Polycystic ovary syndrome is a very common diagnosis. It is put to every fifth woman. It is believed that polycystic ovary and pregnancy are incompatible things. The exact causes of this disease are still unknown, but it is known that polycystic disease is a hormonal disease caused by a malfunction of the endocrine system, which reduces the woman’s ability to become pregnant and bear a child, since the body does not produce enough hormones necessary for conception.
A large number of women are wondering: is pregnancy possible with polycystic ovary? Pregnancy with such a diagnosis is possible! Many manage to endure and give birth to a healthy baby on their own. For others, this is obtained with the help of properly prescribed drug treatment or ovarian surgery. Undoubtedly, it is better to undergo treatment at the stage of pregnancy planning.
Determination of polycystic ovary
Polycystic or polycystic ovary syndrome (PCOS) are pathological changes in the ovaries, characterized by the presence of small formations on their surface - cysts. They can be single, or they can form whole clusters. Because of what the organ cannot function normally, the development of the follicle is disrupted. With polycystic ovary, there is an excessive production of male hormones, especially androgen, against the background of a decrease in female production, which leads to the fact that the eggs do not mature, ovulation does not occur and, therefore, pregnancy cannot occur. PCOS can also cause obesity and a lack of menstruation.
Causes
The exact causes of polycystic disease are still unknown. But there are a number of factors that can provoke this disease:
- Hormonal disruptions in the body.
- Excess weight.
- Stress.
- Abortion
- Hereditary predisposition.
- Genital infections.
- Violations of the thyroid gland.
- Insulin resistance.
Polycystic disease can form with the onset of puberty, and if you do not start treatment on time, problems may arise in the future. There is an assumption that women with such a diagnosis on their own can become pregnant no earlier than 24-25 years old and this requires a good combination of circumstances, for example, the occurrence of ovulation in the desired period of the cycle.
Symptoms
- Lack of or menstruation or failure.
- Inability to become pregnant for a long time.
- Excess weight.
- Excessive hair growth on the body.
- Absence or irregularity of ovulation.
- Kiztozny education on the ovaries with ultrasound.
- Thickening of the endometrium is possible.
- Increase in cycle time.
- The appearance of acne.
- Ovarian enlargement.
- Lean or too heavy menstruation.
- Skin pigmentation.
Diagnostics
If you suspect polycystic ovary is carried out:
- Gynecological examination.
- Laboratory tests of blood and urine are prescribed. First of all, a check is carried out for hormones, cholesterol, glucose.
- An important role in the diagnosis is played by the results of ultrasound, because it is with this method that you can see cystic formations of the ovaries, densification of their shell, and thickness of the endometrium.
- A laparoscopic examination is prescribed.
Polycystic ovary and pregnancy
Polycystic ovary is not a sentence of infertility. Some women manage to get pregnant without the intervention of doctors. This usually happens when there is no malfunction of the menstrual cycle. In confirmation of this, you can read a lot of reviews about pregnancy with polycystic ovaries, the main thing is to follow all the doctor's recommendations. At this time, it is recommended to monitor basal temperature and do ovulation tests. If pregnancy does not occur within a year, the doctor prescribes the appropriate individual treatment based on the analyzes. After pregnancy, to avoid complications, the expectant mother will have to be under the scrutiny of the attending physician - more often than others undergo an ultrasound scan and take tests.
Pregnancy Planning for Polycystic Ovary
If the test results confirm the diagnosis, before planning a pregnancy, you should undergo all the necessary treatment, since polycystic can cause miscarriage, premature birth, pressure surges and obesity. It is necessary, if possible, to exclude all the causes that cause polycystosis - obesity, hormonal disruptions, stress, any chronic diseases and others.
Treatment
Treatment of polycystic ovary during pregnancy should be comprehensive, depending on the collected history. This may include:
- Hormone therapy. It is assigned strictly individually. It normalizes the hormonal background of a woman, restores the balance of female and male hormones in the body, helps wake up the follicle, prepares the endometrium. Oral contraceptives are often prescribed, with the help of which the menstrual cycle is restored, the ovaries return to their previous sizes, the acne from the face goes away. Then, if necessary, ovulation stimulation with special drugs is prescribed. At this time, ultrasound monitoring is recommended in order to know the presence or absence of ovulation, whether the thickness of the endometrium is sufficient for egg implantation.
- Surgical intervention. If hormone therapy does not help, the doctor decides to prescribe laparoscopy.
Laparoscopy for polycystic
Laparoscopy is a type of surgery in which operations are performed not by incision, but through small holes through which instruments are inserted into the abdominal cavity. During surgery, general anesthesia is used. This method has many advantages over conventional abdominal surgery:
- there are no large scars on the stomach;
- minimum blood loss;
- reduced risk of infection;
- the likelihood of adhesions of the pelvic organs is reduced;
- short rehabilitation period compared with abdominal surgery.
Laparoscopy can be performed using several methods:
- moxibustion (used for polycystic and endometriosis);
- excision of benign formations - adhesions, cysts;
- complete or partial removal of the ovary or other pelvic organ if a strong inflammatory process has begun.
Before the operation, the woman must undergo a number of tests, such as:
- blood and urine tests;
- cardiogram;
- Ultrasound
- fluorography;
- blood coagulation test;
- sometimes the doctor may require an MRI result.
Women's reviews of laparoscopy for polycystic ovary and pregnancy due to the operation indicate that this type of treatment is very effective. But in this case, compliance with all the recommendations of the attending physician plays a big role. In case of severe pain, bleeding, you should immediately call an ambulance, because, despite the operation that is considered safe enough, there are still complications - medical errors, patient's non-compliance with the doctor’s recommendations, and inflammatory processes.
Reviews about pregnancy after laparoscopy of the ovaries with polycystosis are very numerous. The long-awaited event occurs in 70-80 percent of women 6-12 months after surgery. During pregnancy, maintenance therapy is prescribed.
The consequences of polycystic ovary
The danger of polycystic deserves special attention. This is a very serious disease requiring compulsory treatment. Running polycystic can cause:
- endometriosis;
- commissures;
- risk of cardiovascular disease;
- uterine bleeding;
- It is important to note that cysts tend to degenerate into oncology, not only of the ovaries, cervix, uterine mucosa, but also of the breast;
- advanced polycystic ovary and pregnancy - concepts that are almost incompatible. Great efforts will be required to cure infertility caused by this disease.
If polycystosis is already detected during pregnancy, then there is a danger:
- miscarriage
- premature birth;
- severe pregnancy;
- diabetes.
Timely competent treatment is very important.
Polycystic Prevention
There are basic measures for the prevention of polycystic ovary:
- weight control;
- low carbohydrate diet;
- physical activity;
- attention to your menstrual cycle;
- visiting a gynecologist-endocrinologist with excessive hair growth and the appearance of acne;
- Parental control of these signs in their daughter is very important in order to have time to see a doctor in time and prevent complications.
Polycystic ovary and pregnancy are not mutually exclusive. The main thing is to consult a doctor in a timely manner and begin treatment, following all the prescribed recommendations. Unfortunately, it is impossible to completely cure this disease. Therapy reduces the risk of consequences and helps get rid of symptoms. Laparoscopy also has a temporary effect, after which the ovaries may again stop working normally and the likelihood of adhesions will increase. But, despite this, with competent therapy, there are many positive reviews about pregnancy after polycystic ovary.
Preventive measures and treatment restore women's health, helping the onset of ovulation, and preserving therapy while bearing protects the child and the expectant mother from serious consequences.