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What is the chance of pregnancy in PCOS?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 5, 2016
Reviewed AtJuly 4, 2023

Patient's Query

Hi doctor,

I have PCOS and have not had a period for over a year. Now, I have a partner and we do not use protection. Two days ago, I woke up with a light bleed and that lasted for a few hours and disappeared. Then, the same thing happened today and I bled for a few hours. I took a pregnancy test and it was negative. I have body pain and my breasts are tender.

Hi,

Welcome to icliniq.com.

With so much prolonged amenorrhea, ovulation is unlikely to have occurred and pregnancy is less likely. Kindly use barrier contraceptive (condom) for three weeks and repeat home pregnancy test. If it comes negative, then pregnancy is almost ruled out. Absence of menstrual cycle for such a long term is not desirable, as it increases the chance of endometrial cancer by unopposed estrogen exposure to endometrium. It is a good practice to induce withdrawal bleeding by taking progesterone tablets for every two to three months. Kindly consult your doctor for the same and for other risk reduction strategies.

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

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Dr. Dattaprasad Balasaheb Inamdar

Obstetrics and Gynecology

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