Pregnancy after laparoscopy PCOS

author: doctor Kuznetsov MA

To get pregnant with the syndrome of polycystic ovaries, you need to make the right treatment. After all, with PCOS, the maturation and ovulation of the egg are broken, and hence pregnancy without treatment may not be.

So far, there are no precise reasons for this syndrome. However, there are a number of factors that will contribute to the development of this disease. Polycystic ovary syndrome is associated primarily with an overabundance of male sex hormones - androgens. It was also noticed that in women the sensitivity to insulin is reduced - the hormone of the pancreas. In fact, these two phenomena are interrelated and an increased concentration of insulin (due to its reduced sensitivity to the perception of tissues) and leads to the provocation of androgen production.

Male sex hormones thicken the walls of the maturing outer shell of the egg, thereby preventing future ovulation - the release of the egg from the ovary.

Causes

In general, there are three main reasons that are related to the mechanism:

1) Predisposition;

2) Diabetes mellitus and, as a consequence, increased insulin;

3) Obesity, which one way or another can lead to both an increase in insulin in the blood, and to the production of androgens themselves;

Laparoscopy

Laparoscopy in the syndrome of polycystic ovaries is carried out not only with a diagnostic purpose. This intervention makes it possible to produce a partial triangular form of removal of the affected ovary or to burn the tissue of the ovary with an electric current. Wedge-shaped resection of the ovaries can relieve the part that produces male sex hormones. It can also be used if an operation is performed in the ovarian cyst . Electrocautery affects electric tissue on the ovary tissue more precisely and is characterized by a shorter duration of laparoscopy and less traumatic for the woman herself. However, resection has its plus - if there are concomitant problems such as a commissural disease or obstruction of the fallopian tubes - it is in this case that a laparoscopic wedge resection should be performed.

After laparoscopy

After laparoscopic treatment, ovulation reappears and it will be possible to become pregnant six months to a year later. If no additional help is required, menstruation should be in three to five days, and after half a month at basal temperature, it will be possible to identify and ovulate. If, for several cycles, ovulation is not restored, then resort to taking clomiphene. This drug can be prescribed independently as a conservative therapy.

If pregnancy after laparoscopy for PCOS has not occurred a year later with the joint application of operative laparoscopy and conservative treatment, then resort to in vitro fertilization. The same is recommended to women if pregnancy after removal of the ovarian cyst is difficult.

Do not think that the successful appearance of ovulation after laparoscopy will be forever. Doctors note the recurrence of infertility in women who do not control their weight and do not follow the level of insulin, because the syndrome of polycystic ovaries does not vanish. Such women should start taking combined oral contraceptives (mersilon or femoden) or with their intolerance gestagens of the second phase of the menstrual cycle (dyufaston).