Risks of Low Progesterone in Early Pregnancy with PCOS

Risks of Low Progesterone in Early Pregnancy with PCOS
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Background of PCOS

Understanding problems with low progesterone in early pregnancy with PCOS requires a background of what PCOS is. Polycystic ovarian syndrome (PCOS) affects a small percentage of all women of child bearing age, making it the most common female endocrine disorder. It is estimated that from five to ten percent of women are affected, including girls as young as eight years of age and women through post-menopause. PCOS is a hormonal disorder that affects multiple organ systems of the body. It is often caused by hormone insulin problems. PCOS is one of the leading causes of infertility and is often associated with weight problems.

Symptoms of PCOS can vary among women, but commonly include irregular or absent periods, irregular ovulation, acne, excessive hair growth on the body and face, thinning of scalp hair, accumulation of unruptured follicles on the ovaries and weight management issues. Women with PCOS often have low progesterone levels that can cause a higher rate of miscarriage. While there is no cure for PCOS, it can be managed by eating right, exercise and in some cases medication.

PCOS and Early Pregnancy Problems

Because PCOS is a hormone disorder, including low levels of progesterone, PCOS that is not managed before becoming pregnant can be dangerous to the mom and unborn baby. Studies show that women with PCOS have higher rates of miscarriages, gestational diabetes, preeclamsia (pregnancy-induced high blood pressure), premature babies born and spending time in the NICU. An estimated 45 percent of women with PCOS miscarry. Experts aren’t sure of the direct cause of miscarriage, but they believe it may be related to elevated hormone levels, insulin resistance or high glucose levels.

Resolving Low Progesterone Issues

Women with PCOS should take control of their symptoms before becoming pregnant. Resolving PCOS will also decrease problems with infertility. Natural ways to resolve issues include, eating healthy, exercising, detoxing and destressing, which can go a long way to even out hormone levels as well as insulin and blood sugar levels.

The most important factor in reducing the risk of miscarriage is evening out the hormone levels, including raising the level of progesterone. As needed, a women may be prescribed clomiphene citrate or injectable FSH or FSH/LH. Surprisingly, these are often more effective in increasing the level of progesterone than progesterone supplementation. Managing blood sugar and insulin levels can also help improve egg quality and make it easier to conceive.

Understanding low progesterone in early pregnancy with PCOS and taking action to manage your PCOS will greatly decrease the risks associated with early pregnancy. Managing your symptoms will also improve your energy and give you the base for healthy living. Relieving any pain or fatigue associated with PCOS will also make for a happier mom and help you become more ready for the challenges of caring for a newborn after pregnancy.

Sources

Photo: Free Digital Photos

PCOS Support: What is PCOS

Fertility Factor: Polycystic Ovarian Syndrome

INCIID: Polycystic Ovary Syndrome FAQ

Women’s Health: Polycystic Ovary Syndrome