According to statistics, the incidence rate of polycystic ovary syndrome is 5% ~ 10%, and 50% ~ 80% of people suffering from polycystic ovary syndrome will suffer from infertility.
Look at this data, how panic should polycystic patients have. Many people think that they will not be able to get pregnant and have no chance to have a baby.
In fact, this kind of panic is unnecessary. Most patients with polycystic ovary syndrome can conceive babies after treatment.
However, why do so many patients remain infertile for several years or even more than ten years after marriage? It is nothing more than that I have been hospitalized indiscriminately because I believe in folk remedies, and I don’t insist on one hammer in the east and one stick in the west… I have even seen people in the clinic who have not been pregnant for 20 years after marriage.
In order not to let everyone take detours again, let’s talk about the correct method to let you conceive the baby in three steps.
Step 1: Pre-pregnancy disease assessment
Pre-pregnancy examination is recommended for polycystic patients, whether they are planning to conceive or are unable to conceive.
The inspection items mainly include:
- Sex Hormones Complete Glucose Tolerance Test Insulin Release Test Blood Lipid Liver and Kidney Function Vaginal B
If infertility is diagnosed, the husband’s semen must be tested. In addition, hysterosalpingography must be performed when necessary to determine whether there are other factors leading to infertility at the same time.
Step 2: Pre-treatment
The second step is carried out on the basis of the first step, that is to say, whether to carry out pre-treatment should be judged according to the examination results.
Doctors will evaluate the disease according to the results of the examination. If there is hyperandrogen, insulin resistance, impaired glucose tolerance or diabetes, it is recommended to carry out pre-treatment before ovulation induction.
Pre-treatment is to increase the sensitivity of ovulation induction, reduce complications of ovulation induction, reduce abortion rate and pregnancy complications after pregnancy, which are all helpful to pregnancy.
1. Lifestyle adjustment
The adjustment of postnatal style includes: diet adjustment, insisting on exercise, reducing stress, regular sleep, quitting smoking and drinking, etc.
Diet:
(1) Reasonable nutrition: balanced diet, less greasy, less carbohydrate (sugar) and more high-quality protein;
(2) Reasonable intake: Total energy intake should not exceed the standard, so as to control body weight.
Sports:
It is suggested to insist on moderate or above intensity exercise at least 5 times a week for 30 ~ 60 minutes each time.
For obese patients with polycystic ovary syndrome, weight loss is more beneficial. Weight loss of 10% can make 70% ~ 90% of patients resume ovulation and become pregnant naturally. For patients with normal weight polycystic ovary syndrome, weight loss also has certain benefits.
Step 2: Reduce androgen levels
If the androgen is too high, the androgen can be reduced first, and then ovulation can be induced to help pregnancy.
Methods to reduce androgen include oral short-acting contraceptives, spironolactone, dexamethasone, etc. However, for patients who want to prepare for pregnancy as soon as possible, oral short-acting contraceptives are best used, mainly because short-acting contraceptives can not only reduce androgen, but also adjust ovarian size, follicle number, etc.
It is suggested to induce ovulation and pregnancy as soon as possible after drug withdrawal, so as to prevent hormone imbalance from affecting ovulation after a long time.
3. Metformin
For patients with obesity, insulin resistance, impaired glucose tolerance or diabetes, metformin can be used to reduce insulin, treat diabetes and improve follicle quality, thus reducing the occurrence of obstetric complications such as gestational diabetes, gestational hypertension and the like and reducing the probability of abortion.
In addition, when obesity and insulin resistance are controlled, patients have the opportunity to resume ovulation and become pregnant naturally.
Step 3: Ovulation Induction
Through the above pre-treatment, some patients can resume natural ovulation and conception.
Patients who cannot resume ovulation need to induce ovulation and assist pregnancy as soon as possible, because hormone disorders will recur quickly if the drug withdrawal time is too long.
Clomiphene or letrozole is the first choice for ovulation induction. Patients with poor effect can be injected with HMG or FSH to induce ovulation. Generally speaking, more than 95% of patients can successfully induce ovulation and become pregnant through drugs.
In the process of ovulation induction, the pregnancy rate of 6 successful ovulation induction is only 75% ~ 80%, which is not 100 times, and even for people who ovulate naturally, the success rate of pregnancy within one year is only 82%.
Therefore, we must be patient and treat this matter. We are really impatient and cannot eat hot tofu.
Surgery and IVF
People often ask: [Dr. Zhang, can polycystic ovary syndrome be treated by surgery? Do you want to be a test-tube baby in what? ]
It is true that some patients with polycystic ovary syndrome need surgical treatment. The operation here mainly refers to [laparoscopic ovarian drilling], and its function is also [ovulation induction] to help conception.
In fact, although ovarian perforation is one of the treatment methods, but due to certain risks in surgery, it may cause premature ovarian failure, so, it is generally not the first choice. Only when the patient has other factors that need laparoscopic surgery, or when drug therapy is ineffective, is recommended.
The application of IVF therapy is relatively clear, mainly as follows:
- Patients who have successfully induced ovulation for more than 6 times but have never been able to obtain pregnancy (pregnancy); The woman is a patient with polycystic ovary syndrome, and also has abnormal conditions such as oligospermia and azoospermia of the man.
In short, if the treatment is standardized and the scheme is reasonable, it is not a matter for patients with polycystic ovary syndrome to become pregnant.
So don’t worry, step by step according to the scientific plan treatment, realize a good pregnancy is not a dream!