How should women with PCOS prepare for pregnancy?
Our fans asked this question today, and now 6-10 out of 100 girls have polycystic ovary syndrome (PCOS).
This ghost name must have scared a lot of girls, and even some girls did not realize that they had this disease, so today we talk about this disease.
Early symptoms
1. Menstrual disorders
Menstruation is rare, even amenorrhea, and the clinical manifestations in a small number of patients are: functional uterine bleeding, more common in adolescent women, referring to the continuation of irregular menstruation after menarche, accompanied by symptoms of dysmenorrhea.
2. Hairy
Hirsutism is most common in women with POLYOS, which can be as high as >60%. Mainly because of the increase in androgens, there are hairs on the upper lip, jaw, back, chest, middle of the lower abdomen, on both sides of the thighs, and around the anus, which are manifested as: coarse and heavy, but the degree of hairiness is not proportional to androgen levels, which will be affected by the number of receptors, estrogen, and hair follicle sensitivity to androgens. In addition, it is accompanied by acne, because of strong facial sebum secretion, low and thick voice, clitoral hypertrophy, and even signs of masculinization such as laryngeal knots.
3. Infertility
Because the patient's normal ovulation is inhibited, there is a long-term non-ovulation phenomenon, the patient is more complicated by infertility, and even occasional ovulation and severe abortion will occur, the incidence rate is as high as 75%.
4. Obesity
Most patients are overweight by more than 20%, and patients with a body mass index ≥ 25. account for between 30 and 60% of all patients. Among them, the proportion of fat concentration to waist, hips and upper body > 0.85. This condition mostly begins in puberty, and weight is accompanied by an increase and increase in age
How to prevent and treat
Weight control: The first is to exercise to lose weight and develop a good lifestyle to reduce fat, especially visceral fat.
Controlled diet: 30% of the fat in the diet <.
Exercise: Exercise for 30 minutes more than five times a week and is moderate.
How to prepare for pregnancy
The main crux of polycystic ovary syndrome affecting pregnancy is dilute ovulation or anovulation, and ovulation is the possibility of natural conception in people with rare ovulation, but the probability is low. In most cases, ovulation induction therapy is still required.
So, how do women with PCOS successfully get pregnant?
Preparation: Lifestyle adjustments and weight loss (can restore spontaneous ovulation, or improve sensitivity to ovulation-stimulating drugs)
Underlying treatment: ovulation induction (which promotes normal follicle development) gonadotropins (for patients who have failed ovulation-stimulating drug therapy) Assisted reproductive technologies such as "IVF" can also be used if ovulation-stimulating therapy does not respond.
Psychotherapy: Infertility patients are generally under great psychological stress, so psychological adjustment should be carried out
I motivate, self-relax, and relieve worries. Even if the normal pregnancy is prepared for the couple, if the psychological pressure of pregnancy preparation is too large, it will affect the conception. Therefore, adjusting the mentality is also a top priority.
Points for pregnancy preparation
The best and most fundamental treatment is weight control, and many patients with PCOS conceive naturally through lifestyle changes such as diet and exercise, and get significant improvements in reproductive endocrine function.
It is best to correct the obvious high male hormone status and insulin resistance under the guidance of a doctor, and then induce ovulation, otherwise it will have a certain impact on the success rate.
Patients with PCOS are prone to gestational diabetes mellitus and gestational hypertension after pregnancy, and require early glucose tolerance screening and enhanced pregnancy testing and monitoring.
In addition to affecting menstruation and pregnancy, PCOS also interferes with negative effects such as glucose metabolism, lipid metabolism, and increased risk of cardiovascular disease, requiring lifelong attention and treatment.
I hope that today's article can give you some inspiration for those who are anxious to get pregnant
bibliography:
"Pregnancy Science Popularization: Acne, Fat Body, Less Menstruation, Can't Get Pregnant?" Beware of POLYCYS OVS
Yunnan Hospital of Integrated Traditional Chinese and Western Medicine Quan Junli