TRYING TO GET PREGNANT WITH PCOS: ASK C+S

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Dear @cyclesandsex,

I'm 36, have PCOS, and I'm having difficulty getting pregnant. I've gotten pregnant once before, so I know it's theoretically possible! I've read Taking Charge of Your Fertility, I'm charting, and I've realized that I am not on any regular cycle. Right now I'm taking some supplements and hoping my period will regulate (Conception, Berberine), but so far I'm not seeing much improvement. How long should I try this route? Is there anything else I should do? Any good or bad signs I can look for in what looks like a crazy irregular chart?

Sincerely,                                                                             

#TryingToGetPregnant

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Dear #TryingToGetPregnant

A "crazy, irregular chart" suggests that your cycles may be "anovulatory" or cycles in which ovulation does not occur, which is fairly common with PCOS. If you are having anovulatory cycles, then your next step is to identify which underlying PCOS driver is preventing ovulation. Possible PCOS drivers include insulin resistance, inflammation, and adrenal androgens, but the most common driver is insulin resistance. The test for insulin resistance is a test for the hormone insulin, not for blood glucose. And if you do have insulin resistance, the most effective treatment is to avoid all sugary dessert-type foods including fruit juice and dried fruit, and to take magnesium, which is so effective for insulin resistance that I call it "natural metformin."

Love,                                                                             

Dr. Lara Briden

Dr. Lara Briden (@larabriden) is a naturopathic doctor and the period revolutionary—leading the change to better periods. Lara is a passionate communicator about women's health and alternatives to hormonal birth control. Her book Period Repair Manual is a manifesto of natural treatments for better hormones & better periods and provides practical solutions using nutrition, supplements, and natural hormones.

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