is it harder to get pregnant with pcos or endometriosis?
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“Having endometriosis or PCOS doesn't disqualify a woman from having a successful pregnancy; these women just may need to work harder and be more aware,” says Dr. Minkin. Both endometriosis and PCOS can interfere with ovulation, but typically only PCOS will threaten a pregnancy after conception.
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How successful is Femara? Studies show that the success rate of Femara is higher than Clomid for women with PCOS. One study found that while 19.1% of women with PCOS who took Clomid had a successful pregnancy within five cycles, 27.5% of women with PCOS who took Femara had a successful pregnancy within five cycles.
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Polycystic Ovary Syndrome, commonly referred to as PCOS, is another common, painful gynecological condition. And although PCOS and endometriosis each affect an estimated one in ten people with uteruses, and can co-occur, they are often misdiagnosed.
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While doctors aren't 100% sure how these ovarian cysts affect fertility, they do know that endometriosis is closely tied to infertility; some studies demonstrate that women with even mild cases of endometriosis have only a 2–4% chance of getting pregnant each month (compared to the 15–20% chance healthy women have).
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The same 2014 study from the New England Journal of Medicine showed that, among participants with PCOS who used letrozole, 27.5 percent got pregnant within five cycles and went on to have live births. The study also found that the drug induced ovulation in 61.7 percent of women with PCOS.
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How endometriosis affects fertility. Although endometriosis can have an effect on your chances of getting pregnant most women who have mild endometriosis are not infertile. An estimated 70% of women with mild to moderate endometriosis will get pregnant without treatment.
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Key results: Women with endometriosis have a higher risk of miscarriage compared to those without endometriosis (35.8 percent versus 22 percent). Women with low fertility and endometriosis have a higher risk of miscarriage compared to women with low fertility but no endometriosis (50 percent versus 25.8 percent)
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Women with endometriosis can still conceive, but it might take longer or be more difficult. Almost 40% of women who struggle with infertility have endometriosis, according to the American College of Obstetricians and Gynecologists.
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Using an ovulation test kit to help pinpoint fertile times for conception may not give you reliable results if you have polycystic ovary syndrome (PCOS). The problems with the accuracy of these tests for women with PCOS stems from what all PCOS challenges do—abnormal hormone levels.
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Some women with PCOS may have a regular monthly cycle each month. Yes, you can have PCOS and have regular periods.
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Up to half of the women with endometriosis will have trouble getting pregnant. The likelihood of having fertility problems depends on your age, your partner's fertility, and how severe the endometriosis is. For those that do struggle to conceive, surgery or fertility treatments like IVF may help.
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With treatment, most women with PCOS are able to get pregnant. The majority of women can be successfully treated with a short course of tablets taken at the beginning of each cycle for several cycles. If these are not successful, you may be offered injections or IVF treatment.
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Cysts do not generally make it harder to get pregnant. But if the cysts are caused by an underlying condition like endometriosis, you might have problems with fertility.
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In PCOS, the follicles cannot grow and mature properly due to high androgen levels. In hypothyroidism, hormone changes (specifically, a rise in the level of a hormone called prolactin) prevent ovulation, leading to polycystic ovaries.
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It is important to remember that most women with endometriosis will become pregnant without any medical assistance. For women diagnosed with severe endometriosis (stage III/IV) who do want to become pregnant, about 75% will be able to do so – two-thirds naturally and one-third with the help of IVF.
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Clomid and Metformin for PCOS - Success Rates However if we achieve ovulation, have normal sperm, and the female is under 37 years old, we could expect a pregnancy success rate of about 10 to 15% per month for intercourse around ovulation, and 15 to 20% per month for intrauterine insemination, IUI.
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Although endometriosis can have an effect on your chances of getting pregnant most women who have mild endometriosis are not infertile. An estimated 70% of women with mild to moderate endometriosis will get pregnant without treatment.