The Treatment PCOS Women Have Not Tried

The treatment few women with polycystic ovary syndrome (PCOS) have considered to improve their chances of pregnancy is bariatric surgery. And a new study finds that in very obese PCOS patients there are both high rates of pregnancy, and lower pregnancy problems. as well as, more live births. Unchanged were the time to conception, and incidence of prematurity between PCOS patients who did, or who did not have the surgery.

For the study, researchers examined data on 49 women with PCOS and 120 women without the condition who underwent bariatric surgery between 2005 and 2016 were followed through 2019.

Among women in the study who tried to conceive, pregnancy rates were similar for the group with and without PCOS (95.2% and 76.9%, respectively, p=0.096) and so were live birth rates (81% and 69.2%, respectively, p=0.403).

Dr. Richard Legro, not a researcher on the new study, but who is chair of obstetrics and gynecology at Penn State College of Medicine and Penn State Health in Hershey, Pennsylvania, cautions women, in spite of the positives of this study, “The pregnancy is still high risk.”

Women after bariatric surgery, even with their PCOS, free testosterone levels “normalized” following weight loss, the authors note in Journal of Clinical Endocrinology & Metabolism.

For women trying to conceive, there was still a struggle to conceive, taking most of the women with PCOS almost 3 years to get pregnant.

It is most important to have a pregnancy planning visit, we would love to have a talk by our telehealth portal at Women’s Health Practice if you are planning to conceive and have questions.

SOURCE: Journal of Clinical Endocrinology & Metabolism, online July 7, 2020.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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