#KhushKhabriWithIVF: Polycystic Ovary Syndrome, commonly known as PCOS, presents several challenges for individuals trying to conceive. One of the main issues is irregular ovulation or anovulation, where the release of eggs does not occur as it should. This leads to irregular menstrual cycles that can last from one and a half to six months, or sometimes, patients may only experience withdrawal bleeding when given medication. Women with PCOS can consider IVF or In Vitro Fertilisation as a viable option to get pregnant. If you plan to go the IVF way, Dr Anitha Manoj, Fertility Specialist, Garbhagudi IVF has some suggestions that can boost chances of conception.
How does PCOS affect women’s health
Alongside anovulation, PCOS often brings about hyperandrogenism, characterised by increased levels of androgenic hormones, leading to excessive body hair growth in a male-like pattern
Ultrasound scans may reveal the presence of numerous small follicles in the ovaries, typically more than 15 per ovary, contributing to the challenges associated with PCOS. These physiological changes can lead to significant weight gain, and other hormonal disturbances, such as hyperthyroidism, thyroid irregularities, or hypoproteinemia, making it even more difficult to manage weight effectively. Both the symptoms and hormonal imbalances create a vicious cycle, aggravating the problem.
Lifestyle changes to boost IVF success rate
Here are some lifestyle modifications suggested by Dr Anitha that women with PCOS should implement.
Also Read: Why PCOS Is More Than Just a Fertility Problem
Weight management
For individuals with PCOS, addressing weight management is important in improving the chances of success with IVF. Here are some tips:
- Engaging in regular physical activity is another vital component of PCOS management
- Aim for a minimum of 40 to 60 minutes of exercise daily.
- Focus on aerobic exercises such as walking, swimming, jogging, cycling, or skipping.
- Gradually increase the duration and intensity of exercising according to your capabilities.
- Consistency in exercise routines is key to achieving and maintaining weight loss. By increasing the duration of workouts each week, you can steadily make progress toward your goals.
Dietary modifications
A crucial aspect of managing PCOS is adopting a balanced diet that focuses on specific components:
- Minimise carbohydrate intake, opt for healthier sources like whole grains and vegetables.
- Emphasise a protein-rich diet over excessive carbohydrates.
- Incorporate more fibre into your diet and ensure adequate fluid intake.
- Practice portion control to prevent overeating.
Also Read: Early Stages Of PCOS And How To Manage Them
Dr Anitha suggests, “Consuming smaller, frequent meals can help manage hunger and control calorie intake. Include foods like sprouts, fresh fruits, vegetables, and sugar-free fruit juices while avoiding excessive carbohydrates and sugar. It is also essential to avoid eating meals close to bedtime. It is important to maintain a two-hour gap between the last meal and sleep. Keep evening meals light, and if you are hungry before bedtime, you can consider buttermilk or warm milk.”
Stress Management
Stress can have a significant impact on PCOS symptoms, even in individuals who are not overweight. Effective and simple stress management techniques can help reduce these issues
- Dedicate at least half an hour each day to practise yoga, breathing exercises and meditation to reduce stress levels.
- Avoid a sedentary lifestyle, if you have a sedentary job, make an effort to take short breaks every hour to walk around and stay active.
- Avoiding hazardous habits like smoking, alcohol consumption and drug abuse can minimise the effects of PCOS, thus reducing stress.
Prioritise Adequate Sleep
- Getting sufficient and quality sleep plays a crucial role in managing PCOS:
- Sleep Duration: It is important to sleep for at least 6-8 hours every night. The body requires uninterrupted sleep to function properly.
- Maintain a consistent sleep schedule. Make sure you go to bed and wake up at the same time daily.
Dr Anitha concludes by saying, “Individuals with PCOS can take proactive steps to improve their chances of success with IVF by focusing on weight management through dietary modifications, regular exercise, stress management, and adequate sleep. These lifestyle changes can help break the vicious cycle of PCOS-related challenges and enhance the prospects of a successful fertility treatment journey.”