The problem of the inability to conceive recently has been of particular concern to gynecologists. There can be many reasons. These are infectious diseases, gynecological pathologies, and hereditary ailments. They also include polycystic ovary. Many women panic after hearing a similar diagnosis. The disease is not a sentence if you consult a doctor in a timely manner and choose the right treatment. Today's article will talk about whether it is possible to become pregnant with polycystic ovary.
The essence of the disease and its main causes
Polycystic disease is a serious gynecological disease, the development of which occurs gradually. Under the influence of certain factors, a large number of male hormones (androgens) begin to be produced in the body of a woman, and the number of female hormones decreases. As a result of such violations, the structure of the ovaries changes. They increase in size, and numerous cysts with liquid secretions form on the mucous membranes. The ovaries gradually lose their function.
According to statistics, the disease occurs in every fifth woman of childbearing age. How to get pregnant with polycystic ovary disease, the doctor must tell after determining the root cause of the disorder. Most often, its development is preceded by a hormonal malfunction in the body. It may be genetic in nature, but in most cases the reasons are different. Among them should be noted:
- diabetes;
- overweight;
- psycho-emotional overload;
- infectious and viral diseases;
- repeated abortions.
One or several factors from this list can cause a malfunction, which will eventually lead to polycystic.
How to recognize the disease at an early stage?
The development of the pathological process can begin in adolescence or a little later. It is important to diagnose the disease in a timely manner, because the probability of becoming pregnant with polycystic ovaries will be higher. Otherwise, it can be complicated by the appearance of neoplasms, excess weight and a number of related health problems.
It is very easy to suspect a malfunction in the body. Among the main manifestations of polycystic can be noted:
- irregular periods;
- skin problems in the form of numerous rashes and blackheads on the face;
- overweight;
- male type hair;
- deterioration of the psychological state (depression, aggressiveness, nervousness);
- absence of pregnancy during the year.
Such has polycystic ovary symptoms. Both treatment and diagnosis of this disease should be supervised by a gynecologist. Usually, the first manifestations of this ailment occur during puberty. However, many ignore them, attributing them to features of puberty.
Why is it difficult to conceive a baby with polycystosis?
Many girls are concerned about the question: "Is it possible to get pregnant with polycystic ovary?" Practice shows that this disease is not a sentence. Sometimes ladies manage to bear and give birth to a child even without appropriate treatment. But such cases are quite rare.
Timely and competent treatment of the disease increases the chances of becoming pregnant. However, for the life of the future baby will have to fight, because it is necessary to overcome several factors at once. Let's consider them in more detail.
- Endocrine factor. Failures in the hormonal system negatively affect the work of the whole organism. He cannot receive a signal for the release of an egg for fertilization and preparation of the uterus for pregnancy.
- An increase in the size of the ovaries prevents the release of the egg during ovulation.
- Endometric factor. The inner lining of the uterus is also controlled by hormones. Since their functioning is impaired with polycystic, the probability of conception is negligible.
What to do?
If polycystic symptoms are detected, you should immediately consult a gynecologist for help. To determine the picture of the pathological process, the doctor first interviews the patient, examines him on the chair, and then assigns a comprehensive examination. Usually it includes:
- Ultrasound
- blood test for hormones;
- laparoscopic examination.
After confirming the final diagnosis, the doctor should tell you how to get pregnant with polycystic ovary by prescribing the appropriate treatment. The main goal of such therapy is to create favorable conditions in the woman’s body under which the follicle can ripen unhindered. The approach to treatment is always individual, but involves the use of two methods of exposure: conservative or surgical. The chances of success increase with an early visit to the doctor. Conservative treatment includes:
- body weight correction;
- hormonal treatment;
- stimulation of the ovaries.
Let us consider each of the proposed approaches in more detail below.
Body weight correction
How to get pregnant with polycystic ovary? First of all, it is necessary to eliminate the causes of the disease. One of them is obesity. To bring the body back to normal, it is necessary to review nutrition. It is necessary to reduce the calorie content of the diet, exclude harmful products from it, as well as alcohol. Spicy, fatty and salty foods are also banned.
To reduce body weight, you need to increase physical activity. It is not necessary to exhaust yourself with heavy exercises. It is enough to add walking hourly a day. Walking not only positively affects the figure, but also helps to combat stress, normalizes metabolism. An alternative to such walks are yoga classes, a pool.
Hormone treatment
To restore the normal cycle, the gynecologist may prescribe hormonal drugs that are responsible for reducing the production of androgens. The most effective are characterized by "Yarina", "Chloe" and "Diane 35". The duration of therapy can be from 3 to 6 months. In especially serious cases, it is supplemented by physiotherapy, which contribute to the resorption of adhesions.
Ovarian stimulation
If treatment with hormonal drugs turned out to be ineffective, they go on to stimulate ovulation. This is another method of getting pregnant with polycystic ovary. It consists in taking hormonal drugs on certain days of the cycle under constant monitoring by the treating gynecologist. The action of the active components of the drug promotes the maturation of the follicle, from which the egg subsequently leaves. Thus, ovulation occurs.
Before starting therapy, the doctor must make sure that the couple is able to conceive a child. For this, a man passes a spermogram, and a woman is examined to assess the patency of the fallopian tubes. If both results are normal, starting from the 5th day of the cycle, the woman is prescribed one of the medications that stimulate ovulation (Klomifen, Klomid or Klostilbegit). The latter is characterized by the greatest effectiveness. Those who helped Klostilbegit get pregnant with polycystic ovary disease claim that the medicine has practically no side effects and is well tolerated. Moreover, in 70% of cases, it really helps conception.
After another five days, the drug is canceled. Monitoring of follicular development begins. Immediately after this procedure, the gynecologist prescribes another remedy that helps rupture the follicle. As a result of all manipulations, ovulation occurs. It is on this day that sexual intercourse should happen. In the initial stages, it is difficult to determine whether conception has occurred. However, from the 16th day of the cycle, the expectant mother needs to start taking medications to maintain the corpus luteum. It can be "Utrozhestan", "Progesterone" or "Dufaston". After another 2.5 weeks, an ultrasound scan is performed, according to the results of which it is possible to judge the conception.
Surgical intervention
If conservative therapy did not produce the expected effect within a year, surgery is recommended for the woman. Most often resort to the help of laparoscopy. This is a simple operation during which the surgeon makes 4 punctures. The doctor then makes an incision on the ovaries, which destroy the capsule. In some cases, an organ resection is performed at the site of the largest congestion of cysts. Laparoscopy practically does not cause complications. After it, women do not think how to get pregnant with polycystic ovary. Reviews report that the probability of successful conception in the next cycle is 70%. Throughout the entire period of pregnancy, observation by a gynecologist is required.
To summarize
One of the common gynecological problems that impede the normal conception of a child is polycystic ovary. Symptoms and treatment of the disease are discussed in detail a little higher. Do not neglect the first manifestations of the pathological process and the help of doctors. Pregnancy after polycystic therapy is possible. Its onset depends on the correct treatment and compliance with the recommendations of the doctor. However, you should not expect a momentary result. Most often, conception occurs 6-12 months after taking the medicine.