Among the many myths and misconceptions about polycystic ovary syndrome (PCO), what is most common is that women with PCOS “cannot conceive”. “But, the truth is that PCOS does not make women infertile. It just makes it difficult to track ovulation,” said Dr Manasi Verma, gynecologist, Veera Health. does this mean with women PCO Can successfully conceive and terminate a pregnancy?
“Yes; however, some women may experience low fertility (or subfertility) due to the absence of ovulation and damage to the inner lining of the uterus, which can make it difficult to get pregnant,” Dr Verma told indianexpress.com. But, they pointed out that the effects of PCOS are not just limited to “difficulty conceiving,” it can also affect pregnancy by increasing the risk of developing metabolic complications. Additionally, underlying hormonal imbalances, if Left untreated, there may be an increased risk of affecting the health of the baby,” she said.
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Thus, while every woman pregnancy journey is differentThere are a few general things to keep in mind, especially with PCOS. This includes:
The first trimester (0 to 13 weeks) is an important stage for a baby’s development. Although you can’t see much on the outside, on the inside, the major organs and systems of the baby are forming. You may experience symptoms such as nausea, fatigue, constipation, tender breasts and frequent urination. However, you should consult a doctor if you experience extreme nausea, heavy vaginal bleeding, severe abdominal pain, or sudden swelling of the face or legs.
“Remember that most miscarriages and birth defects occur during this trimester, and women with PCOS in particular are at higher risk. experiencing a miscarriage, This makes it important for the doctor to monitor the pregnancy closely. You may lose weight rather than gain in the first trimester, but consuming essential vitamins, maintaining hydration and getting enough rest are important for you to manage the changes in the first trimester,” Dr.
The second trimester (14 to 26 weeks) is said to be physically easier than the first trimester; Symptoms such as nausea and fatigue usually subside. In this trimester, the baby is growing rapidly and you can see the body changing physically. Some women may experience pregnancy-induced hypertension, which, if left untreated, can be harmful to the mother as well as the baby. “It is important to closely monitor a patient’s caloric intake to avoid unhealthy weight gain during pregnancy as it has been observed that weight gain may increase the risk of developing diabetes. gestational diabetes (diabetes during pregnancy) which can make vaginal delivery difficult along with other labor complications such as instrumental delivery or emergencies cesarean deliveryDr Verma said.
In the third trimester (27 to 40 weeks), you may feel uncomfortable as the body prepares for childbirth and false labor (Braxton Hicks contractions) may occur. “Since with women PCO With an increased risk of developing gestational diabetes and preeclampsia (sudden high blood pressure after the 20th week of pregnancy), the doctor will closely monitor your health and plan a safe delivery to promote a healthy pregnancy. PCOS also increases the risk of premature birth, ie delivery before 37 weeks. Premature babies are at risk of developing health problems right after birth or even later in life,” she said.
Management of PCOS symptoms should continue after pregnancy; It requires lifelong care. He added that postpartum care is important to protect PCOS patients from the risk of diabetes and heart disease in the future. Since symptoms and their severity will vary, it is important to adjust the treatment plan according to individual concerns, Dr. Verma said.
“In fact, the postpartum blues and depression are common symptoms and women with a history of mental illness are at increased risk of developing these conditions. Given the baseline struggles with weight loss, women with PCOS are more likely to lose weight after childbirth. Special attention should be given to management, although we have seen with our patients that gestational diabetes and hypertensive disorder recover after pregnancy, yet they may be at higher risk of developing insulin resistance and cardiovascular diseases later in life,” Dr Verma said.
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