Can I get pregnant with polycystic ovary syndrome?

  In daily life, women start to associate polycystic ovary syndrome with female infertility, and when women are diagnosed with polycystic ovary syndrome they start to worry about whether they won’t even be able to get pregnant in the future.  Polycystic ovary syndrome (PCOS) is an endocrine disorder syndrome in which reproductive dysfunction coexists with abnormal glucose metabolism. The typical clinical manifestations are: no regular menstruation or even amenorrhea; some patients show masculine signs, such as long skin “pimples”, long beard on the lips, excessive hair on the breasts, armpits, thighs and midline areas of the body; some patients are overly obese and have thicker waistlines. Some patients are overly obese, with thickened waistline, increased blood lipids and blood sugar.  Polycystic ovary syndrome is prone to infertility because there are multiple small follicles developing in the ovaries at the same time, but they are immature and unable to grow into “dominant follicles” and ovulate normally, leading to infertility. In addition, the outer white membrane of the ovary is thick and dense, making it difficult for the egg to break through the white membrane, which is called “unruptured luteinization syndrome”.  Does polycystic ovary syndrome mean that there is no possibility of pregnancy? Of course, the answer is no. With the scientific guidance and treatment by professional doctors, there is still a good chance of pregnancy.  For the persistent anovulation, excessive androgens and insulin resistance of polycystic ovary syndrome, the most important treatment is lifestyle modification, including quitting smoking and alcohol, choosing a low-sugar, high-fiber diet, and performing moderate amount of energy-consuming regular physical exercise (30 points/day, at least 5 times a week).  1, weight loss is the first treatment for patients with PCOS with obesity, the ideal weight loss should be at least 5%; 2, adjust the menstrual cycle, prevent endometrial hyperplasia, can use oral contraceptives, progesterone after half cycle therapy, etc.; 3, reduce the level of androgens in the body; 4, improve insulin resistance, increase insulin sensitivity; 5, patients who require fertility can use various drugs to induce ovulation.  6.Surgical treatment, such as laparoscopic ovarian perforation, ovarian wedge resection; 7.Some refractory PCOS can also be treated with assisted reproduction techniques, such as IVF.  For patients with polycystic ovary syndrome infertility, an individualized treatment plan should be developed through a series of examinations, combined with age, menstrual status, Kaohsiung manifestations, years of infertility and glucose metabolism status.  In our clinical work, there have been many patients with PCOS who have successfully conceived a healthy baby through active treatment. In conclusion, as long as confidence is built up and doctors and patients communicate closely and work together, patients with polycystic ovary syndrome can have a healthy baby as well.