Life With PCOD After Marriage – A Complete Guide

7 min read

Written by Dr. Shubha L (Fertility Specialist, GarbhaGudi IVF Centre, Electronic City, Bengaluru)

Dr. Shubha L (Fertility Specialist, GarbhaGudi IVF Centre, Electronic City, Bengaluru)

PCOD After Marriage

PCOD or PCOS is one of the most common hormonal disorders in women and affects nearly 10% of the female population. This condition can cause various symptoms ranging from irregular periods to acne to ovulation issues. PCOD may contribute to infertility in most cases. Hence if you are married or planning to get married, it is important to understand the management of PCOD after marriage.

While spontaneous conception is possible with PCOD, the chances are less and may be associated with complications during pregnancy too. It is important to understand the right way to manage PCOD under a doctor’s supervision with the help of medications and lifestyle changes. Here is everything you need to know about managing PCOD after marriage to have a successful conception and pregnancy.

In This Article

What is PCOD?

PCOD stands for Polycystic Ovary disease, a common hormonal disorder among women of reproductive age. It’s characterized by hormonal imbalances that can lead to various symptoms and health concerns (1).

Key Aspects of PCOD

PCOS aspects

Here are some of the key aspects of PCOD

1. Hormonal Imbalance

PCOD disrupts the balance of hormones, particularly affecting levels of estrogen, progesterone, and androgens (male hormones like testosterone).

2. Ovarian Cysts

Women with PCOD might develop multiple small cysts (2) on their ovaries due to follicles that fail to release eggs regularly.

3. Menstrual Irregularities

Irregular or absent menstrual periods are common in PCOD due to disrupted ovulation (3).

4. Symptoms

Symptoms include irregular periods, excessive hair growth (hirsutism), acne, weight gain or difficulty losing weight, hair thinning, and fertility issues (4).

5. Metabolic And Health Concerns

PCOS can increase the risk of metabolic issues like insulin resistance, diabetes, high cholesterol, and cardiovascular problems.

6. Diagnosis And Management

Diagnosis involves a combination of medical history, physical exams, blood tests to check hormone levels, and ultrasound to examine the ovaries.

Management typically includes lifestyle changes such as dietary modifications, exercise, weight management, and sometimes medications to regulate hormones or address specific symptoms.

PCOD management is tailored to individual symptoms and health concerns, aiming to alleviate symptoms, regulate menstrual cycles, and address associated health risks. It’s essential to consult healthcare providers for proper diagnosis and management of PCOD.

How Can Diet And Exercise Help Manage PCOD?

Diet and exercise play crucial roles in managing PCOS symptoms and improving overall health. Here’s how they can be beneficial.

Diet For PCOD Management

A balanced diet along with limiting certain foods can help manage PCOD

1. Dietary Balance

Make sure your diet is well-balanced and full of whole grains, fruits, vegetables, lean meats, and healthy fats. This helps regulate blood sugar levels and manage weight.

2. Low Glycemic Index (GI) Foods

Choose foods with a lower glycemic index to help control blood sugar levels. These include whole grains, legumes, and non-starchy vegetables (5).

3. Limit Processed Foods And Sugar

Reduce consumption of processed foods, sugary snacks, and sweetened beverages, as they can spike insulin levels and worsen PCOD symptoms.

4. Healthy Fats

Include sources of healthy fats like avocados, nuts, seeds, and olive oil, which can aid in hormone regulation.

Exercise For PCOD Management

a. Regular Physical Activity

Engage in regular exercises such as brisk walking, jogging, cycling, or any physical activity you enjoy. Aim to engage in moderate-intensity exercise for at least 150 minutes each week.

b. Weight Management

Exercise helps in weight management, which can improve insulin sensitivity and regulate hormone levels in individuals with PCOD.

c. Stress Reduction

Incorporate stress-relieving exercises like yoga, tai chi, or meditation. Stress management is crucial as high stress levels can worsen PCOD symptoms.

Benefits of Diet And Exercise For PCOD

Diet Exercise PCOD

1. Weight Management

Both diet and exercise assist in weight management, which can help regulate menstrual cycles and improve hormonal balance.

2. Improving Insulin Sensitivity

Regular exercise and a balanced diet can enhance insulin sensitivity, reducing the risk of insulin resistance, which is common in PCOD.

3. Hormonal Balance

A healthy lifestyle, including diet and exercise, can contribute to better hormone regulation, potentially reducing symptoms like irregular periods and excessive hair growth.

4. Consultation And Individualization

Consult a healthcare provider or a registered dietitian to create a personalized diet and exercise plan tailored to your specific needs and health condition. A comprehensive approach that includes lifestyle modifications is often recommended for managing PCOD effectively.

Is Pregnancy Possible With PCOD After Marriage?

Yes, pregnancy is possible for individuals with PCOD after marriage. While PCOD might present challenges related to fertility, many women with PCOD conceive and have successful pregnancies.

Factors Affecting Pregnancy With PCOS

Pregnancy and PCOS

Here is a list of factors affecting the chances of pregnancy for women having PCOS.

a. Ovulation Challenges

Irregular or absent ovulation is common in PCOD, which can make it more challenging to conceive (6).

b. Fertility Treatments

Some individuals might require fertility treatments, such as ovulation induction or assisted reproductive techniques, to aid in conception.

c. Hormonal Imbalance

PCOD’s hormonal disruptions can affect fertility, but with proper management, hormonal balance can be restored.

Strategies For Conceiving With PCOD

A few strategies such as maintaining a healthy lifestyle and following doctors’ advice are vital to be able to conceive when you have PCOD.

1. Healthy Lifestyle

Following a healthy lifestyle with a balanced diet, regular exercise, and weight management can improve the chances of conception.

2. Medication And Treatments

Depending on individual cases, doctors might prescribe medications to induce ovulation (7) or recommend fertility treatments like in vitro fertilization (IVF).

3. Consulting Specialists

Fertility specialists can provide tailored advice and treatments specific to PCOD, increasing the chances of successful conception.

4. Preconception Planning

Preconception planning involves the following steps.

a. Discuss With Healthcare Providers

It is essential to consult healthcare providers, especially gynecologists or reproductive specialists, to discuss plans for conception, address any fertility concerns, and explore suitable treatment options.

b. Regular Monitoring

Monitoring menstrual cycles, ovulation, and hormone levels through regular check-ups can aid in identifying the best times for conception and optimizing fertility.

While PCOD can pose challenges to fertility, many individuals with PCOD have successfully conceived and carried pregnancies to term with proper management, lifestyle changes, and sometimes with the assistance of medical treatments. Seeking guidance from healthcare professionals and following personalized plans can enhance the chances of conception for individuals with PCOD.

Natural Remedies For PCOD

PCOS natural remedies

There are various natural remedies and lifestyle changes that some individuals with PCOD find helpful in managing symptoms. While these approaches may offer relief for some, it’s crucial to consult healthcare providers before trying any remedies to ensure they are safe and effective for individual cases. Here are some natural remedies often considered.

1. Diet and Nutrition

Following the right diet and nutrition protocols is vital to reduce the symptoms associated with PCOD and in turn improve conception chances

a. Low Glycemic Index (GI) Foods

Consuming foods with a lower glycemic index may help regulate blood sugar levels. Whole grains, legumes, non-starchy vegetables, and fruits are some examples of these foods

b. Balanced Diet

Emphasize a balanced diet rich in fruits, vegetables, lean proteins, and healthy fats. Avoid processed foods, sugary snacks, and sweetened beverages.

2. Regular Exercise And Physical Activity

Engage in regular exercise to aid in weight management, improve insulin sensitivity, and promote overall health. Activities like brisk walking, jogging, yoga, or cycling can be beneficial.

3. Herbal Supplements And Remedies

Some herbs and supplements like cinnamon, spearmint tea, fenugreek, and saw palmetto are believed to have potential benefits for hormonal balance and managing PCOD symptoms. However, scientific evidence supporting their effectiveness is limited, so it’s essential to use them cautiously and under medical guidance.

4. Stress Management With Stress Reduction Techniques

Practices like meditation, yoga, deep breathing exercises, or mindfulness can help reduce stress levels. Stress management is vital as high stress can exacerbate PCOD symptoms.

5. Consulting Healthcare Providers For Professional Guidance

It’s important to discuss natural remedies with healthcare providers before incorporating them into your routine. They can provide guidance, ensure safety, and advise on suitable approaches based on individual health conditions.

While natural remedies might complement conventional treatments, they should not replace medical advice or prescribed treatments. Healthcare providers can offer personalized recommendations tailored to individual health needs and ensure that any natural remedies are safe and effective in managing PCOD symptoms.

FAQ’s

1. Can PCOS Go Away After Marriage?

No, PCOS does not go away after marriage. You will need to consult a medical expert and with the combination of medications and lifestyle changes, you will be able to control the condition and increase your chances of getting pregnant.

2. How Do You Treat PCOS After Marriage?

Treating PCOS involves a combination of medications and lifestyle changes. Your doctor may put you on medications to modulate your menstrual cycles and insulin resistance. Depending on your condition your doctor may recommend ovulation induction or infertility treatments such as IUI or IVF to help you get pregnant.

3. Why Does PCOS Occur?

PCOS is believed to be mostly genetic in nature and can tend to run in families. This condition happens due to hormonal imbalances and can be attributed to genetic conditions such as gene mutation. As of now, there is no cure for PCOD but you can control it with the help of medications and following a healthy lifestyle.

References

  1. Polycystic Ovarian Disease – StatPearls – NCBI Bookshelf – [https://www.ncbi.nlm.nih.gov/books/NBK459251/]
  2. Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment With Emphasis on Adolescent Girls | Journal of the Endocrine Society | Oxford Academic – [https://academic.oup.com/jes/article/3/8/1545/5518341?login=false]
  3. Polycystic Ovary Syndrome – PMC- [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737989/]
  4. A Study on the Clinical and Hormonal Profile of Polycystic Ovarian Syndrome Patients attending a Tertiary Care Hospital: A Descriptive Cross-sectional Study – [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775009/]
  5. Glycemic Index and Glycemic Load Estimates in the Dietary Approach of Polycystic Ovary Syndrome – PMC –  [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421037/]
  6. Biomedicines | Free Full-Text | Immunological and Metabolic Causes of Infertility in Polycystic Ovary Syndrome – [https://www.mdpi.com/2227-9059/11/6/1567]
  7. Infertility management in women with polycystic ovary syndrome: a review – PMC – [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846416/]
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Dr. Shubha L (Fertility Specialist, GarbhaGudi IVF Centre, Electronic City, Bengaluru),MBBS, MS(OBG), DNB, FRM

Fertility Specialist, GarbhaGudi IVF Centre, Electronic City, BengaluruRead more.

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