In plain words
Polycystic ovary syndrome, or PCOS, is a common hormone condition. It can cause irregular periods, acne, extra hair growth, and weight changes. Some people have , and some learn about it only during pregnancy. In pregnancy, PCOS is linked to higher chances of and , so your provider may check for these. Having PCOS does not mean you cannot have a healthy pregnancy. Many people with PCOS have healthy babies. Tell your provider if you have PCOS or think you might. They can explain what it means for your care.
The deeper version
PCOS is diagnosed by the Rotterdam criteria, requiring two of three features: oligo- or anovulation, clinical or biochemical hyperandrogenism, and polycystic ovarian morphology on ultrasound, after exclusion of other causes (Rotterdam Consensus Group, 2004). The international evidence-based guideline (Teede et al., 2018) recommends screening for glucose intolerance and metabolic risk, given the association with type 2 diabetes. In pregnancy, PCOS is associated with gestational diabetes, preeclampsia, and , though findings vary by population and by how the condition was defined. Ovulation and assisted conception are used in fertility care, and management of pregnancy risk follows standard obstetric screening.
Where it comes up
- Tracking your cycle and ovulationBefore Pregnancy
- Infertility and the long roadLoss and Complications
- Coming off birth controlBefore Pregnancy
- Gestational diabetesPregnancy: Your Body
- High blood pressure and preeclampsiaPregnancy: Your Body
What mothers here say about polycystic ovary syndrome
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Sources
- Teede HJ et al. — Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human Reproduction, 2018
- Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group — Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Human Reproduction, 2004