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Fertility Road Magazine 46 - September/October 2018

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The latest issue of Fertility Road Magzine brings you our latest Fertility Journeys update, a closer look at stress and infertility, natural approaches to endometriosis and a how your weight can affect your chances of getting pregnant plus lots, lots more.

FERTILITY 360 Cancer A

FERTILITY 360 Cancer A very small number of PCOS women who have significantly fewer periods per year than normal are at risk of developing endometrial cancer due to the womb lining remaining thicker. There are means of reducing the risk which involve hormones and depends whether the woman is trying to conceive or not. Hypertension PCOS women are more prone to raised blood pressure which may be linked to obesity and insulin resistance. Snoring and drowsiness There appears to a link between PCOS and snoring leading to tiredness and drowsiness. What can be done to reduce the long-term consequences of PCOS? Diet and Weight loss A healthy lifestyle is important to help reduce the symptoms of PCOS. First of all, a healthy balanced diet is strongly advised. This should include plenty of fruits and vegetables and whole food e.g. wholemeal bread, brown rice and whole grain cereals, lean meat, fish and chicken. Consume less carbohydrates and salt, avoid alcohol and exercise regularly. If you are overweight it is advisable to lose weight. The benefits of losing weight are: • Lower risk of developing diabetes and insulin resistance • Lower risk of heart problems • Lower risk of cancer of the womb • Improving your fertility and the chance of pregnancy • Improve regularity of your periods • Improve skin condition with less acne and hirsutism • Less depression and mood swings It is important to note that losing a small amount of weight can make a significant difference to the symptoms of PCOS and at the same time make you healthier. Regular health checks Make sure you have your blood pressure and blood sugar checked by your GP regularly, at least once a year especially if you are overweight and have a family history of diabetes. How to get pregnant with PCOS? Most women with the milder form of PCOS do conceive naturally, though in general, it takes them longer to do so than average. On the other hand, women with the moderate to severe form of PCOS will have more difficulty conceiving naturally and often require help from fertility specialists. They have what is termed “ovulatory disorders.” For women with ovulatory disorders, the first line treatment is trying fertility tablets such as clomifene citrate which stimulates ovulation although the tablets themselves can reduce conception as they adversely affect the womb lining (endometrium) where embryos implant. This is why there is no benefit in taking fertility tablets if a woman is already ovulating on her own. An alternative is to use fertility injections which are more powerful and works differently to the tablets in that they do not affect the womb lining. There is, however, a higher risk of multiple births and requires ultrasound monitoring to reduce the risk. Another option is In-Vitro Fertilisation (IVF) should the above be unsuccessful. Whereas women with PCOS have a problem conceiving naturally, their chance of being successful through IVF is the same as other women without PCOS. It is pertinent to note that because women with PCOS have more follicles than normal, there is a tendency to produce more eggs during IVF leading to a condition known as Ovarian Hyperstimulation Syndrome (OHSS). Our fertility experts at Herts & Essex Fertility Centre have devised a protocol to treat PCOS patients with a special trigger to ripen the eggs. This is designed to reduce many times the risk of OHSS in patients with too many eggs, as opposed to the standard trigger which itself initiates the whole process of OHSS in those particular women. Finally, is there a cure for PCOS? Unfortunately, there is no cure for PCOS. Medical treatments are aimed to manage and reduce the symptoms or consequences of having PCOS. Medication alone has not been shown to be any better than healthy lifestyle changes (weight loss and exercise). Many women with PCOS successfully manage their symptoms and longterm health risks without medical intervention. They do this by eating a healthy diet, exercising regularly and maintaining a healthy lifestyle. 50 | fertilityroad.com | fertilityroadmag | follow us @fertilityroad

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Fertility Road Magazine 46 - September/October 2018

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