?

Getting pregnant with PCOS is problematic. This diagnosis is equivalent to infertility, but the disease is treatable, which consists of hormonal adjustments using certain medications. Episodes of pregnancy also occur in the absence of treatment. Doctors believe that this is a matter of chance. The main feature of the course of polycystic disease is, but in some situations it does occur, although very rarely.

In case of successful treatment and if conception has taken place, careful monitoring by specialists is required. The expectant mother may have to take certain medications during pregnancy progesterone based.

They will help avoid miscarriage. In women with this deviation, pregnancy, as a rule, is difficult, but it is quite possible to give birth to a healthy child in this situation.

ON A NOTE! To maintain the second phase or during pregnancy, Duphaston or Utrozhestan are most often prescribed. Sometimes progesterone injections are prescribed.
Treatment methods

The method of treatment directly depends on the intensity of the disease. First used conservative methods. A woman must undergo diagnostics, which consists of an ultrasound examination of the pelvic organs. It is necessary to know the amount of hormones such as:

LH and FSH.

Progesterone.

Testosterone.

Prolactin.

Estrogens.

Using an ultrasound, a specialist determines the condition of the ovaries. TO characteristic signs of polycystic disease include organ enlargement and multiple follicles.

The disease is often confused with multifollicular ovarian syndrome. The diseases have the same manifestation pattern, but they also have differences. With MFN this also does not occur, but cysts do not form.

Once the diagnosis is confirmed, comprehensive treatment is prescribed. There are several possible treatment options. These include:

The course of treatment is OK.

Stimulation.

Carrying out.

Taking progesterone-containing drugs.

REFERENCE! Treatment is carried out by a highly specialized doctor. He is called a gynecologist-endocrinologist. In certain situations, you may need the help of a fertility specialist.

It is possible to successfully cure polycystic ovary syndrome in order to become pregnant in the future, but strictly under the supervision of a qualified specialist. Otherwise, the existing situation can only be aggravated, provoking even greater hormonal imbalances.

Some women are treated with folk remedies or pharmaceutical herbs, but they can harm the body if taken incorrectly. The most common and effective herbs for diseases of the genital area are:

ortilia unilateral;

Linden;

raspberry leaves;

red brush.

For each herbal decoction It is prescribed to be taken on a specific day of the menstrual cycle.

At the initial stage of the disease, hormonal contraceptives are prescribed. They are selected after receiving the results on hormone levels. During the reception, the body believes that it is pregnant, so it does not happen. Consequently, conception is impossible, but menstrual-like bleeding is present.

After discontinuation of the drug, the ovaries actively begin to function. Sometimes not one, but several follicles mature. In such a situation it is possible multiple pregnancy.

ATTENTION! Experts note that when OCs are discontinued, twins are often conceived.

Stimulation is prescribed if treatment with birth control pills does not help. It is indicated only when the follicle does not rupture for more than three cycles.

At the beginning of the cycle, medications are started, stimulating follicle growth. From about the 9th day of the cycle, medications are used that provoke an increase. When the follicles and the surface lining the uterus reach the desired size, an hCG injection is performed. It causes the largest follicle to burst. As a result of this, it leaves the ovary and goes towards the uterus.

IMPORTANT! Before stimulation, you should definitely undergo a procedure to check the patency of the fallopian tubes. This will eliminate the risk of developing an ectopic pregnancy.

Is diagnostic. It is carried out if conservative methods do not work. The cause of polycystic disease can be not only hormonal disorders, but also the abnormal structure of the ovaries. Their walls may thicken over time.

As a result, it cannot leave the ovary. Even stimulation in this case will be useless. During the operation incisions on the ovaries. Thanks to this, a woman can become pregnant in the next cycle.

Laparoscopy is a simple operation and usually does not take much time. It is not considered cavitary. Several punctures are made in the patient's abdomen. Through the holes, doctors can reach the ovaries using special instruments. The recovery period after surgery does not take much time. The woman can return to her usual activities the very next day.

IVF is an extreme way to get pregnant against the background development of polycystic disease. It is carried out when other methods do not work. In preparation for the procedure, follicle growth is stimulated. The required amount is extracted from the ovaries, which are fertilized with the man’s genetic material under artificial conditions.

If a woman with this deviation is overweight, then she needs to lose it before starting. If you have PCOS, you should follow a special diet. It is recommended to exclude starch, flour products and sugar from the diet. More attention should be paid to vegetables, fruits, herbs and protein foods.

REFERENCE! Correcting body weight leads to normalization of insulin and androgen levels in the female body, which has a positive effect on the restoration of menstruation.

Sports in the presence of the disease are not contraindicated, but some exercises should be performed with caution. This is especially true for the menstrual cycle. If a woman has cysts, they may burst when lifting weights or pressing her abs.

Despite the complexity of the disease, it can be successfully treated, so pregnancy with polycystic disease is possible. Diagnosis is not a sentence. Most patients with this pathology become happy mothers. A prerequisite in this case is to follow the instructions of the attending physician.

If you ignore the disease, it can develop into diabetes or oncology. In most cases, symptoms of PCOS disappear after childbirth. That is why experts recommend that women with this diagnosis get pregnant as soon as possible.