You can also try the following. Take your temperature first thing every morning, before you even get out of bed. Use an ovulation predictor kit. Urinate on a test stick each morning, starting a few days before you think ovulation is going to happen. When you get a positive result check the package insert of your test for specific instructions , that indicates that ovulation is imminent.
These kits may not work well for all women with PCOS because they detect a hormonal surge that is normally found right before ovulation. Some women with PCOS have persistently high levels of this hormone, causing their tests to always show a positive result. Monitor your cervical mucus. Subtle changes in your cervical mucus can signal impending ovulation. These clues can be less accurate and depend on your comfort level in observing your mucus or checking your cervix. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.
The American College of Obstetricians and Gynecologists. Female age-related fertility decline. Updated Lifestyle factors and reproductive health: taking control of your fertility. Reprod Biol Endocrinol. Pregnant women with preeclampsia may require a C-section delivery, which can carry additional risks for both mother and baby. This condition is due to an increase in blood pressure that may occur in the second half of pregnancy. If not treated, it can lead to preeclampsia. This type of high blood pressure can also affect delivery of the baby.
Preterm birth. Infants are considered "preterm" if they are delivered before 37 weeks of pregnancy. Preterm infants are at risk for many health problems, both right after birth and later in life, and some of these problems can be serious. Cesarean or C-section delivery. Citations Close Citations Ehrmann, D. Polycystic ovary syndrome. New England Journal of Medicine , 12 , — Obesity can make the symptoms of PCOS worse and make it harder to become pregnant 7.
Weight loss is usually recommended as a first step for people with PCOS who are overweight or obese and trying to conceive. Weight loss can increase the chance of ovulation and of having regular periods Weight loss alone is sometimes enough to restart ovulation, but also increases the chance of ovulation and giving birth when combined with fertility medications compared to using fertility medications alone 11, Being a healthy weight is recommended for anyone trying to become pregnant to decrease the risk of complications like gestational diabetes, pregnancy-induced hypertension, and preeclampsia.
Often weight loss is encouraged through increasing exercise and decreasing the amount of calories consumed each day. Nutritionists, healthcare providers, and personal trainers can be great resources in achieving weight loss that is safe and effective. Losing weight takes time, but even small changes can make a difference.
After other reasons for infertility—such as blocked fallopian tubes, fibroids , or low sperm count—have been ruled out, a healthcare provider may prescribe medications to induce ovulation in someone with PCOS who is trying to conceive.
Insulin resistance is common in people with PCOS. Insulin is a hormone that is released from the body to regulate the amount of glucose sugar in the bloodstream. The excess insulin disrupts the hormones produced by the ovaries and pituitary gland, and this interferes with ovulation 7. Metformin is a medication that makes it easier for the body to use the insulin it makes, decreasing the amount of insulin in the bloodstream. Metformin is used for people with PCOS to stimulate ovulation 7, Metformin has the added benefit of sometimes helping people lose weight, but can also cause abdominal pain and diarrhea 7.
Read more: Explainer: what is polycystic ovary syndrome? As for all women, being in the best possible health before trying for a baby increases the chance of pregnancy and gives the baby the best start in life. To get the right kind of advice and support, women planning to get pregnant should have a preconception health check with their GP.
This is also an opportunity to discuss a plan of action in case the PCOS causes fertility difficulties. For women with PCOS who are overweight or obese, a modest weight loss sometimes results in more regular ovulation, which increases the chance of pregnancy. Read more: Women's fertility: does 'egg timer' testing work, and what are the other options? Your GP is your first port of call, but she might refer you to a fertility specialist.
If you have very irregular or only sporadic periods, this is an indication you are not ovulating and need medical help to have a baby.
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