Trying to conceive can be an emotional time for any couple experiencing challenges, however, for women with polycystic ovary syndrome (PCOS), it can be even more difficult as this condition is the leading cause of infertility in women of reproductive age. According to the Centers for Disease Control and Prevention (CDC), one in ten women in their childbearing years have PCOS; however, 70% of cases are undiagnosed. In light of PCOS Awareness Month, Banafsheh Kashani, M.D., OB-GYN, reproductive endocrinologist and infertility specialist, is sharing her top tips for women trying to conceive with PCOS.

“Conceiving with PCOS can be a complex and emotional journey for the millions of women affected,” says Dr. Kashani. “Luckily, for women who experience this condition, there are several strategies and lifestyle changes to consider in order to improve your chances of getting pregnant.”

Below, Dr. Kashani shares her advice:

1. Maintain a healthy weight: Obesity affects half of PCOS patients. However, research shows that losing just 5-10% of body weight can significantly improve fertility in women with PCOS. Engaging in regular physical activity and adopting a balanced diet can help regulate hormonal levels and promote ovulation.
2. Reduce stress: Severe, chronic stress can decrease your chances of conceiving. Ovulation depends on follicle-stimulating hormones (FSH) and luteinizing hormones (LH) that are released from the pituitary glands. Excess levels of cortisol, the stress hormone, can cause a disruption of the production of these hormones and prevent the egg from being released. However, reducing stress through techniques such as yoga, meditation and counseling can positively impact fertility.
3. Track your menstrual cycle: Tracking your menstrual period can help deduce when you’re ovulating, and therefore, increase your chances of conceiving by taking the time to understand your body. Knowing when your fertile window occurs and using products that support conception during that time, such as Pre-Seed Fertility Lubricant, can help your chances.
4. Balance blood sugar: In many cases, women with PCOS often experience insulin resistant, a condition where their bodies can make insulin but cannot use it effectively, which can lead to high blood sugar levels or type 2 diabetes, which may cause fertility issues. Eating a balanced diet filled with fiber, protein, and healthy fats and taking prescribed medications can help regulate insulin levels and help regulate ovulation, increasing the chances of conception.
5. Test often: It's no secret that couples trying to conceive are testing for pregnancy as early and as often as they can, which is why I encourage couples to keep First Response Comfort Check on hand during their pregnancy journey.
6. Consult a medical professional: Consulting with an infertility specialist or reproductive endocrinologist can provide valuable insights into your pregnancy journey and introduce you to personalized treatment options that may increase your chances of getting pregnant. Medical professionals may suggest fertility medications, assisted reproductive technologies or lifestyle modifications like the ones above.

“PCOS affects every person differently, and what works for one individual may not work for another,” says Dr. Kashani. “But remember, although it may take time to achieve a pregnancy, with patience and persistence, it is possible to carry and deliver a healthy baby.”

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