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We take a deep dive into your period history and pregnancy goals to build a complete picture of your health. This visit may also result in orders for bloodwork or an ultrasound to confirm a diagnosis."}],"style":"normal"}]},{"_key":"708d760e44fa","_type":"featureCard","text":[{"_key":"40ea36c91b76","_type":"block","children":[{"_key":"758261363c52","_type":"span","marks":["strong"],"text":"Building your personalized PCOS treatment plan"}],"style":"h4"},{"_key":"9887f25f184b","_type":"divider","dividerType":"squiggle-black"},{"_key":"2ede326c2ca4","_type":"block","children":[{"_key":"4d2096567cc5","_type":"span","text":"Together, we'll create a personalized care plan to manage your specific symptoms. You and your provider will determine the best path for you based on your symptoms, overall health, and personal goals. 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There’s a strong association between PCOS and preeclampsia, a potentially dangerous condition characterized by high blood pressure and proteins in the urine, which can cause organ damage. Regular prenatal visits and routine monitoring are crucial to protect both the parent and baby and prevent preeclampsia from developing into a life-threatening condition called eclampsia."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61cf02261ff7","_type":"block","children":[{"_key":"7341416083da0","_type":"span","marks":["strong"],"text":"Preterm birth."},{"_key":"7341416083da1","_type":"span","marks":[],"text":" There is an increased risk of preterm birth in women with PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c7d09526ad1","_type":"block","children":[{"_key":"81b9c486c2f81","_type":"span","marks":["strong"],"text":"Miscarriage."},{"_key":"81b9c486c2f82","_type":"span","marks":[],"text":" People with PCOS have a slightly higher risk of miscarriage compared to those without the condition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26d58d0c71ab","_type":"block","children":[{"_key":"ee166fcf53ca1","_type":"span","marks":["strong"],"text":"Increased C-section rates."},{"_key":"ee166fcf53ca2","_type":"span","marks":[],"text":" Those diagnosed with PCOS have a higher likelihood of delivering via Cesarean section, often due to complications related to gestational diabetes, preeclampsia, and fetal distress."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ebdf13b2c5ad","_type":"block","children":[{"_key":"f0c435176e151","_type":"span","marks":["strong"],"text":"Neonatal complications."},{"_key":"f0c435176e152","_type":"span","marks":[],"text":" Babies whose parents have PCOS often experience complications, like respiratory distress syndrome, that necessitate admission to the neonatal intensive care unit."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7e172fccc510","_type":"block","children":[{"_key":"5bb9440e9d7b1","_type":"span","marks":["strong"],"text":"Long-term health implications."},{"_key":"5bb9440e9d7b2","_type":"span","marks":[],"text":" Children born to parents with PCOS have a higher risk of developing certain chronic health conditions later in life, such as obesity and diabetes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc745211df6d","_type":"sectionHeader","title":"Optimizing fertility with PCOS"},{"_key":"6800b8880323","_type":"block","children":[{"_key":"18b801be027f0","_type":"span","marks":[],"text":"Not everyone with PCOS will experience these complications, and it’s worth repeating that many women with PCOS have successful, healthy pregnancies. Thankfully, there are several commonsense and effective strategies, including lifestyle modifications and medications, that can greatly increase the likelihood of ovulating and becoming pregnant if you suffer from PCOS."}],"markDefs":[],"style":"normal"},{"_key":"93e4c88a1390","_type":"block","children":[{"_key":"01a075f712df0","_type":"span","marks":[],"text":"Lifestyle modifications almost always begin with getting regular exercise and eating a healthy diet, generally full of protein-rich, low-carbohydrate foods; high-fiber fruits and vegetables; whole grains; and healthy fats and oils. Cutting out caffeine, nicotine, and alcohol are also common recommendations. Weight management through exercise and dietary changes can vastly improve insulin sensitivity and hormonal imbalances, stabilize blood sugar levels, and make fertility easier to achieve, often without additional intervention."}],"markDefs":[],"style":"normal"},{"_key":"9b1d2a881152","_type":"block","children":[{"_key":"9bb1cf7213a30","_type":"span","marks":[],"text":"When lifestyle changes alone don’t lead to pregnancy, healthcare providers often recommend medication to improve fertility and promote ovulation, including metformin and/or clomiphene citrate (Clomid) alone or in combination. Metformin, an insulin-lowering drug and mainstay in type 2 diabetes management, has been shown to improve fertility and ovulation, and reverse endocrine abnormalities in women with PCOS. .Metformin is also a drug-of-choice for women with PCOS because it also has positive effects on other PCOS symptoms, including menstrual irregularities, anovulation (lack of ovulation), hirsutism, and obesity. And during pregnancy, metformin might also be protective against insulin resistance, gestational diabetes, and a first trimester pregnancy loss. Clomiphene citrate (Clomid) is an important ovulation induction agent that works by stimulating hormones necessary for follicle development. Letrozole, another medication that induces ovulation, is sometimes used when clomiphene citrate is ineffective."}],"markDefs":[],"style":"normal"},{"_key":"54ee4325c67a","_type":"sectionHeader","title":"Seeking preconception care"},{"_key":"70cf3c25d58e","_type":"block","children":[{"_key":"7629956b4c1b0","_type":"span","marks":[],"text":"As always, it’s important for people with PCOS to consult with an experienced and trustworthy healthcare provider before trying to conceive. Your provider can help assess your fertility status, manage PCOS symptoms, and address underlying health conditions to improve your chances of getting pregnant, staying pregnant, and having a healthy pregnancy. And since PCOS is associated with other long-term health risks, like type 2 diabetes, endometrial cancer, and cardiovascular disease, it’s even more critical for these people to share their fertility journeys and health histories with their provider before conception so they can make the best and most informed decisions about their health and care."}],"markDefs":[],"style":"normal"},{"_key":"d7520205e4e6","_type":"sectionHeader","title":"Pregnancy care for people with PCOS"},{"_key":"679be8a1efeb","_type":"block","children":[{"_key":"8f6fdbd145670","_type":"span","marks":[],"text":"Close collaboration with a healthcare provider, strict adherence to prenatal care, lifestyle management, and taking a prenatal vitamin that offers folic acid are key components of ensuring a healthy pregnancy for women with PCOS. Since women with PCOS who become pregnant are more vulnerable to certain pregnancy-related complications, like gestational diabetes and preeclampsia, regular prenatal office visits and routine screenings are essential for recognizing the earliest signs of these conditions. Your care team will closely monitor your blood pressure, blood glucose levels, and weight gain, measure the progression of your pregnancy, and address any issues that might contribute to miscarriage or preterm labor."}],"markDefs":[],"style":"normal"},{"_key":"7a49e008bc32","_type":"sectionHeader","title":"Next steps for PCOS treatment"},{"_key":"b6eb1bcd8a2f","_type":"block","children":[{"_key":"215a43a920990","_type":"span","marks":[],"text":"PCOS is a complex and prevalent condition that requires a comprehensive and personalized approach. The impact of PCOS extends beyond the bounds of reproductive health, it impacts metabolic and cardiovascular health too. Some symptoms, like infertility, obesity, and unwanted hair growth, can lead to social stigma and even cause anxiety and depression. Consultation with a healthcare provider or fertility specialist is essential for a thorough evaluation, diagnosis, and a personalized treatment plan aimed at restoring hormonal balance, managing symptoms, and regulating ovulation."}],"markDefs":[],"style":"normal"},{"_key":"e8059e98ad70","_type":"block","children":[{"_key":"6f001f1b66580","_type":"span","marks":[],"text":"So, whether you’re already pregnant, trying, undecided, or not planning to have kids, your journey matters—and so does your story. "}],"markDefs":[],"style":"normal"},{"_key":"87323364518a","_type":"cta","backgroundColor":"bccream","text":[{"_key":"f559b1448cc3","_type":"block","children":[{"_key":"af8a0517f650","_type":"span","marks":[],"text":"Experiencing PCOS symptoms? Sign up for Tia's membership and schedule an appointment today."}],"markDefs":[],"style":"normal"},{"_key":"cf4b3627b65a","_type":"buttonBlock","items":[{"_key":"b99fe2b5f01b","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_id":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"join","_createdAt":"2020-07-13T19:59:55Z","_rev":"KXvy2YJ8LiHvygPMefsRJm","_updatedAt":"2024-10-16T19:06:50Z","content":{"_type":"pageTabs","main":{"_type":"pageContent","modules":[{"_key":"f62712e7c72e","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"4138984aed85","_type":"imageAndText","alignment":"jcrr","backgroundColor":"bccream","image":{"_type":"image","asset":{"_ref":"image-6c88ece24f8d7927ad4c62c96316335fe876aa15-7200x7201-png","_type":"reference"}},"text":[{"_key":"92c81ce50862","_type":"block","children":[{"_key":"533575c74524","_type":"span","marks":[],"text":"Use your insurance to pay for services"}],"markDefs":[],"style":"h2"},{"_key":"b94a3e25819b","_type":"block","children":[{"_key":"b44706be5f62","_type":"span","marks":[],"text":"Want to know if we take your insurance? 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