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Re: pregnancy,pcos and obesityFrom: Angela (anonymous@obgyn.net)Thu, 26 Sep 2002 09:41:14 -0500 (CDT)
At Mon, 23 Sep 2002, anonymous wrote: > >At Tue, 28 Nov 2000, smed wrote: >> >>Personally I have not been pregnant, but I can tell you that women with >>PCOS are considered high risk no matter weight. So you would have to be >>monitored anyway. Secondly I wanted to let you know that there have >>been several women in my local support group that have become pregnant >>over the years, nearly all of them on Clomid, and ALL of them were >>medically obese. I mean let's face it, today's standards anyone that >>does not have the body fat of Cindy Crawford is medically obese :) >>Anyway, I wanted to let you know that all of them carried to term, >>several with multiples!! Yes they were considered high risk, not only >>because of the weight, but because they have PCOS and were on Clomid to >>conceive. I hope this helps. I say go for it, but that is just MHO, >>and I am a know it all anyway :P hehe >> >>TTFN >> >>-- >>Smed >> >>At Mon, 27 Nov 2000, Trista wrote: >>> >>>Hello all!! >>> >>>For anyone not familiar with my story, in a nutshell, I have suffered >>>from PCOS for about 7 years now. I have an 8-year-old son, and I was >>>not diagnosed with PCOS until my son was 1 and my husband and I were >>>trying to conceive again. >>> >>>I am 5'2" tall and currently weigh 240 lbs. I have a total cholesterol >>>of 240, my triglycerides are high and I just recently was told by my >>>doctor to start a low-sodium diet as my blood pressure readings have >>>been high.(I also have periods that don't come for months at a time and >>>then are heavy from 2-4 weeks at a time, abnormal hair growth, skin >>>tags,etc.) >>> >>>I really want to have another baby if I could, and my doctor has mention >>>Clomid to me before; however, I am afraid of what being pregnant along >>>with all my other health problems would mean. >>> >>>I have seen other postings on here from PCOS women who are "obese" by >>>medical standards and I was wondering if they are considered "high risk" >>>pregnancies and what complications could arise. >>> >>>Any thoughts or advice would be appreciated. I have not asked my doctor >>>about this, I just figured that I would turn down the option of trying >>>Clomid because of my PCOS-related weight/cholesterol/blood pressure >>>problems. >>> >>>-- >>>Trista >>> I'm 30, and have a 5 yr old and 2 yr old twins. Both were conceived after being diagnosed with PCOS, we used clomid with both, and yes, I was overweight with both. I have a slightly elevated bp, undoubtedly not helped by my weight, I have an extra node in my heart that causes recurrect svt, my cholesterol--we won't even talk about my cholesterol. I also have elevated insulin levels, and my hormones go up and down like the stock market. BUT, I had two beautiful, smooth as silk pregnancies. I was incredibly careful, not just when I was pregnant, but also while trying to get pregnant, to avoid sugar, and excess fat or salt. I pestered my doctor into letting me do cbg's, and adjusted my diet accordingly, even though my initial glucose test was fine with each, and also insisted on doing the longer, fasting glucose tolerance test each time. I kept myself on an ADA diet, and both I and my ob feel like it helped me to avoid a lot of the potential pitfalls of being pregnant with PCOS, and the associated health problems. So...yes there are more risks. Yes, it is likely to be more difficult, and the likelyhood of complications such as gestational diabetes are higher than average. If you're willing to DO MORE than average to help to keep yourself healthly before and during the pregnancy, you can probably offset the statistics to a more acceptable level of risk. Talk to your doctor--schedule time to sit down with your ob, and go over a game plan, not just to get pregnant, but to be safe and healthy--That's my 2 cents, anyway :)
-- Angela Cisco
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