Navigating PCOS and Pregnancy With Confidence: A Doula’s Guide

PCOS (Polycystic Ovary Syndrome) is a common condition that affects more women than you might realize. If you’re one of them, you’re likely familiar with the daily challenges it brings. When it comes to pregnancy, navigating PCOS is no small feat. It’s not your average pregnancy journey and comes with a unique set of obstacles.

Let’s explore how PCOS can impact your pregnancy and what you should know about managing it.

First, What Is PCOS?

PCOS is one of the most common endocrine disorders, affecting 1 in 10 women of childbearing age. It creates hormonal imbalances in your body that can cause a variety of uncomfortable symptoms. In other words, your delicately balanced reproductive system gets thrown off course. 

Having “out-of-whack” hormones can result in symptoms including: 

• Irregular Periods. Some women report having unpredictable periods or no period at all. 
• Weight Gain. PCOS weight gain is usually concentrated around the midsection. It’s typically difficult to lose because of hormone imbalance. 
• Excess Hair Growth. Also called “hirsutism,” this causes unwanted hair growth on the face and body. 
• Skin Tags: These are often found on the armpits or neck.
• Acne. PCOS can cause oily skin which can lead to acne. 
• Ovarian Cysts. Often described as a “string of pearls” visible on the ovaries. 
• Mood changes. Anxiety and depression can impact women with PCOS. 

You’d think that with PCOS being so common, getting a diagnosis would be simple. But it’s not.

Actually, up to 50% of women with PCOS go undiagnosed. Many endure years of frustrating and confusing symptoms before finally getting answers, while others may never receive a diagnosis at all.

This is clearly a problem. Untreated PCOS increases the risk for serious health conditions such as: 

• Type 2 diabetes
• Strokes 
• Endocrine cancers
• Heart disease

Additionally, it can make ovulation irregular, affecting your fertility. However, becoming pregnant is definitely possible with PCOS.

You may be a living example of that. With proper care, treatment, and support, many women with PCOS have healthy pregnancies. 

The Impact of PCOS on Pregnancy

PCOS influences more than conception. It can also show up in different ways during pregnancy, making growing a little human that much harder. 

Women with PCOS face higher risks of: 

• Gestational Diabetes 
• Preeclampsia 
• Premature Birth 
• Miscarriage 

These risks can bring up many emotions. Maybe you’re facing the anxiety of maintaining a healthy pregnancy. Or perhaps you’re not sure where your PCOS symptoms end and pregnancy begins. It can be a lot.

If you’re pregnant with PCOS and you’re feeling…

• Isolated 
• Misunderstood
• Stressed and Anxious 
• Overwhelmed

Remember, there are other women just like you who know exactly what you’re going through. There are also several ways to help you manage your PCOS pregnancy. 

Managing PCOS During Pregnancy

Now, how much does PCOS affect pregnancy?

It’s different for everyone.

Many women with PCOS find comfort in knowing they have a plan to manage their symptoms. You can put a treatment plan together with your care provider, and review it with your doula for extra support. 

Here are a few of our recommendations: 

Nutrition:

Nutrition plays a crucial role in managing PCOS symptoms. Reduce your intake of sugar and simple carbohydrates, which can cause insulin spikes and worsen symptoms. Instead, focus on nutrient-dense meals rich in leafy greens, colorful vegetables, lean proteins, healthy fats, and whole grains. Foods with a low glycemic index, like quinoa, lentils, and sweet potatoes, can help regulate blood sugar levels. Incorporate anti-inflammatory foods like berries, nuts, and fatty fish to further support your overall health.

Reduce Exposure to EDCs:

Endocrine-disrupting chemicals (EDCs) can interfere with your hormonal balance, which is particularly important to manage when dealing with PCOS. To minimize exposure, consider using glass or stainless steel containers instead of plastic for food storage, as plastics often contain hormone-disrupting substances like BPA. Opt for organic produce when possible to reduce contact with pesticides and wash fruits and vegetables thoroughly. Additionally, switch to natural cleaning products and personal care items to avoid harmful chemicals like phthalates and parabens. Small changes like these can help create a cleaner, healthier environment for your hormones to thrive.

Stay Active:

Movement is a powerful tool for managing PCOS. You don’t need to commit to intense workouts; gentle activities like stretching, yoga, walking, or swimming can be highly effective. These forms of exercise not only improve insulin sensitivity and support weight management but also lower cortisol levels, reducing stress—a common PCOS trigger. Aim for at least 30 minutes of movement most days, but remember, consistency matters more than intensity.

Acupuncture:

Acupuncture is a holistic treatment that some women with PCOS find beneficial. It may help regulate hormone levels, improve blood flow to the ovaries, and reduce symptoms like irregular cycles or stress. While research is still ongoing, many women report improvements in energy levels, mood, and overall well-being with regular acupuncture sessions. Be sure to consult a licensed practitioner with experience in treating PCOS.

Introduce Supplements:

Supplements can play a supportive role in managing PCOS symptoms, but it’s essential to consult your healthcare provider before starting any. Popular options include inositol, which may help regulate insulin levels and improve ovarian function, and vitamin D, which is often low in women with PCOS and can support hormonal balance. Other supplements that some women explore include omega-3 fatty acids for reducing inflammation, magnesium to combat insulin resistance and stress, and zinc for improving skin health and reducing acne. Always ensure you’re using high-quality supplements and discussing them with your provider to tailor the approach to your needs. 

Importance of Early Diagnosis & Finding Support 

Getting an early diagnosis of PCOS can make a big difference in managing symptoms and taking control of your health. But here’s the frustrating truth: navigating the healthcare system can often feel overwhelming and dismissive.

Maybe you’ve experienced the frustration of having your health concerns brushed aside, only to finally get a diagnosis after finding the right doctor who truly listened. While the process of diagnosing PCOS is continually evolving—hopefully in a better direction—it doesn’t make the challenges you’re facing any less real.

As you navigate your PCOS pregnancy, being proactive is key. Stay on top of regular check-ups, advocate for your needs, and prioritize finding a village of support. 

Here are a few ways to help: 

• Schedule doctor appointments proactively
• Consider all options, whether medical or holistic to help alleviate your symptoms 
• Find an online or in-person PCOS pregnancy support community
• Reach out to a doula for support

Finding tailored support can make all the difference in helping you thrive during your PCOS pregnancy.

But what exactly do I mean by “tailored support”?

It’s about connecting with others who truly understand your journey—like other women navigating a PCOS pregnancy. Sharing experiences, exchanging knowledge, and offering kind words can create a powerful bond. They’ll know exactly what you’re going through, and you’ll be able to support and understand them in return. Building these connections can provide the encouragement and reassurance you need to face the unique challenges of your pregnancy with confidence.

How Doulas Support Women with PCOS During Pregnancy

Doulas are skilled birth professionals who offer physical, emotional, and educational support during pregnancy, childbirth, and beyond. If you’re navigating pregnancy with PCOS, having a doula by your side can be especially beneficial. Here’s how they can help:

1. Emotional Support and Reassurance

Pregnancy with PCOS can be overwhelming, but a doula provides a steady source of emotional support throughout the journey. From celebrating small victories to reassuring you during tough moments, they’ll be your constant cheerleader, helping you feel seen, heard, and cared for.

2. Advocacy and Guidance

Let’s face it—sometimes our healthcare system can feel intimidating and impersonal. A doula can help bridge the gap between you and your medical team. They’ll ensure your concerns are addressed, your preferences are respected, and your voice is heard.

3. Practical Help

Navigating a PCOS pregnancy comes with unique challenges. A doula brings valuable knowledge and resources, offering guidance tailored to your specific needs, from nutrition tips to stress management techniques.

4. Birth Support

When it’s time to give birth, your doula will be with you every step of the way. They’ll provide hands-on support through contractions, offer comfort measures, and help you navigate any last-minute changes to your birth plan. With a doula by your side, you’ll never have to worry about facing the unknown alone.

5. Postpartum Care

The postpartum period is challenging for any new parent, but PCOS can add extra hurdles, including the emotional fluctuations. A doula provides personalized postpartum care, supporting your healing, offering practical help, and being a compassionate resource for your mental health.

At Buddha Belly Doulas, we specialize in supporting women through all types of pregnancies, including those affected by PCOS.

We’re here to be the listening ear you need and the steady hand to help you through.

Remember, you are not defined by PCOS. You are strong, resilient, and fully deserving of a beautiful pregnancy experience.

Let’s take this journey together. 💕Contact us to learn more about how our doula services could help you!