Polycystic Ovary Syndrome Pregnancy Probability

Written by Du Rui Xia
Obstetrics
Updated on January 24, 2025
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When suffering from polycystic ovary syndrome (PCOS), patients have a lower chance of becoming pregnant, mainly due to the impact of PCOS on female fertility. This often causes ovulation disorders, resulting in rare ovulation or anovulation. Without normal ovulation, pregnancy cannot occur normally. When diagnosed with PCOS, it is recommended that patients undergo ovulation induction therapy. Obese women should promote bodily recovery by losing weight, and generally, women can conceive after their normal ovulation is restored through treatment.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What foods should be eaten with polycystic ovary syndrome?

The characteristics of polycystic ovary syndrome include amenorrhea, obesity, infertility, acne, hirsutism, and hormone level tests generally indicate high testosterone, high luteinizing hormone, and low estrogen levels. Therefore, dietary intake should avoid large portions of meat, high-fat, and high-calorie foods. It is beneficial to consume more vegetables and fruits, and foods that are high in estrogen levels, such as beans and soy products, especially soy milk made from black soybeans. Besides pharmacological treatments, it is crucial for patients with polycystic ovary syndrome to regulate their daily routines and diet. If a patient is significantly overweight, it is essential to lose weight through exercise.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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The difference between polycystic and polycystic ovary syndrome

Some women may discover they have polycystic ovaries during occasional gynecological exams. If their menstrual cycle is regular, with good ovulation, and does not affect pregnancy, then it is just a polycystic ovarian state, not called polycystic ovary syndrome. Polycystic ovary syndrome primarily involves irregular menstruation, poor ovulation, and difficulty in becoming pregnant. The condition of polycystic ovary syndrome varies greatly among individuals; some show clear signs of high androgens or have laboratory tests indicating high androgen levels, and many people experience a significant increase in luteinizing hormone, among other symptoms. Therefore, these are two different conditions.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to diagnose polycystic ovary syndrome?

Polycystic Ovary Syndrome is a type of gynecological endocrine disorder. Clinically, it generally presents with symptoms such as menstrual irregularities, amenorrhea, obesity, infertility, acne, and hirsutism. If these symptoms appear, it is essential to visit a hospital for an ultrasound examination. The diagnosis of Polycystic Ovary Syndrome can be made if more than 12 follicles are observed on a single sectional view of the ovaries during the ultrasound. In such cases, it is also necessary to have a blood test at the hospital to analyze six key sex hormones, including the ratio of luteinizing hormone to follicle-stimulating hormone, and the levels of testosterone. If the blood test shows high levels of luteinizing hormone and testosterone, Polycystic Ovary Syndrome can also be considered. A diagnosis of Polycystic Ovary Syndrome can generally be confirmed through a combination of ultrasound and sex hormone tests, followed by targeted treatment based on the test results.

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Written by He Bing
Obstetrics and Gynecology
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The fastest conception method for polycystic ovary syndrome

If patients with polycystic ovary syndrome (PCOS) want to conceive as soon as possible, they can make efforts in the following areas: First, weight loss. Among patients with polycystic ovary syndrome, 67% are obese or overweight. Obesity for PCOS patients is not only unattractive but also brings metabolic disorders, reproductive health, and other hazards. Therefore, the first thing is to lose weight. However, weight loss should not rely solely on dieting; it requires a reasonable dietary arrangement combined with scientific exercise methods. Reducing or controlling weight can improve hyperinsulinemia, insulin resistance, and hyperandrogenemia, thereby restoring menstrual cycles, reducing hirsutism and symptoms, and greatly increasing the chances of conception. Second, medication-assisted treatment, mainly from three aspects: adjusting menstrual cycles, treating hyperandrogenemia, and treating insulin resistance. Third, ovulation induction and assisted reproduction. If a PCOS patient with a pregnancy desire cannot conceive naturally with normal male semen analysis, medication-induced ovulation and assisted reproductive technology can be considered to aid conception. Polycystic ovary syndrome is an endocrine metabolic disease and a chronic condition that requires long-term management. It cannot be resolved overnight. Patients need to maintain a relaxed attitude and proceed under the guidance of a professional doctor.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can polycystic ovary syndrome naturally conceive?

Polycystic ovary syndrome (PCOS) is characterized by symptoms such as amenorrhea, obesity, infertility, acne, and hirsutism. In cases of PCOS, the chances of natural conception are slim unless one regularly maintains a disciplined lifestyle, manages PCOS through exercise, weight loss, and a regulated life routine which normalizes hormone levels, thus enabling normal ovulation and the possibility of natural conception. Otherwise, a distinctive feature of PCOS is anovulation, and to achieve conception, hormone levels must be normalized. Once hormone levels are normalized, some individuals may ovulate on their own, while others may need medication to stimulate ovulation. Therefore, the chances of natural conception with PCOS are very low.