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Does PCOD affect pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 27 years old and unmarried. My problem is that I have scanty periods, though my period is regular. Last month, a USG report detected that I have bilateral polycystic ovarian disease. My question is, can I get pregnant in the future? I am so anxious now.

Kindly suggest.

Thank you.

Answered by Dr. Balakrishnan. R

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

PCOD (polycystic ovarian disease) is a congenital condition, I mean, it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate- have you not seen obese men developing breasts, and in young obese girls, who develop periods at a younger age - they all have high levels of estrogen hormone or female hormone).

In your body, too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone that tips the balance between FSH (from the brain ) and the ovarian hormone. FSH (follicle-stimulating hormone), as the name suggests, stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary.

But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture, next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at any time, and so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Your weight has to be: weight (in kg) = height (in cms) less than 100. Once you reduce your weight to the normal range, you will not need any medicine to get periods or to get pregnant, and pregnancy will be healthy. To reduce weight:

  1. Have low-calorie food and high proteins.
  2. Avoid fasting, junk foods, fast foods, and red meat. Also, reduce snacks in between meals.
  3. Regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), and trying to reduce two to four lbs every month.
  4. Do not hurry on weight reduction, it will be difficult to maintain. Once you reduce at least five lbs, you will see changes. Even if you are in the normal weight range, try this schedule; it will help.

There is a small group of PCOD patients with normal weight, but they will have a hormonal imbalance, so weight control, as mentioned, will help.

I hope you find this helpful.

Revert in case you have any doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 30, 2023
Reviewed At May 5, 2026

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

This doctor is not available for online consultations on the platform anymore.

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