Is there no natural way of conceiving with PCOS/PMOS?

Question

Hi doctor,

I am 35 years old with a weight of 194 lbs. I have PCOS/PMOS. It really makes it hard for me to reduce my weight. Is there any natural way of conceiving after reducing my weight within three months?

Do I need IVF or any other treatments? My local general practitioner told me that I can have abnormal cells during a smear test, as I had bleeding thrice after sex last month.

My periods are getting irregular, and I want to control my excessive bleeding. My doctor advised me to continue taking Yasmin. I have been using it for more than one and a half years. Please advise. Can I continue to have sex? Do I need to wait until I have the results of my smear test?

I have tried many options like exercise, avoiding junk foods and outside foods to reduce my weight. But my weight has increased. I am really depressed. Currently, I am taking Metformin 500 mg once daily and Pregnacare once a day.

Answer 1

Hi,

Welcome to icliniq.com.

If you are having post-coital bleeding and going to do a PAP (Papanicolaou test) smear, then it is advisable to be abstinent from sex for at least a week before the procedure. In the condition of PCOS/PMOS (polycystic ovarian syndrome/Polyendocrine metabolic ovarian syndrome), it is difficult to lose weight, and you have difficulty conceiving. But it is not impossible.

You are doing a good job. Try to have weight reduction. Continue doing it to reduce your weight. Hormonal imbalance causes PCOS/PMOS and it gets corrected by having weight loss. It increases your chances of getting pregnant. IVF (in-vitro fertilization) is not only an option for PCOS/PMOS. It is the final option.

You need to maintain your weight after weight loss. By taking medication, you can expect a natural conception. If it is not possible or difficult, you can go for IVF. Even before undergoing IVF, you have to lose weight. Your periods will be irregular until your PCOS/PMOS is not under control.

If you want to have weight loss before conception, you can consider taking hormone pills. Having pregnancy at an ideal weight helps to have safe pregnancy for both baby and mother. Weight loss with PCOS/PMOS is very slow and so try to have an exercise regime including yoga, cardio, weight training, HIIT (high-intensity interval training) workout, and different exercises to have some weight control. Try to stick to home-cooked meals Try to take small meals at shorter intervals. You need to sacrifice junk foods.