PCO/PCOS and pregnancy

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DL05
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Posted: Fri Nov 22, 2013 7:51 am 
Post subject: PCO/PCOS and pregnancy
Wasn't sure where to put this really, it's a question for my daughter, she's just been told she probably has PCO/S, she had a scan last week after having lots of pain in her ovary region for months and went to the GP on Wednesday for the results to be told she had lots of cysts on her ovaries and needed blood tests to confirm it was PCOS, the thing is she found out she was pregnant last weekend which she's pleased about as they were trying for a baby but she's now worried about the m/c risk.
The GP said having PCOS doesn't increase the m/c risk but she had a m/c earlier this year and is worried anyway and I'm sure I've read that PCOS does increase the m/c risk Question
Do any of the PCOS Ladies know if it does and if so is there anything she can do to try and reduce the risk ?
Another question is does PCOS cause weight gain or is it partially cause by weight gain ?
Because my DD used to be about 8 1/2 stone until she had the implant at 17 and then she went up to about 12 st in about 2 yrs, she thought she'd lose it when she had the implant out but didn't and got pregnant with her baby girl soon after gained a bit while pregnant which she again couldn't lose and has gained another stone or so in the last year and is pushing 13 1/2 now and she's only about 5 ft 2. She had her cholesterol checked a bit ago and that was high and the GP was on at her to lose weight because her BMI is high(before she was told she has PCOS) but she's really struggled to even lose a few pounds. Is that likely to be part of the PCOS and is she likely to be given anything to help with that once she's had the baby ?
Thanks Ladies xx
KazM
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Posted: Fri Nov 22, 2013 5:27 pm 
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I DON'T have PCOS but what I understand re. the weight link is that it can cause insulin-resistance which in turn can cause weight gain/inability to lose weight. Women with PCOS are quite often prescribed Metformin as it helps with this(it's primarily used to treat type 2 diabetes). I'm not sure re. the use in pregnancy though.

Re. the miscarriage risk - there's lots of conflicting information. What stage was she at when she had her mc hun? xxx
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busymummy2
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Posted: Fri Nov 22, 2013 8:08 pm 
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hi hun i have pcos & have had 3 healthy pregnacys and am expecting baby no 4 i do believe it does effect weight gain yes i have struggled with my weight for years i got told after many test at the age of 21 i had pcos and the gp said i wouldnt beable to have kids well he was wrong Smile before i had my little boy now 16 mths old my weight was up and down and i really struggled to maintain it a dietaian told me that ladies with pcos would loose 1 lb Sad and a ladies without would loose 3 lb in a week with healthy eating, im not sure if it was true but it would explain the struggle i had to loose weight hope everything goes well with the pregnacy Smile xx
happyhell29
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Posted: Fri Nov 22, 2013 9:03 pm 
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Hon I don't have pcos but am convinced, absolutely convinced the implant / depo injection tons metabolism of certain people. So if your daughter has pcos that would make it even harder to lose weight.

I do know pcos symptoms are reduced greatly from weight loss as my ex sister in Law had awful pcos and after weight loss the symptoms practically went.

I incorrectly self diagnised pcos and bought a book called "pcos diet" that emphasised a low carb high fat diet. Not sure sowing is a good idea in pregnancy but afterwards it may help symptoms.

I wish her all the luck in the world. If she has one healthy pregnancy then I think that's a brilliant sign she will be fine x
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Banoffee
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Posted: Fri Nov 22, 2013 11:02 pm 
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My mum and sisters have PCOS and non have miscarried. I have the same symptoms and my only problems is conceiving I've not miscarried either. I'm confused as to why she needs bloods because my sister was told by her Endocrinologist (sp?!) as her bloods came back normal but she has these symptoms : weight issues, hairy, hair loss, cysts on ovaries and spotting between periods. They diagnosed based on these factors ignoring the bloods as he said its a syndrome and therefore if a few of symptoms present they diagnose PCOS. I'm guessing is her bloods show irregularities then she may need help in pregnancy.
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DL05
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Posted: Sat Nov 23, 2013 9:04 am 
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Thanks Ladies,
Banoffee she can't have the bloods done as she's pregnant at the moment and some of them are hormonal so would give misleading results , the GP just said to book in with the midwife now even though she's only 5 and a bit weeks and to ask for early scans and if they don't do them then go back to the GP and she'd refer her to the EPU so it's a waiting game really. Her doc said she's convinced it's PCOS as she has all the classic signs but they like to do the bloods to try and confirm it as there can be certain changes that help rule other things out and also confirm the diagnosis Question xx

Happyhell I'm sure it does too, as her and her older sister both gained loads of weight when they had the implant and they were both slim before it and have both struggled to lose any after having them removed . I even wondered if the weight gain from the implant could have triggered the PCOS in the first place, as my other daughter has been having similar symptoms and has struggled to conceive, finally did and then had an early m/c a few weeks ago as well so she's off to the doc to ask to be tested.
I tried the low GI diet (diabetic diet)myself earlier this year because I now struggle to lose any weight (cos I'm old Rolling Eyes Laughing )and I found that really good, it's not high fat but it's low in refined carbs and it is supposed to help with the insulin resistant side of PCOS as well so I have suggested that to her I think it's fine in pregnancy as you can have loads of fruit and veg and meat and it's only really cutting out things that aren't good for you anyway xx

Thanks Busmummy, luckily it's not affected her fertility as such and she got lucky this time after 2 cycles but she does still ov on her own even if it's not every 4 weeks or so, she's only 21 as well and I know she has really struggled with losing any weight and the GP has been useless in the past but hopefully now they know the reason why she might get a referral to a dietician as it does get her down as all her friends the same age are slim and wearing all the latest fashions and she's the one wearing something big and baggy to cover up when they go out Sad xx

Kaz it is the insulin resistance side of it that makes it easy to gain and hard to lose weight, I think that's why the low GI diet is supposed to be good as it's recommended for diabetes as well, it helps control blood sugar levels , so it's also good for people like me with a sweet tooth who crave carbs Embarassed Laughing
She was about 9 weeks when she miscarried last time, but the baby had stopped growing earlier and she'd been saying something was wrong and the midwife finally got her in for a scan and the sac was there but they couldn't see the baby, told her to come back the following week in case her dates were out but she miscarried at home a few days later .
It was just reading that if you have high LH levels that made me wonder, but I remembered last night that she'd used OPK's last cycle so I asked if they were all positive and she said she'd had some faint ones first so I'm presuming her LH can't be particularly high then so fingers crossed she'll be ok this time Smile xxx
KazM
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Posted: Sat Nov 23, 2013 10:18 am 
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Sadly, 1 in 10 pregnancies in women under 30 end in miscarriage in the first trimester so sounds like a (awful but) normal thing so probably nothing to do with PCO(S). xxx
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Banoffee
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Posted: Sat Nov 23, 2013 8:13 pm 
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Ahh yes you did say she is pregnant!!

Spoke to my sister again and her bloods definitely came back normal but she has still been diagnosed PCOS. She was definitely told not all women's blood results show PCOS. She is getting various treatments on the NHS for her other symptoms and has been put on the pill which has also eased some symptoms. She has regular scans too.

Suppose the only thing they could do is check her progesterone levels to make sure she doesn't need the progesterone supplements(not sure what they are called) this should help if she needs it.
Hopefully all will go well.
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happyhell29
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Posted: Sat Nov 23, 2013 8:30 pm 
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Hope she is doing well Nat. It Be very scary for her. I have never done low GI but have heard very good things about it. I'm sure my book said moderate pcos symptoms can practically be reversed with wrought load and healthy lifestyles. I really really don't like the implant or any synthetic hormone for that matter.

I hopev her early scan goes well x
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happyhell29
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Posted: Sat Nov 23, 2013 8:31 pm 
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Hope she is doing well Nat. It Be very scary for her. I have never done low GI but have heard very good things about it. I'm sure my book said moderate pcos symptoms can practically be reversed with wrought load and healthy lifestyles. I really really don't like the implant or any synthetic hormone for that matter.

I hopev her early scan goes well x
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lysianassa
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Posted: Wed Jan 08, 2014 9:28 pm 
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PCOS definitely increases the risk of miscarriage - I was told this by two specialists and obesity is a very well known side effect Sad Recommendation is to lose weight via a low GI diet and exercise. I take Orlistat as well to help. Hopefully the pregnancy is going well but they should have offered early scans to keep an eye on things.
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