You may have concerns about getting pregnant if you are dealing with Polycystic Ovary Syndrome (PCOS). This hormonal disorder that impacts millions of women presents various difficulties, with fertility problems being a prominent concern. Nevertheless, there is hope. By implementing appropriate strategies and making lifestyle adjustments, women dealing with PCOS can enhance their prospects of achieving pregnancy. Observing PCOS Awareness Month in September, Dr Lakshmi Prasuna, Consultant, Obstetrician and Gynaecologist, Manipal Hospitals, Vijayawada, underscores PCOS's varied impacts on fertility.
Dr Prasana said, “PCOS is a condition that affects the ovaries due to an imbalance in hormonal levels. Typically, ovaries produce and release an egg each month as a natural part of the menstrual cycle. However, in individuals with PCOS, the egg may not develop correctly or may fail to be released during ovulation as expected.”
Impact Of PCOS
PCOS often causes infertility due to menstrual cycle and ovulation disruptions. Dr Prasana explained, “As a result, it leads to irregular menstrual cycles, making it challenging for mature eggs to be released for fertilisation. Elevated testosterone levels and hormonal imbalances can further complicate fertility. According to the Faculty of Medicine of the University of Porto, PCOS is the most prevalent endocrine condition in women, with an overall frequency of 5-15% and a frequent cause of infertility.”
Also Read: PCOS Related Health Risks: Expert Lists Do's And Don’ts To Manage This Condition
Tips To Boost Fertility When Dealing With PCOS
Early diagnosis and comprehensive treatment, including lifestyle changes and medications, can help many with PCOS achieve their dream of starting a family. Here are five recommendations to enhance fertility in women coping with PCOS.
Weight Management
Dr Prasuna said, “Maintaining a healthy weight is vital for managing PCOS-related fertility issues by regulating insulin and hormones, and enhancing ovulation chances. An ideal BMI for conception ranges from 18.5 to 24.9, reducing pregnancy complications, such as pre-eclampsia, blood clots, diabetes, miscarriage, premature birth, and future obesity risks for the baby.”
Menstrual Cycle Tracking
PCOS often causes irregular cycles, complicating conception timing. Dr Prasana added, “Ovulation kits, temperature tracking aids, and medications may be needed for severe irregularity.”
Dietary Adjustments
Dr Prasuna said, “A PCOS-friendly diet is vital for fertility, focusing on low glycaemic foods to stabilise blood sugar, enhance hormone balance, and reduce insulin resistance.”
Supplements and Medications
Dr Prasuna added, “Supplements like inositol and medications like metformin support fertility in PCOS. Inositol enhances insulin sensitivity and promotes regular ovulation, while metformin manages insulin resistance. Some other fertility medications may also be recommended by a healthcare provider.”
Also Read: PCOS Can Cause Many Complications, Here Are Types Of Exercises That Can Help
Stress Management
Increased stress worsens PCOS and fertility issues. It is recommended to practice yoga, meditation, or counselling for stress management, improving hormone balance and overall well-being during fertility efforts.
Role of Assisted Reproductive Technologies
Dr Prasuna highlighted, “In some cases, assisted reproductive techniques may be necessary to manage PCOS-related infertility challenges. These techniques, such as IVF, require thorough evaluation due to the complexity of PCOS, including issues like hyperinsulinemia (a condition in which the amount of insulin is higher than required) and excessive body weight. Preventive measures are essential to avoid risks like overstimulation and severe hyperstimulation during ovarian stimulation for IVF.”
Balanced Diet
It is recommended to maintain a balanced diet emphasising iron, zinc, and fibre-rich foods while reducing carbs, sugary, and saturated fats. Fruits, vegetables, legumes, nuts, oily fish, seeds, and unsaturated fats should be prioritised.
[Disclaimer: This article contains information provided by a registered healthcare professional and is for informational purposes only. Hence, we advise you to consult with your expert for a treatment plan tailored to your needs.]
