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Weight management. It can cause irregular menstrual periods, make periods heavier, or even make periods stop. Eflornithine is FDA-approved for the treatment of unwanted facial hair, but no studies have been published about its use specifically in women with PCOS. However, it's important to have a reason for taking metformin and not be on it just because of a diagnosis of PCOS. Found insideReading this book will lead to a better understanding of management of both sexes, and the understanding of infertility that will hopefully reduce the effort, the time, the psychological, and the financial burden of the infertile couple and ... Your doctor may give you a medication called cabergoline to lessen your symptoms. Features that may differentiate a diagnosis and suggest NCAH include early age of puberty, signs of low cortisol, and lack of insulin resistance. By January of 2018 she was getting a regular cycle and by April she had lost 50 pounds. For mild to moderate cases of OHSS, treatment usually involves: Monitoring yourself for any severe symptoms, Blood tests to monitor for dehydration, electrolyte imbalance, and other problems, Medications to prevent blood clots (anticoagulants). And it's also true that obesity can make PCOS symptoms worse. Women with polycystic ovary syndrome (PCOS) are at higher risk for certain problems or complications during pregnancy. Semin Reprod Med. Check your blood sugar as often as your doctor recommends. Two important things to note are that the long-term safety effects of use are not known (but the drug has been in use for decades already) and spironolactone IS NOT SAFE to take during pregnancy, so it is commonly used in conjunction with birth control pills. You will also want to discuss any abdominal pain you may have. Because OHSS often develops after an HCG trigger shot is given, alternatives to HCG for triggering have been developed using Gn-RH agonists, such as leuprolide (Lupron), as a way to prevent or limit OHSS. This book comprises chapters written by leading international experts on various aspects of obesity-related diabetes. As a practical reference guide, it is suitable for all professionals with an interest in this field. The treatment of PCOS will be reviewed here. People who use metformin may lose some weight as well. Lifestyle changes. The rise in the prevalence of PCOS is the key reason for the boost in demand for treatment centres for PCOS treatment. However, they may not reduce all hair growth and may not always be permanent. Additional causes of fatigue may include an underactive thyroid, low vitamin B12 or vitamin D levels, and anemia (low blood count). Polycystic ovary syndrome (PCOS), which affects 15% of women of fertile age, is . Bariatric Surgery, PCOS, and Infertility: One Woman's Journey. The book details the ten immutable Primal Blueprint lifestyle laws that enable empower you to reprogram your genes to direct in the direction of weight loss, health, and longevity. Treatment of PCOS depends partially on the woman's stage of life and the symptoms of PCOS. Additionally, women with PCOS have pre-existing high levels of androgen, which can worsen weight control. PCOS Awareness Association and NeedyMeds neither promote nor endorse the therapies listed below nor the supporters of this page. It is expected to determine whether the addition of topiramate to dietary treatment can improve metabolic, hormonal and weight loss outcomes in women with PCOS. This edition has a modern full-color design. A companion website includes the fully searchable text, image bank and links to PubMed references. In this study, 70.5% of women were using green tea, 19.8% and 11.7% were using the ginger and flax seeds. The clinical and usage of herbal details have been recorded. Other treatments to stimulate ovulation include another oral medication called letrozole (Femara) and gonadotropins which are hormones that are given by injection. Low starch/low dairy diet results in successful treatment of obesity and co-morbidities linked to polycystic ovary syndrome (PCOS). HealthySmartsMD also aims to aggregate data to provide collective evidence of the effectiveness or ineffectiveness of the various vitamins, supplements, and other complementary and alternative treatments women are trying on their own for PCOS. Yet with proper treatment, PCOS can be managed and symptoms can be relieved. You probably should not start using an insulin pump for the first time during pregnancy. Discuss all possible risks and side effects with your health care provider before making a final decision on a treatment. PCOS often goes unnoticed until pregnancy. J Clin Endocrinol Metab. Your dietitian also will advise how often to eat and how many calories to eat a day. It also may help you lose the weight you gained during pregnancy! Polycystic ovary syndrome (PCOS), also known as polycystic ovarian syndrome, is a common health problem caused by an imbalance of reproductive hormones that affects women during their childbearing years (ages 15 to 44).PCOS is a "syndrome," or group of symptoms that affects the ovaries and ovulation. There appears to be an epidemic of both obesity and polycystic ovary syndrome (PCOS) in the world today. Prompt medical attention is important because delaying treatment makes the treatment more difficult and may have long-term health consequences. Regulating your hormones can lower your risk of endometrial cancer. Causes and Treatments for Hirsutism with PCOSWhat is Hirsutism? Found insideHere are some of the many updates and additions: Extensive updating of tables and images New FDA-approved medication for multiple sclerosis New summary of recommended FDA treatment regimens for hepatitis C U.S. Preventive Services Task ... 1999;84:1897-9. This use of birth control pills also protects against abnormal growth of the lining of the uterus. Found insideThe field of androgen excess disorders has advanced substantially since the original publication of this book. The Androgen Excess Society (AES) was founded to bring together investigators in the field. Call your doctor if your signs and symptoms get worse. For others, PCOS develops later on, following substantial weight gain. Blood glucose. Presenting an overview of the current understanding of the pathophysiology of PCOS and a paradigm for the clinical evaluation and management of the disorder, Polycystic Ovary Syndrome is written in an easy to digest, concise format that, ... June 07-08, 2018 | London, UK Key Topics : PCOS And Menopause, Psychological Impacts Of PCOS, PCOS And Pregnancy, PCOS Nutrition, Exercise And Lifestyle, Management Of PCOS, Effects Of PCOS On Womens Health, PCOS And Obesity, Drugs In PCOS, ... This can help lower elevated blood glucose levels, insulin levels, and androgen levels. Oral contraceptives can help lower the risk of certain types of cancers, but they may also raise the risk of other types of cancers.9 There is no one oral contraceptive that works best for women with PCOS, but those that are less androgenic are more effective at treating the symptoms of PCOS.10 Please note that oral contraceptives, like all medications, are associated with some level of risk for side effects, some of them serious. By lowering androgen levels, many patients have significant improvements in androgen-related symptoms such as excess hair. The treatment for OHSS varies depending on how severe the condition is. Ultrasound: This test looks for free fluid in the abdomen and the size of the ovaries. Mature follicles are fertilized and frozen, and your ovaries are allowed to rest. Weight loss is the first-line treatment in women with obesity and PCOS, who have failed at their attempts of getting pregnant. Women with PCOS can use the methods below instead of or in combination with other approaches:14, Retinoids (pronounced RET-n-oids), antibacterial agents, and antibiotics may be used to treat acne. However, obesity does exacerbate many aspects of the phenotype, especially cardiovascular risk factors such as glucose intolerance and dyslipidemia. Two important things to note are that the long-term safety effects of use are not known (but the drug has been in use for decades already) and spironolactone IS NOT SAFE in pregnancy, so it is commonly used in conjunction with birth control pills. In many cases, the first action that health care providers recommend for women with PCOS is that they make specific lifestyle changes, such as following a lower-calorie diet, losing weight, and getting more physical activity.1,2, Losing weight and being more physically active can minimize many PCOS symptoms and related conditions. Explains the causes, symptoms, and treatment options of the condition, and discusses the importance of changing diet and lifestyle habits to improve emotional and physical well-being. Also, too little sleep can affect energy, mood, and other symptoms such as pain. Conquer PCOS Is The CSR Initiative Of Metropolis Healthcare LTD, We Foundation and PCOS Society Of India, 250D Udyog Bhavan, Hind Cycle Marg Worli 400030, Amaranth crusted fish with stir fried vegetables, BMI between 19 and 24 is considered Normal Weight, BMI between 25 and 29 is considered Overweight. Spironolactone is the anti-androgen drug most often used. Diabetes —more than half of women with PCOS develop type 2 diabetes by age 40. Other treatments may involve hormonal injections (gonadotropins) and procedures. Bariatric surgery is a safe, effective and proven procedure to […] Foods in this group include asparagus, beans, broccoli, Brussels sprouts, cabbage, and cauliflower. However, this is a clear misconception, and more notably, 50% of women diagnosed with PCOS are underweight or weigh normally. UpToDate, reviewed February 2014. A 6-month trial is needed to show effects on unwanted hair, and she usually starts women at a higher dose. An estimated two in ten Indian women suffer from PCOS. Licogliflozin, a Dual SGLT1/2 Inhibitor is a potential treatment option for Polycystic ovary syndrome (PCOS), suggests a study published in the Diabetes Obesity and Metabolism Journal. First-line agents for the treatment of hirsutism in patients with PCOS include spironolactone (Aldactone) and metformin (Glucophage), as well as eflornithine (Vaniqa) for facial hirsutism. PCOS can cause weight gain or obesity in your body. The number of PCOS cases is rising due to the growing concerns about the increased risk of developing conditions such as diabetes and obesity. Nevertheless, electrolysis and laser therapy are very effective ways to remove unwanted hair. The condition occurs in approximately 5 to 10 percent of women. PCOS treatments focus on managing your individual concerns, such as infertility, hirsutism, acne, or obesity. Oral contraceptives and cancer risk: Questions and answers. Licogliflozin a novel and effective treatment option for PCOS: Study. ; excessive hair growth on upper lip, chin, chest, stomach or back? Sources: American Society for Reproductive Medicine, "Fact Sheet: Side-effect of injectable fertility drugs," revised 2012. Where Can I Find Clinical Care Recommendations and Practice Guidelines? Cochrane Database Syst Rev. Medical nutrition therapy. By January of 2018 she was getting a regular cycle and by April she had lost 50 pounds. Anyone can use the card as there are no income, insurance, age, or residency requirements. For example, there is no clear dose-response relationship between obesity and the presence of anovulation, hyperandrogenemia, and hirsutism or the prevalence of polycystic ovaries within the population of women with PCOS. Giving women who have polycystic ovary syndrome, the drug metformin during ovarian stimulation may also help prevent hyperstimulation. When it occurs, OHSS is usually temporary and resolves within 1-2 weeks. Some women cannot take birth control pills, in which case it is important to use other means of birth control if you are sexually active while taking spironolactone. PCOS and the use of fertility treatments increase the risk of OHSS. The biggest challenge is that PCOS is a syndrome or condition so each woman has her own set of symptoms and challenges.The PCOS Test will ask you a series of questions regarding your own particular symptoms, as well as which ones concern you most. Freezing embryos. The PCOS tracker can help you keep tabs on these troublesome foods. "Prevention of ovarian hyperstimulation syndrome." Providing a state-of-the-art analysis of the connection between insulin resistance and PCOS, this book comprehensively covers a range of topics. Worksheets and a range of other tools are provided as appendices. This text introduces an innovative psychological approach to overcoming the growing socio-economic burden of morbidity and mortality resulting from obesity. For example, larger babies are more at risk for shoulder dystocia (when the baby’s shoulder gets stuck during labor). PCOS treatments can include lifestyle changes like healthy eating and losing weight, or in some cases, medications can help. Polycystic (pronounced: pol-ee-SISS-tik) ovary syndrome (PCOS) is a common health problem that can affect teen girls and young women. (2012). Weigh yourself on the same scale and measure around your abdomen each day, reporting unusual increases to your doctor. Further research in PCOS is needed to better understand the fundamental basis of the disorder, to ameliorate obesity, to . Lifestyle measures to achieve a weight loss of 5%-10% in overweight women can help regulate ovulation and periods. Polycystic Ovary Syndrome (PCOS) is the most common endocrinologic condition in women, affecting between 8-13% of reproductive aged women. 5.Are you finding difficulty in losing weight in spite of exercising? Excess hair growth on the face, chest, abdomen, or upper thighs—This condition, called hirsutism, affects more than 7 in 10 women with PCOS. Insulin resistance is a clinical condition shared by many diseases besides type 2 diabetes (T2DM) such as obesity, polycystic ovary syndrome (PCOS) and non-alcoholic fatty liver disease (NAFLD). Your doctor likely will decrease the dose of folic acid you take once you finish your first trimester of pregnancy (week 12). Sometimes the hormonal fluctuations after pregnancy and breastfeeding can change the symptoms, so it may be a while before you settle into your new “normal.”. Postmeal physical activity, such as walking for 10 to 20 minutes, can help manage blood pressure and insulin resistance by controlling postprandial hyperglycemia. Doctors diagnose OHSS with several tests: Physical exam: Your doctor will check your weight and measure the size of your waist to look for signs of swelling. Even a 5% weight loss can improve many symptoms of PCOS.3. Many women who are diagnosed with PCOS are often automatically prescribed metformin. Summary Inflammation is common in women with PCOS and has been linked to obesity. However, PCOS does not discriminate and can affect women of all shapes and sizes. What is Polycystic Ovary Syndrome (PCOS)? Mayo Clinic. To curb hirsutism (excess hair), Dr. Andrea Dunaif from Northwestern University typically starts patients with spironolactone. Women with PCOS produce abnormally high amount of male hormones. Acne. <p>The PCOS and Prolactin Connection PCOS is characterized by an array of symptoms that range from menstrual and infertility issues to obesity and excessive hair growth. Lifestyle changes. Treatment options can vary because someone with PCOS may experience a range of symptoms, or just 1. Sleep apnea can lead to lower pain tolerance, high blood pressure, mood changes, heart disease, and increased weight. Jamie joined my free 30 Day PCOS Diet Challenge in November 2017 and drew on her desire to be a mom to apply what she learned. Ask your doctor what type of activity is best for you. After reviewing the salient aspects of the article, Dr. Emily Allen discusses the role of FABMs in the . 6 Diagnosis-Based Assistance Programs for Infertility . In adult women with PCOS it has been reported that obesity per se may significantly worsen the PCOS phenotype. If sleep apnea or another sleep disorder is diagnosed, treatment (like CPAP for sleep apnea) can help. In addition, early diagnosis and treatment of PCOS can help reduce the risk of long-term complications such as type 2 diabetes, heart disease and stroke. Amla. With PCOS, so much is interrelated and those are aspects that you can impact. There are significantly fewer therapies that can work on many symptoms, and the most difficult one is to treat infertility and hirsutism together, leading to a very hectic . Weight loss can restore ovulation and make your menstrual cycles more normal, which can improve your chances of pregnancy. Drugs that curb androgen levels are another common treatment used for PCOS, although they are not officially FDA-approved for PCOS treatment. In many cases, the first action that health care providers recommend for women with polycystic ovary syndrome (PCOS) is that they make specific lifestyle changes. This may include obtaining resources for local breastfeeding support groups and preparing to work with a board-certified lactation consultant. Your answers and identity are fully protected by our privacy policy. If you have OHSS, an ultrasound may show that your ovaries are bigger than normal, with large fluid-filled cysts where follicles developed. Treatment of Obesity in the Setting of PCOS Even modest weight loss of less than 10% of initial body weight has been shown to increase the frequency of ovulation, improve conception, and reduce testosterone, free androgen index, hyperlipidaemia, hyperglycaemia, and insulin resistance in women with PCOS [ 37 , 38 ]. Clomiphene (Clomid). Sleep apnea is a sleep disorder characterized by brief episodes of stopped breathing during sleep. Serious complications from ovarian hyperstimulation syndrome may require additional treatments, such as surgery for a ruptured ovarian cyst or intensive care for liver or lung complications. Even though controversies surrounding the polycystic ovary syndrome are not yet close to be solved, its clinical manifestations are well known-insulin resistance and obesity, hirsutism, irregular and anovulatory menstrual cycles. Introduction. During treatment with fertility drugs, your doctor regularly evaluates your ovaries with a vaginal ultrasound. Popular treatments include cinnamon, Myo-inositol, vitamin D, B complex vitamins, and acupuncture. This hormonal imbalance causes delayed menstrual periods and infertility.… PCOS treatments can include lifestyle changes like healthy eating and losing weight, or in some cases, medications can help. This carb doesn’t digest well for some people, leading to increased gas production. The dietitian may suggest you limit the level of carbohydrates, or “carbs” (for instance, potatoes, bread, and fruit) that you eat. OHSS used to occur in about 10% of women who receive in-vitro fertilization treatments, but today the number is less than 5%. Many women with PCOS have problems with bloating. During electrolysis, a very fine needle is inserted into the hair follicle. Insulin. Your doctor can help you develop a plan for getting pregnant. BMI is a person’s weight in kilograms (kg) divided by his or her height in meters squared. Some potential questions your doctor might ask you include: Does anything seem to make your symptoms worse? PCOS brings in obstacles for the body to derive the benefit and effectively use the hormone insulin, which usually helps glucose utilization in the body by driving it towards energy production. Found insideWhile it is not the focus of this book, some aspects are discussed. The aim of this book is to improve understanding of androgen excess and its impact on several conditions. Birth control pills. The good news is that with careful planning, proper medical care, and good self-care, you can have a safe PCOS pregnancy and healthy baby. Androgen-sensitive areas of hair growth include: Reproductive and medical endocrinologists are trained to treat hirsutism. This healthy eating plan, tailored to you, helps make sure you get the nutrients you need and gain the right amount of weight while controlling your blood sugar. Shaving, bleaching, plucking, waxing, and using depilatories (creams that dissolve hair, pronounced. Eating a diet high in whole foods — especially fruits and vegetables — may safeguard against inflammation. It is important to get the concept of “lean”. What is clear is that women affected by obesity have a higher risk for PCOS, and women with PCOS have a higher risk of obesity, which is why obesity and polycystic ovary syndrome is considered as the most common combination. Pills that contain estrogen and progestin decrease androgen production and regulate estrogen. Found insideIn this book, you'll find the medical and holistic information you need to conceive and bear a happy, healthy child, such as: Side effects of the latest fertility drugs Yoga poses that aid fertility What to expect when seeing a fertility ... The risks, however, include surgical and dietary complications and pregnancy should not be pursued . It is true that many women who have PCOS are overweight or obese. But if other types of insulin treatment do not control your blood sugar, your doctor may want you to switch to an insulin pump. Women with PCOS have glucose intolerance rates as high as those in the highest risk ethnic groups in the world, such as the Pima Indians. Journal of Obesity and Weight Loss Therapy, 5(2), 259. Characteristics of obesity in PCOS: etiology, treatment, and genetics • Obesity, common, often visceral, not necessary nor sufficient for PCOS development • PCOS is a complex polygenic trait, with marked familial clustering. This is an oral medication that is the most common treatment used to induce ovulation. The specific treatment depends on the severity of the acne and how long it has been visible. This fluid causes the ovaries to swell. Older types of birth control pills have a lower risk for dangerous blood clots and are preferable over new types of birth control pills. Found insideIn The PCOS Mood Cure, author Dr. Gretchen Kubacky provides information and coping mechanisms for the mental health issues related to PCOS and gives you the tools to start feeling better today. If your baby is a girl, there is also a greater chance that she will develop PCOS. These include a three-fold increase in miscarriage risk in early PCOS pregnancy compared to women without PCOS, gestational diabetes (diabetes during pregnancy) which can lead to large babies, preeclampsia which is characterized by sudden elevated blood pressure and body swelling after the 20th week of pregnancy, preterm birth, and C-section delivery. Girls with obesity and polycystic ovarian syndrome will receive either glucagon like peptide-1 receptor agonist therapy or a dietary intervention for 12 weeks to decrease the metabolic syndrome, in particular to lower hepatic fat and improve insulin sensitivity. Through NeedyMeds, PCOSAA now offers a FREE Prescription Drug Card for all those in the United States. Bariatric surgery is a valuable approach to weight loss in PCOS where BMI is ≥40 kg/m 2 when non-surgical treatment and/or induction of pregnancy have failed, and can be an initial treatment when BMI is ≥50 kg/m 2. If you develop preeclampsia during your pregnancy, you will have to be monitored extremely closely because it can affect the mother's kidneys, liver, and brain. Women with PCOS produce high amount of male hormones. Certain blood tests also allow your doctor to check for abnormalities in your blood and whether your kidney function is being impaired because of OHSS. Insulin is safe for breastfeeding women. Myth #5: PCOS Only Affects Overweight Women. • PCOS is associated with: -obesity -irregular menstrual cycles or complete anovulation -elevated testosterone levels -infertility • PCOS is one of the most commonly seen endocrinopathy among women of reproductive age. In vitro fertilization (IVF) and in vitro maturation (IVM) may be other fertility treatment options. Have a family member or close friend go with you if possible. PCOS treatments can include lifestyle changes like healthy eating and losing weight, or in some cases, medications can help. There are many ways to remove excess or unwanted hair or to hide this hair without actually removing it. But for women with polycystic ovary syndrome (), losing weight can become a constant struggle.PCOS is the most common hormonal disorder . An increase in the cumulative pregnancy rate was also documented, including . Terminal hair is longer, darker, and more coarse than vellus hair, and grows faster and thicker. The signs and symptoms of OHSS vary depending on the severity of the condition. NIH staff guidance on coronavirus (NIH Only): https://employees.nih.gov/pages/coronavirus/. This page is for educational purposes only. Found insideI want to show you that eating the most natural, unrefined and unprocessed wholefood ingredients can be enjoyable, uncomplicated and easy to incorporate into a busy lifestyle. I want this book to change your life.' Hazel x 1. These products may be available in pills, creams, or gels. Medications used in the treatment of Polycystic Ovarian Syndrome (PCOS). Women having PCOS also has metabolism problems that affects overall health. This book presents up-to-date knowledge on infertility in the context of polycystic ovary syndrome (PCOS) and provides clear evidence-based guidance on its treatment. Obesity is likely not a cause of PCOS, as the high prevalence of PCOS among relatively thin populations demonstrates. Navigating PCOS and fertility treatments can feel complicated, and our providers are here to help you navigate through your fertility journey. Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities. Depending on how severe your ovarian hyperstimulation syndrome is, your first appointment may be with your primary care provider, your gynecologist or infertility specialist, or possibly with a treating doctor in the emergency room. PCOS is the medical condition that causes hormonal imbalance in women's body. The following information is published with permission from the Hormone Health Network, the public education arm of the Endocrine Society. The rise in the prevalence of PCOS is the key reason for the boost in demand for treatment centres for PCOS treatment. - In PCOS, a woman has a higher risk of suffering from obesity, cardiovascular disorders, diabetes, and endometrial cancer. National Cancer Institute. It also works well to reduce cholesterol levels. PCOS is a leading cause of fertility problems, but having a diagnosis of PCOS does not mean that you are infertile. Vitamins. The unwanted hair doesn’t disappear; it grows in finer and lighter. Factors such as sleep problems and side effects of medications can also play a role. High insulin levels are responsible for the higher production of male hormones androgen, which are responsible for weight gain. Heart disease —women with PCOS are at higher risk, and risk increases with age. There appears to be an epidemic of both obesity and polycystic ovary syndrome (PCOS) in the world today. Even so, your health care provider may use these medications to treat your symptoms. This condition is the big mimicker of polycystic ovarian syndrome (PCOS) due to the increased concentration of LH, high levels of androgens and changes in ovarian and gonadotropin function. Polycystic ovarian syndrome (PCOS) is a medical condition characterized by: Infrequent menstrual cycles. Hirsutism and unwanted PCOS facial hair are very common with polycystic ovary syndrome. Obesity. Desiree Tran is a mother of two boys who has always struggled with her weight and PCOS (polycystic ovarian syndrome)—the most common cause of infertility in women. Although metformin is not approved by the FDA for the treatment of PCOS, many doctors prescribe it for PCOS patients. Diagnosis of Lean polycystic ovarian syndrome & Challenges: women with lean polycystic ovarian syndrome are often missed from getting diagnosed with PCOS, as typical tests show normal results. The inability of insulin to function normally is one reason why women with PCOS tend to gain weight or have a hard time losing weight. These types of medications make the body more responsive to insulin and keep glucose levels more stable.1,11 In women with PCOS, these medications can help: After 4 to 6 months of using these medications, women with PCOS may start ovulating naturally.13, The U.S. Food and Drug Administration (FDA) has not approved insulin-sensitizing medications, such as metformin (pronounced met-FAWR-min), specifically for treating PCOS. Follow the healthy eating plan that you made with your health care team. It affects the reproductive organs which produce estrogen and progesterone. Eating healthy, being active, getting good sleep, and keeping stress at bay is important. Ask your doctor what other prenatal vitamins you need. 3.Do you exhibit hisrutism, i.e. Lifestyle changes. PCOS has been strongly linked to sleep apnea. Found insideIn this clearly written guide, backed by science and personal experience, Drs. Jason Fung and Nadia Brito Pateguana show: How to prevent and reverse PCOS with a low-carb, ketogenic diet and intermittent fasting. The use of both metformin and clomiphene has about the same fertility results as clomiphene used alone. An overabundance of facial and body hair is usually the result of excess androgens in your body. During the test, the activity of your brain, heart, and lungs are monitored while you sleep. Polycystic ovary syndrome (PCOS) is a condition that causes irregular menstrual periods because monthly ovulation is not occurring and levels of androgens (male hormones) are elevated. Gestational diabetes could result in problems during delivery. The relationship between weight and PCOS is complicated, according to the CDC, and more research is needed to understand it. While pregnant, you will probably need to check your blood sugar more often than before pregnancy. 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