pcos and miscarriage

[khushi]

hi dr shana,
I am 21 years old. I am married,after mery i live in canada now. In july 2007 i got pregnent but on 11th week for unknown reason i lost my baby through miscarriage.I am very upset after that. In sep 2007 i was known that i had pcos . My doctor ask me for avoid pregnency for some time.
Now i am suffering from many signs of pcos,like brusting of cysts,feel preasure on utress, pain full periods(my periods are normally regular 35-40 days cycle),patches on my face.
I told my doctor all about it but she has no concern about it.She said it is normal.But i dont think that it is normal.Now i want to get pregnent but i afraid of miscarriage.Right now i am not on any medecation.
plz tell me what should i do....

[drshana]

hi dr shana,
I am 21 years old. I am married,after mery i live in canada now. In july 2007 i got pregnent but on 11th week for unknown reason i lost my baby through miscarriage.I am very upset after that. In sep 2007 i was known that i had pcos . My doctor ask me for avoid pregnency for some time.
Now i am suffering from many signs of pcos,like brusting of cysts,feel preasure on utress, pain full periods(my periods are normally regular 35-40 days cycle),patches on my face.
I told my doctor all about it but she has no concern about it.She said it is normal.But i dont think that it is normal.Now i want to get pregnent but i afraid of miscarriage.Right now i am not on any medecation.
plz tell me what should i do....

Dear friend,

I am so sorry to hear of your miscarriage. It is difficult to determine the cause miscarriage much of the time. The causes of recurrent pregnancy loss are: genetic, endocrine, anatomic, inherited, infectious, immunologic and unexplained.

It was previously thought that 50% of recurrent pregnancy losses were unexplained. We now know that many of these cases are due to sub-clinical hormone abnormalities. Sub-clinical means that it may not show up on routine hormone testing and therefore goes untreated.

PCOS is a syndrome of hormonal imbalances and the miscarriage rate is indeed higher in women with PCOS. There is a connection between insulin resistance and miscarriage, at least in women with PCOS. In fact, women with recurrent pregnancy loss much more often have polycystic ovaries on ultrasound.

While it seems obvious to some that cysts on ovaries will prevent a normal pregnancy, there are many theories about this. One theory is that the relationship between PCOS and miscarriage is due to the hormonal imbalance of PCOS. Elevated insulin levels and insulin resistance contribute to the hormone imbalances associated PCOS. Insulite Laboratories recommends that you work with a reproductive endocrinologist who can help you determine what impact your hormones are having on your miscarriage rate.

The Polycystic Ovarian Syndrome Association (www.pcosupport.org) provides emotional support for women with PCOS who have had miscarriages. Please see the following link to their bulletin which discusses this: http://www.pcosupport.org/news/PCOSBulletin-June2005.pdf.

Our Insulite PCOS System is designed to balance the testosterone, insulin and other reproductive hormones that that could impact hormone levels during pregnancy. Please let me know if you have additional questions about the System.

I hope to hear from you soon.