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PCOS and Pregnancy: Mastering Your Cycle

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting 1 in 10 women of reproductive age, often leading to irregular menses, ovarian cysts, hormonal imbalances, and various other symptoms. That’s why it’s especially important to understand how to track and manage your menstrual cycle if you have PCOS. Gaining insight into your cycle can help you identify patterns, manage symptoms, and ultimately take control of your reproductive health. Dr. Karine Matevossian, a reproductive endocrinologist at Fertility Centers of Illinois, offers essential tips for tracking and managing your cycle when trying to get pregnant with PCOS.

Recognizing PCOS Symptoms and Cycle Patterns

Understanding your cycle with PCOS starts with recognizing distinct symptoms and patterns. Irregular or absent periods are common, making it tough to pinpoint ovulation and fertile windows. Along with menstrual irregularities, hormonal imbalances may lead to excessive hair growth, acne, and weight fluctuations. Cycles can vary widely, so I recommend monitoring the frequency, duration, flow, and accompanying symptoms of your period to identify trends over time and unearth if your cycles are shorter or longer than the typical 28 days. This tracking becomes a vital tool for understanding how PCOS specifically impacts you, providing valuable information for healthcare discussions and helping you manage your reproductive health more effectively.

Utilizing Ovulation Prediction Kits

Ovulation prediction kits (OPKs) can be a valuable tool but have limitations for those with PCOS. These kits detect the surge in luteinizing hormone (LH) that typically precedes ovulation. However, due to hormonal imbalances associated with PCOS, many individuals experience irregular LH surges, which can lead to misleading results on OPKs. This inconsistency often makes it difficult to accurately identify the ovulation period. Additionally, an LH surge does not always equate to ovulation. To improve reliability and improve your chances of conception, it’s beneficial to use OPKs in conjunction with other methods, such as observing cervical mucus changes.

The Role of Diet, Exercise, and Lifestyle Changes in Cycle Regulation

Diet and lifestyle play pivotal roles in managing PCOS and regulating menstrual cycles. A balanced diet rich in whole foods, lean proteins, healthy fats, and plenty of fruits and vegetables can help combat insulin resistance, a common issue among those with PCOS. Reducing processed sugars and refined carbohydrates can also stabilize blood sugar levels and contribute to hormonal balance. Regular physical activity is equally important —not only for maintaining a healthy weight but also for improving insulin sensitivity and potentially restoring ovulation. By incorporating these lifestyle changes, you can create a more conducive environment for regular cycles.

Getting Pregnant with PCOS

Many women with PCOS get pregnant on their own, but if you are struggling to conceive help is available. If you are planning on starting a family, we recommend consulting with a fertility specialist who can provide support on your fertility journey, identify roadblocks to conception and develop a personalized treatment plan.

While the journey to parenthood may present challenges, utilizing available tools and resources can significantly improve your chances. Stay proactive, informed, and hopeful as you navigate this path to achieving your dream of becoming a parent.

Medical contribution by Karine Matevossian, D.O.

Karine Matevossian, D.O. believes in empowering patients to make informed decisions about their reproductive health. Her approach to patient care is both personalized and evidence-based, ensuring that each patient receives the best possible outcomes. Dr. Matevossian has a particular passion for egg freezing, embracing the chance to support those looking to preserve their ability to expand their families in the future.

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