In couples who want to have children, polycystic ovary syndrome is known as a problem that prevents women from getting pregnant. Obstetrics and In Vitro Fertilization Specialist, the methods and treatments of getting pregnant in women with polycystic ovary syndrome (PCOS) Associate Professor Selcuk Selcuk we talked to
What is Polycystic Ovary Syndrome?
Polycystic ovary syndrome It is a syndrome that causes hormonal disorders, especially seen in women of reproductive age. polycystic ovary; It is a disease that can cause menstrual irregularity, increased hair growth and infertility.
It is seen in approximately 8-10% of women of reproductive age, in other words, in 10 out of every 1 women.
Due to the inability of the eggs to grow and crack properly, it causes menstrual irregularities and inability to become pregnant.
Can Those With Polycystic Ovary Get Pregnant?
very clear on this question. women with polycystic ovaries can get pregnant we can say. First of all, it should be emphasized that; Women with polycystic ovaries can also get pregnant spontaneously through regular and unprotected sex.
Women with regular menstrual cycles with polycystic ovaries their eggs grow and hatch properly, so they have a good chance of conceiving naturally. Women with polycystic ovaries who cannot conceive after 1 year despite regular and unprotected sexual intercourse should consult a doctor for a detailed evaluation.
Ancak women with polycystic ovaries with menstrual irregularity Since there is a problem with ovulation, the chances of conceiving naturally decrease. In particular, women with polycystic ovaries who have menstrual irregularities often require treatment to become pregnant.
Polycystic Ovary Syndrome Pregnancy Methods and Treatment
Pregnancy treatment is not the same for every woman with polycystic ovary syndrome to get pregnant. Because polycystic ovary syndrome occurs with different clinical complaints. The treatment process is different in women with or without menstrual irregularity. In women with polycystic ovary syndrome, the appropriate alternatives for egg follow-up, vaccination treatment and IVF treatment are selected and applied.
Pregnancy treatment in women with polycystic ovary syndrome with menstrual irregularity
The presence of menstrual irregularity indicates whether the eggs are growing properly or not. For this reason, women with polycystic ovary syndrome who have menstrual irregularity are treated first so that the eggs grow properly and menstruation is regulated so that they can get pregnant.
Losing weight with diet and exercise in women with polycystic ovary syndrome allows the eggs to grow and crack regularly, and accordingly, the menstruation becomes regular. Studies have shown that approximately 5% weight loss (for example, a 70 kg woman loses 4-5 kg) has a significant curative effect on the menstrual cycle.
Menstrual regulating drugs that allow the eggs to grow and crack properly
These drugs are oral medications such as clomiphene citrate or letrozole. It is started on the 2nd day of menstruation, used for 5 days and the drug is stopped, then the menstrual process is followed. With clomiphene citrate and letrozole, 60-80% of women are expected to have their eggs grow properly and hatch. However, these drugs should be started with the recommendation of a doctor and should be used under the supervision of a doctor. First of all, the use of these drugs in some women can be risky or they have side effects that may occur while using the drug.
If the development and cracking of eggs cannot be corrected with oral medications, injections are used from the navel. Needle therapy has a higher chance of success than oral medications. However, it should be kept in mind that both oral medications and needle treatments can cause multiple pregnancy.
Vaccination Treatment or IVF Treatment
It is necessary to switch to a higher treatment in women who cannot become pregnant with egg enlargement drugs. Vaccination therapy may be tried first. The chance of pregnancy with a vaccination treatment trial ranges from approximately 10-12%. The advantage of vaccination treatment compared to IVF treatment is that it is a simpler treatment and its price is lower. The disadvantage of vaccination therapy is the low chance of pregnancy with vaccination therapy.
Methods and treatment of getting pregnant in women with polycystic ovary syndrome without menstrual irregularity
In women with PCOS who do not have menstrual irregularities, the eggs are thought to grow and hatch properly. For this reason, vaccination treatment or in vitro fertilization treatment is applied for pregnancy treatment in patients with polycystic ovary syndrome who do not have menstrual irregularities.
In the vaccination treatment, the eggs are enlarged with the help of a needle made from the navel, followed by ultrasound at certain intervals. When the egg size reaches 18-20 mm, the cracking needle is made. After 35-36 hours, the sperm that have passed the preparatory stage are injected into the uterus with the help of a thin catheter.
Polycystic ovary syndrome; getting pregnant by vaccination rate varies between 10-12%. As the period of not being able to conceive (more than 2 years) and the age of the woman increase, if there is a disorder in sperm parameters, if there is a concomitant condition such as chocolate cyst disease, the chance of success of the vaccination treatment decreases.
In women with polycystic ovaries who cannot achieve pregnancy with vaccination treatment, it is necessary to switch to IVF treatment.
As it is known in IVF treatment, the chance of treatment success increases as the number of eggs collected increases. Because as the number of eggs increases, the number of embryos obtained increases. As a result, the chance of pregnancy with IVF increases significantly.
Egg count and egg reserve are very high in women with polycystic ovaries. Women with PCOS develop multiple eggs with egg enlargement needles. This situation creates an advantage for women with polycystic ovaries. As a result; in polycystic ovary IVF success rate is high. The most important advantage of IVF treatment high chance of pregnancy while providing disadvantage like egg collection be an interventional procedure ve of the price higher than vaccination.
Polycystic Ovary and Pregnancy Process
Those who have polycystic ovaries and become pregnant by vaccination or those who have polycystic ovaries and become pregnant with in vitro fertilization The issue that women are most worried about is the risk of miscarriage. Recent studies (in 2002) suggest that the risk of miscarriage does not increase in women with polycystic ovaries. On the low risk women who have polycystic ovaries and become pregnant there is nothing for them to worry about.
During pregnancy in women with polycystic ovaries gestational diabetes the risk is slightly increased. because polycystic ovary disease to insulin resistance syndrome that can cause Therefore, glucose tolerance test should not be neglected during pregnancy.
Except this, women who got pregnant with polycystic ovary they should have regular doctor check-ups, especially their blood pressure should be measured at regular intervals during pregnancy.