Infertility Specialist Questions Polycystic Ovary Syndrome

Is it risky to delay my conception with PCOD?

When I started to have my period, I've had PCOD. Now that I'm married and 32 years old, I'm thinking about wanting to have children... just not yet. I don't want to conceive immediately. Is it risky to delay my conception, considering the PCOD?

7 Answers

Most of the time with PCOD, ovulation is induced with medication. Waiting for pregnancy, you can reduce 10% of your weight, and this can help with ovulation.
A woman's age is a significant factor that can impact her fertility. A woman's fertility is reduced as she gets older. At 32 years of age and a diagnosis of PCOD, there are compounding factors that may make pregnancy more difficult to achieve naturally.
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With or without PCOS, fertility in MOST women tends to decline starting at the age of 35. But there are extremes also. On the one hand, I had a patient who conceived naturally at 47. On the other hand, I have 2 patients whose periods stopped somewhere around the age of 30-32, and blood work confirmed that they both had premature ovarian failure or premature menopause.
If you have regular cycles at around 28 days, you are probably ovulating and can conceive. In this case, your PCOD should not make it more difficult to become pregnant. If your cycle is long (60-90 days), you probably are not ovulating and will struggle to become pregnant without some medical assistance. If you are taking hormonal birth control, your cycle will be artificial and you will not know which of the two situations above applies to you. I would recommend you immediately switch to a non-hormonal method of contraception so that you can assess your natural cycles.







Dr. Trevor Wing

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Age 35 and above is considered advanced maternal age and there will be increased risk for miscarriages and increased risk for chromosomal anomalies in the fetus. And if you add PCOD to that, getting pregnant will be a challenge, but you can still get pregnant. I would suggest trying to get pregnant after a year or so.

Good luck!
As long as you cycle at least every three months you are fine. Remember, though, as you get older, the risk of chromosomal abnormalities increases, especially after age 35.
Not at all. It just may take some time to conceive. You may need a consultation before trying to conceive with an ob/gyn.

Doug Young, MD