Polycystic Ovary Syndrome Pregnancy Rate

Written by He Bing
Obstetrics and Gynecology
Updated on September 24, 2024
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For women who plan to conceive, their biggest concern is whether polycystic ovary syndrome (PCOS) will affect their normal fertility. Normally, reproductive-aged women develop a group of 3-11 follicles each month, which after recruitment and selection, typically only one follicle fully matures and ovulates, while the other follicles degenerate after reaching a certain stage of development. However, in patients with PCOS, the ovaries contain many small and immature follicles, often more than 12. The amount of follicle-stimulating hormone secreted by the pituitary gland is not sufficient to support the development of even one follicle, leading to anovulation and infertility. For patients with PCOS who want to conceive, the greatest risk is infertility. Patients can control their weight and regulate their menstrual cycles by adjusting their lifestyle, or by using medication to induce ovulation. Generally, more than 95% of patients can successfully induce ovulation and achieve pregnancy through medication. However, the success rate of achieving pregnancy through induced ovulation after 6 attempts is only 75% to 80%. Even for those who ovulate naturally, the success rate of conception within a year is only 82%. Therefore, it is essential to be patient, as hurried efforts will not yield immediate results in treatment.

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Written by He Bing
Obstetrics and Gynecology
1min 13sec home-news-image

Can polycystic ovary syndrome get pregnant?

Patients with polycystic ovary syndrome (PCOS) suffer from endocrine disorders, which prevent follicles from developing and maturing, leading to anovulation or rare ovulation, and consequently, amenorrhea and infertility. Although it is much more difficult for patients with PCOS to become pregnant compared to the average person, there is still a great hope for natural conception through a series of targeted treatments. For patients with reproductive needs, ovulation induction treatment can be chosen based on improved lifestyle habits. Under the guidance of a doctor, medications can be used to adjust menstrual cycles and stimulate ovulation. Then, by having intercourse around the time of ovulation, the chances of pregnancy can be increased. However, it is important to emphasize that all these should be conducted under the guidance of a professional doctor. The female endocrine system is like a precise instrument, and improper use of medication on one's own can potentially lead to endocrine disorders and result in infertility.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to diagnose polycystic ovary syndrome?

When suspecting polycystic ovary syndrome in females, it is essential to first inquire about the woman's menstrual history and menstrual cycle. A detailed observation of the woman's body type should be made, as some women may appear somewhat overweight and have increased body hair, such as small mustaches around the lips, and some may even have acne on their faces. In addition, a thorough physical examination should be conducted, including a gynecological examination, where some women may find an increased volume in both ovaries. Hormonal tests can also be conducted, showing elevated levels of androgens, or an imbalance in the levels ratio of luteinizing hormone to follicle-stimulating hormone. Some women may exhibit insulin resistance, with abnormalities in blood glucose and lipid levels. Ultrasound examination can show many small follicles in both ovaries on the same plane, without a dominant follicle, and the number of small follicles generally exceeds 12.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What is the best treatment for polycystic ovary syndrome?

Polycystic ovary syndrome varies greatly among individuals, and clinical manifestations are very different. The specific condition of each person is different, hence the treatment methods also vary. Therefore, there is no single best way to treat it; treatment should be tailored to the individual. For example, if one can maintain a good condition with relatively regular menstrual cycles and it does not affect pregnancy, then no special treatment might be necessary. However, if there is a long absence of menstrual periods, then treatment such as using birth control pills to regulate hormones may be necessary. Some people may also have concurrent conditions such as thyroid dysfunction or insulin resistance, and treatment for these conditions should be based on specific test results.

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Written by Liu Wei Jie
Obstetrics
1min 19sec home-news-image

Is the chance of getting pregnant with polycystic ovary syndrome high?

Polycystic ovary syndrome (PCOS) manifests as absent or irregular menstrual periods, and is also associated with obesity, hirsutism, insulin metabolism disorders, as well as elevated blood sugar and cholesterol levels. The mechanism behind the development of PCOS is unclear but may be related to genetic factors, diet, and lack of exercise. Due to the irregular menstrual cycles, which stem from anovulation (lack of ovulation), the likelihood of pregnancy decreases. It is challenging to calculate the specific probability of pregnancy, but overall, the chances of becoming pregnant with PCOS are very low, although there is still a possibility. Treatment for PCOS generally starts with lifestyle changes, such as avoiding staying up late and refraining from eating sweets. Weight management is also crucial; weight gain is recommended for those who are underweight, whereas weight loss is advised for those who are overweight, along with appropriate exercise.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can polycystic ovary syndrome be cured?

Polycystic ovary syndrome is a lifelong disease and is incurable. The causes of this disease are not very clear at present, but are mostly related to environmental and genetic factors. Therefore, it is important to exercise regularly and maintain a normal weight. Generally, the problem is not very serious, but if there is a severe endocrine disorder, it must be addressed, especially in women of childbearing age who experience irregular menstruation or infertility. It is necessary to check the endocrine system and regulate menstruation and promote ovulation based on the endocrine results. If there is a desire to conceive, oral contraceptives can be taken followed by treatments to regulate menstruation and promote ovulation. If there is no desire to conceive, menstruation should occur at least once every two months to avoid endometrial abnormalities.