Many women with PCOS think they can't conceive, but that's not true. In fact more research into the infertility and other issues related to PCOS may unlock the key to helping more patients conceive. Just remember, a diagnosis does not mean that you cannot conceive.
The American Society for Metabolic & Bariatric Surgery (ASMBS) recently highlighted a new study that showed women with PCOS improved their symptoms after surgery and wound up conceiving.
Even if you don't consider bariatric surgery, you may still be able to conceive upon losing weight.
"The No. 1 treatment for PCOS is not metformin or clomid or birth control pills or spironolactone; but attaining and maintaining a normal weight through a good diet (low glycemic index) and regular exercise," says Dr. Serena H. Chen, the director of reproductive endocrine and infertility at St. Barnabas Medical Center.
"Losing weight or maintaining a normal weight will lower the risk for cancer, and make PCOS patients much more responsive to treatment. For people who are trying to conceive, it will improve responses to fertility drugs and not only improve the pregnancy rate but lower the miscarriage rate."
"The vast majority of PCOS sufferers have undiagnosed obstructive sleep apnea," says Dr. Steven Y. Park, author of Sleep, Interrupted: A Physician Reveals the #1 Reason Why So Many of Us Are Sick and Tired. "Even if they don't have significant obstructive sleep apnea, many still have breathing problems at night."
Sleep apnea has its own risks; but resolving it often goes back to losing weight, which is imperative for PCOS patients.
A healthy diet is not only useful to help you maintain a healthy weight. The weight gain that many PCOS patients experience is preceded by insulin resistance, so eating well can help regulate your insulin levels.
"This is a condition whereby the body cannot 'sense' insulin and needs higher amounts to regulate blood sugar," says Dr. Natasha Iyer, a physician at Chronos Apollo in Canada. Even worse, the fatty tissue also makes inflammatory mediators (which raise the risk of heart disease and blood pressure problems) and estrogen metabolites."
Iyer says it helps to eat low glycemic-index foods and enough protein. Natural therapies include Gymnema Sylvestre herb, garlic, ginger and holy basil teas.
PCOS sounds like a drag, but at least if you know you have it you can work with it. According to Australian researchers, about 70 percent of women have PCOS and have not had it properly diagnosed. Now that it's September — National PCOS Awareness Month — it may be a good time to see if you may have this condition.
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