Currently, the diagnosis of "polycystic ovary" is quite common among women of childbearing age.
This disease is scary because quite often it becomes the main cause of a sudden termination of pregnancy, it is also worth noting that it is often polycystic disease that causes female infertility. This disease may not manifest itself for many years and show up quite by accident.
Of course, if such a diagnosis is made, then the woman is only interested in one question: “Can I get pregnant with polycystic ovaries?” In order to answer this question, let's try to find out the causes of the disease and possible ways to treat the disease.
Causes and symptoms of polycystic
This disease is most often caused by hormonal imbalance or hormone failure. Separately, I would like to note that very often polycystic develops against the background of experienced stress, infectious and viral diseasesas well as consequence of early abortions.
As a rule, this disease develops regardless of the age of the woman. Symptoms of polycystic can be: menstrual disorders, acne, ovarian enlargement, male body hair growth, weight gain.
In the event that the disease leads to the impossibility of ovulation, women are terribly diagnosed with "infertility." Due to the high amount of male hormones in a woman’s body, it becomes extremely difficult to conceive a child.
Is it possible to get pregnant with polycystic?
Of course, polycystic can cause miscarriage and significantly affect the onset of pregnancy and its course, but do not be upset. There are cases when the pregnancy began and developed normally in women with polycystic disease.
Of course, the likelihood of pregnancy exists, but this disease can have a huge impact on the state of the pregnant woman and the fetus, which is why, before planning a pregnancy, a woman who has such a difficult diagnosis must undergo a course of treatment.
Polycystic disease during pregnancy is dangerous because it can trigger bleeding, miscarriage, fading of pregnancy and premature birth. Yes, and this condition has a significant effect on the state of the pregnant woman: pressure increase, gestational diabetes, sudden weight gain are not all complications that a woman can feel. To maintain the normal state of the pregnant woman and preserve the child, women are prescribed special therapy.
How to treat polycystic to get pregnant?
Special treatment of polycystic disease, which is successfully carried out by many obstetrician-gynecologists, will not only increase the likelihood of pregnancy, but also help its favorable course.
Treatment with hormones is usually carried out for three months. If this method does not give a positive result and does not lead to conception, then it is worth resorting to laparoscopy. This method, together with drugs that help restore hormonal imbalance, gives almost one hundred percent guarantee and pleases with the rapid onset of the desired pregnancy.
Summarizing the above, I would like to once again note that there is certainly a chance to get pregnant with polycystic ovaries, so do not despair: the main thing is to undergo the necessary treatment, to believe in victory and very soon you will keep your baby in your arms.
Description of the disease and its manifestations
The name "polycystic" itself comes from the word "cyst" - that is, the formation, in this case located on the surface of the ovaries and which is a process in the form of a follicle filled with fluid. Inside the cyst is filled with immature eggs. The prefix "poly" indicates a large number of cysts (the minimum number of which is equal to two entities).
Abrupt hormonal disturbances can lead to this pathology, which in turn is triggered by an increased production of the hormone insulin in the body. As a result, a woman begins to produce a large amount of androgen (is a male sex hormone), which supports the imbalance of hormones.
Some doctors believe that the development of polycystosis of the ovaries is promoted by frequent acute respiratory diseases, sore throats and constant stressful situations that occurred with a girl during puberty. In some cases, the disease is genetic and may also develop after an early abortion.
There are the following manifestations of pathology:
- sharp violations of a menstrual cycle (the cycle irregularity is characteristic),
- the presence of frequent bleeding,
- Often, women begin to increase the growth of vegetation on the face and body. In this case, hair growth occurs in the male type,
- acne appears, characterized by an increase in oily skin of the face and hair,
- weight can increase dramatically without any reason (this symptom occurs in about half of all patients with polycystic),
- change of voice is possible, it becomes rude,
- on ultrasound you can see a strong enlargement of the ovaries.
Polycystic and can occur without visible manifestations, and for a long period of time may remain undetected. Often a woman finds out that she is sick only when she cannot become pregnant and begins to be examined.
Of course, it is best to regularly visit the gynecologist and identify the pathology in the earliest terms. In very advanced cases of polycystosis, complete sterility may occur, obesity also develops, and cancer in this area is possible. In addition, an ovarian or cyst rupture may occur if it has grown to an impressive size.
Why polycystic prevents to get pregnant
First of all, after learning of such a diagnosis as polycystic disease, women ask the doctor whether it is realistic to conceive a child in this case. Practice confirms that the majority of those who are faced with polycystic ovaries, sooner or later become pregnant and produce quite healthy babies. But the treatment of the disease itself is often very long and difficult.
The development of healthy eggs is controlled by female sex hormones. With polycystic, active androgen production begins, which in turn suppresses female hormones. As a result, the egg can not mature and ovulation does not occur.
Also, the disease is characterized by a violation of the menstrual cycle, there are pathological changes in the ovaries, which make pregnancy impossible.
There are several main reasons for the absence of polycystic pregnancy:
- ovulation does not occur - the egg does not have time to mature normally, which in turn makes fertilization impossible,
- irregularity of menstruation - in this case it is quite difficult to calculate the days when the egg is in the fallopian tube, you can easily miss the favorable moment,
- there is no attachment of a fertilized egg to the uterus.
Further in the article we will look at how to diagnose pathology, as well as its treatment.
How to identify the disease
First of all, the doctor will need to collect anamnesis and clarify the presence of the main manifestations of the disease to clarify the diagnosis. Further it is necessary to conduct a general examination, and then a clinical examination. On the latter, it is determined what state the organs of the reproductive system are in. As a rule, diagnostic tests consist of ultrasound diagnostics. Using ultrasound can confirm the presence of cysts, as well as diagnose the degree of ovarian enlargement.
You can confirm the diagnosis using hormonal blood tests of the patient. An important factor is the presence of metabolic disorders in the body.
In some cases, additional laparoscopic diagnosis is possible. At the same time, a fiber optic imaging system is inserted into the abdominal cavity. In order to clarify the accompanying pathology, other examinations can be prescribed which ones - the doctor decides on the basis of each specific situation. After the final diagnosis of "polycystic" is prescribed appropriate treatment.
We need to immediately make a reservation that it is not possible to completely get rid of polycystic ovaries. The disease can be healed for a while, which will allow a woman to become pregnant. Treatment is divided into: conservative (with medication) and surgery. Now we will focus on the first treatment option.
For pregnancy, the first thing important is to increase the number of female sex hormones. For this purpose, use special medicines. Previously, therapy was carried out with estrogen and gestagen prescription (which was not always effective). Now there are many drugs related to the progesterone series, among which are synthetic estrogen-progestin oral contraceptives. Their use brings the best results on the onset of pregnancy (the effect is observed in half of all patients).
The drug Clomifen is quite popular. It is very effective in this pathology. The medicinal effect is caused by the overlap of estrogen-sensitive receptors. This in turn helps to restore the menstrual cycle and the onset of ovulation.
Other gonadotropic agents can also stimulate ovulation, among which are: Metrodin, Menogon, Horagon, Clomid and Klostilbegit.
It is possible to use and hypothalamic drugs (for example, Differelin-Depot or Zoladex), they regulate the pituitary gland. When combined with other medications also help restore ovulation. They also affect the ovaries, contribute to their reduction.
The main goal of hormonal treatment is to create favorable conditions for the maturation of the follicle and the onset of ovulation, as a result of which the long-awaited pregnancy occurs. It is better to start conservative therapy as early as possible, then the chance to normalize the state of the body remains quite high.
If after a year of treatment the onset of pregnancy does not occur, the problem must be solved surgically.
Video - how to treat polycystic ovaries? Expert opinion
It can be carried out both after conservative therapy, and together with it. The operation is performed in cases where the menstrual cycle has not returned to normal, as well as if the woman is more than 30 years old.
Previously, a laparotomy was performed (an incision was made along the white line of the abdomen and then the necessary manipulations with the ovaries were performed), but then the doctors refused such an intervention.
At the moment, instead of laparotomy, laparoscopic surgery is performed, during which flexible optics are introduced into the abdominal cavity. At the same time perform resection of both ovaries, ovarian membrane dissection can be done in several places or electrocoagulation of some of their segments can be performed. Thus, all cysts are removed.
As a result of the operation, increased production of androgens stops in the ovaries, which makes possible the onset of ovulation. If possible, in the process of laparocopy, ovarian drilling is performed (removal of thickened areas of their capsule is carried out). Along with this, an increase in the opening in the capsule occurs, which is a greater guarantee of ovulation.
The effect of the intervention does not persist for very long, usually from 6 months to a year. Therefore, you can begin to make attempts to get pregnant 30 days after the intervention.
Approximately 80% of all women undergoing laparoscopy, fertilization occurs. During the entire pregnancy, it is important to be constantly monitored by the doctor in order to identify possible failures and disorders in time.
The danger from polycystic ovaries lies not only in infertility, but also in the fact that even if the pregnancy comes, there remains a high probability of miscarriage, a dead child or childbirth ahead of time. That is why it is important to begin treatment as early as possible, in this case there are very big chances for a healthy birth of a healthy baby.
How to get pregnant with polycystic ovaries
Polycystic ovary syndrome may appear as early as adolescence (primary), resulting from an inappropriate hormonal adjustment due to puberty. The secondary syndrome develops at sexual maturity, even with menopause, being a consequence of endocrine disorders.
How to recognize
Polycystic ovary syndrome (hereinafter referred to as PCOS) is a concomitant symptom of many pathologies of the reproductive system, not an independent disease. Its main features are considered:
- the pain of menstruation, their excessive profusion or scarcity,
- constant pain in the mammary glands and lower abdominal cavity,
- excessive accumulation of fatty deposits in the abdomen,
- elevated blood insulin levels
- atypical growth of body hair (the appearance of male-style vegetation or bald patches).
Polycystic Ovary Syndrome in Pregnancy Planning
The function of the ovaries in procreation is as follows: the follicles mature in them (several in one cycle), then an egg cell leaves the ovulation process.
Polycystic is the phenomenon of follicle failure, when none of them grows to the required size. Tiny follicular cysts remain on the ovary, interfering with its further healthy functioning.
When planning a pregnancy, timely identified PCOS helps enable the body to create a healthy egg that is able to pass through the genital tract and ready for fertilization.
Is it possible to get pregnant
Despite the impaired hormone production necessary for a successful conception, pregnancy can also occur in the presence of the syndrome. In such cases, the therapeutic management of pregnancy by a physician is necessary, who will give recommendations for the removal or preservation of cysts depending on their effect on the process of gestation.
On one ovary
The most common form of polycystic is bilateral, in which both ovaries are affected. Much less often recorded cases of the formation of cysts only on one organ. Statistics show that usually one-sided polycystic is formed on the right ovary, which can be explained by arterial circulation (as opposed to left-sided venous).
With polycystic ovaries and irregular menstrual periods
Disruption of the menstrual cycle accompanies polycystic in most cases. Depending on the severity of the syndrome, the disturbances are manifested from an irregular cycle with constant delays to the complete absence of menstruation.
The latter option means that the woman suffers from anovulation, that is, the eggs do not mature. In such cases, it is necessary to first cure the infertility associated with polycystic disease, and then proceed to attempts to get pregnant.
Pathology of both ovaries
The syndrome affecting both ovaries may be less pronounced symptomatically. In addition, the load distribution in the production of follicle-stimulating hormone lies simultaneously on a pair of organs, which theoretically could be the cause of a single normal release of the egg. Thus, it is still possible to get pregnant with PCOS, but it is better to give preference to pretreatment followed by pregnancy planning.
Does pregnancy help get rid of polycystic
There are cases confirmed by ultrasound studies, when multiple follicular cysts were resolved by the end of pregnancy. Such a process is possible only if the individual parameters of the hormonal predisposition to combat neoplasms coincide. However, the majority of pregnancies occurring with not treated polycystic disease, threaten the health of the mother and fetus.
There are two ways to treat polycystic ovary syndrome:
- Hormone therapy.
- Surgical intervention.
The first method gives excellent results and helps 90% of patients. However, in the absence of progress in treatment, the doctor may prescribe a laparoscopic operation. The combination of both methods in the fight against polycystic allows a woman to successfully conceive soon after the course.
The list of medicinal herbs that can affect ovarian cysts is huge.
As a rule, the means of alternative medicine have an undirectional effect, improving the state of health only at the expense of a general strengthening effect. Therefore, it is necessary to give preference to those food additives that do not exactly harm other body systems:
- Cinnamon. This fragrant spice is perfect for adding to cereals, desserts, fruits.
- Licorice (liquorice). Effectively reduces the production of androgens. Convenient to receive in the form of syrup.
- Fish fat. A well-known source of omega-3 fatty acids, as well as vitamin E, together with the intake of vitamin complexes has a beneficial effect on the manifestations of the syndrome.
What are the complications of polycystic pregnancy?
In case of successful fertilization against the background of PCOS, it is necessary to be afraid from the first stage of fading of pregnancy, miscarriage, premature birth. In addition, throughout the gestation, the mother can constantly face increased blood pressure, weight gain, and the development of diabetes. In order to avoid complications, the attending physician prescribes medications that must be taken according to the schedule, without ignoring the prescriptions and, thus, without risking health.
Thus, polycystic ovary syndrome is subject to modern medicine. When planning a pregnancy, it is necessary to pay attention to the symptoms of its occurrence or course, in order to cure polycystic disease in advance without consequences for conception and bearing.