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PCOS And Pregnancy

PCOS, i.e., Polycystic Ovary Syndrome is a common problem among women, nowadays. The study indicates that every 10th woman getting pregnant with PCOS is affected by it. What actually Polycystic Ovarian Syndrome is?

This problem initiates from the ovary and spreads its effect to the other organs of the body. PCOS is a disorder in which the reproductive system of a female fails to function properly. It has a direct effect on fertility. However, the possibility of getting pregnant with PCOS is quite difficult.

This syndrome significantly lowers metabolism, which often leads to obesity. It is important that you get diagnosed soon if you observe any of the following symptoms as it might be an indication towards PCOS and pregnancy.

  • Irregularity in the periods
  • Experiencing extreme hair fall
  • Abnormal hair growth
  • Acne
  • Obesity
  • Skin darkening
  • Extreme cramping

Dr. Runu Explained that” PCOS is caused by an imbalance of hormones and does not really have a permanent cure. But by the adoption of certain measures, it can be improved and the hormonal balance can be regularized.”

Before we get into the particulars of how to get pregnant with PCOS, let’s understand the process of ovulation.

pregnant with pcos


The reproductive system of a female comprises of ovaries, cervix, Fallopian tubes and vagina. Each of these organs has different functions.

The ovaries are responsible for holding the immature eggs, which are released after receiving the signal from the pituitary gland. A tiny structure filled with fluid also known as follicles stores the eggs after they are released.

Step 1: Every month the release FSH (follicle stimulating hormone and LH (luteinizing hormone) into the bloodstream by the pituitary gland takes place.

Step 2: When the eggs receive these hormones, they start to mature and the follicles expand and start secreting estrogens (female sex hormone).

Step 3: When the blood has enough amount of estrogen, a surge of LH is sent from the pituitary gland to the ovaries.

Step 4: Now, the most mature follicle among all follicles releases the egg. This phenomenon is known as ovulation. The remaining follicles dissolve and in case the egg remains unfertilized, they are shed along with the uterus lining during the subsequent menstrual period arrives.

This is when the woman is NOT suffering from PCOS. When a woman has PCOD, she will face the following difficulties.

  • The pituitary gland will produce an excess amount of LH that will prevent ovulation and this will lead to infertility.
  • When the blood sugar levels (insulin) are extremely high, they combine with the excess of LH and produce extremely high amounts of testosterone (male sex hormone). This will prevent ovulation and cause infertility.

PCOS not only affects fertility but also causes other health-related issues like type 2 diabetes, heart disease, high blood pressure, cholesterol abnormalities, endometrial cancer, irregular periods which might lead to other situations like gaining weight.

Obesity is one of the common problems that women with PCOS experience. They often lack confidence and avoid going to public gatherings because of the fear of body shaming. But, PCOS is not entirely intractable. It can be improved by making certain changes in your lifestyle like having a routine of going to bed and waking up, having meals in time, daily exercising, etc.

Some of you might also wonder if pregnancy is possible with PCOS. The answer to this question is a hundred percent yes. Yes, it is possible to get pregnant with PCOS, However, PCOS and pregnancy don’t go hand in hand. 

Measures to get pregnant with PCOS

Natural Approach

  1. Eat food with the low glycemic index
  2. Food with low glycemic index significantly helps with the condition of PCOS and infertility. It will level up the amount of insulin in your blood, thus maintaining a decent balance among all the hormones.

    pregnant with PCOS, What are the foods with low glycemic contents? The foods that have high fiber content are generally categorized as foods with low glycemic content. These foods are:

    • Whole Grain
    • Whole fruits
    • Green and yellow vegetables

    Fruit juice falls under the category of the moderate glycemic index, whereas the processed and overcooked foods are the foods with high glycemic content. Avoid unhealthy refined carbohydrates like sugar, flour, etc. and also the content made from them like pizza, pasta, etc. Try to incorporate gluten-free foods in your diet.

  3. Eat foods having a high fiber content
    Some of the great sources of fiber are:
    • Broccoli
    • Celery
    • Apples

    The high fiber content helps in eliminating estrogen faster from the body.

  4. Eat frequently, but control the portion size
    Instead of eating more at a time, try to have 5-6 short meals in a day, i.e., eat frequently but control the portion size. You should prepare a routine such that you have your last meal at least 2.5 hours before going to bed. Avoid eating overheated and overcooked food.
  5. Eat organic
  6. Conventional grown cattle chicken contains hormones, antibiotics and contaminants that contribute to excess production of estrogen.

  7. Take essential fatty acids
  8. Eat healthy fat, vitamin A, D and E, omega 3-6 fatty acids. The foods that contain these, are:

    • Coconut oil
    • Flax seeds
    • Olive oil
    • Rice bran oil
    • Fish oil
    • Ghee
    • Walnuts
    • Sesame
    • Soaked nuts
  9. Exercise daily
    Try to exercise for at least 30 minutes a day. Make sure to at least exercise 5 days a week. Be consistent with exercising. Try to indulge in one or the other kind of physical activity like walking, jogging, yoga, aerobics, etc.
  10. There is no need to overexercise or get into hardcore training like weight lifting or Crossfit. You just have to be physically fit so that all the hormones in your body are leveled up at all times.

  11. Limit the intake of caffeine
    If possible, try to quit caffeine completely. Caffeine increases estrogen levels.
  12. This might be a little difficult, but you must do it in order to improve the condition of PCOS and pregnancy to treat infertility.

  13. Include cinnamon in your diet
    Add one to two tablespoons of cinnamon to your food every day. It increases insulin sensitivity.
  14. Balance your daily proteins with an equal amount of carbohydrates
    This can be done by having the foods listed below:
    • Pulses
    • Legumes
    • Nuts
    • Curd
    • Paneer
    • Eggs
    • Chicken
    • Fish
  15. Practice acupressure
    Pressuring certain points in your body can help you release stress and relax for a while.

Doctor’s approach


After you visit the doctor, the doctor will conduct a physical examination, interrogate you, conduct some tests to be sure that you have PCOS and proceed with a certain treatment plan that will not fully cure the condition but will surely help you getting pregnant with pcos.

The diagnosis can proceed with any of the following ways.

  1. Oral interrogation: In some cases, oral interrogation is enough to identify whether you have PCOD or not. This is the case when your symptoms are clear and it clearly indicates towards PCOD. However, a little external examination might be required.
  2. Tests to check the levels of male sex hormones (testosterone)
  3. Blood tests: Blood tests help identify the doctor about the levels of LH, FSH, prolactin.
  4. Besides these, your doctor might also conduct tests to check the levels of thyroid.

After diagnosing you for PCOS, your doctor may suggest you take the following medication in order to treat PCOS and get pregnant.

  1. Contraceptive pills: They are pills to control birth that also have the capability to regulate your menstrual cycle. Thus, they regulate the ovulation and increase the chances of you getting pregnant with PCOS.
  2. Anti-androgen drugs: They prevent acne and abnormal hair growth. Excess of testosterone in the blood leads to the production of excessive hair and acne. These drugs diminish the production of testosterone. If you do not want to take the drugs, try removing the hair regularly, which might reduce the hair growth gradually and thus the production of testosterone.
  3. Diabetes medications like metformin: Regulates the levels of insulin in the blood. Diabetic medications are used to level up the blood sugar hormones (insulin).
  4. Fertility medications: They can stimulate ovulation.
  5. Surgery: If any of the following methods do not help you and despite your infinite attempts you are unable to get pregnant, your doctor might recommend Laparoscopic ovarian drilling procedure. The major agenda of this procedure is to diminish the amount of testosterone and encourage ovulation and hence, fertility.

During the procedure, small holes are made in the ovary, where testosterone is produced, this gradually decreases the secretion of testosterone.

PCOS and pregnancy success rate are quite low because there is very less awareness among women regarding PCOS. According to statistics, 30% of women having PCOS are able to conceive.

Women should never lose hope because there are a lot of cases when women have waited for 5 long years before conceiving. You will find ample of examples on the internet when women are told by doctors that they are infertile or can’t get pregnant, but, with some improvement in their lifestyle, they are able to conceive. You are not alone, you have a whole community of PCOS backing and supporting you and will help you fight it.


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