Understanding PCO vs. PCOS: Implications for Fertility and Future Options

Recently, I discovered that I have polycystic ovaries (PCO) but not polycystic ovary syndrome (PCOS). This discovery has led to a lot of questions about my current and future fertility. In this article, we will explore the differences between PCO and PCOS, discuss the implications for fertility, and explore potential treatment options.

What is PCO and How Does it Differ from PCOS?

If you have been told that you have polycystic ovaries (PCO) but not polycystic ovary syndrome (PCOS), it is essential to understand the differences between these two conditions:

PCO (Polycystic Ovaries): PCO is a condition characterized by small follicles (cysts) on the ovaries. These cysts do not necessarily cause symptoms or affect ovulation. A pelvic scan done for another reason may incidentally reveal these cysts. PCOS (Polycystic Ovarian Syndrome): PCOS, on the other hand, is a metabolic condition that is often associated with hormonal imbalances. PCOS can lead to irregular periods, fertility issues, and other health problems.

It is crucial to note that PCO is not a disease—it is a variant of normal ovaries. In contrast, PCOS is a more complex condition linked to hormonal imbalances released by the ovaries.

Implications for Fertility: Understanding the Difference

Now that we understand the difference between PCO and PCOS it is essential to consider their implications for fertility:

If you have polycystic ovaries without the symptoms or hormonal imbalances associated with PCOS, it means that your menstrual cycles are likely regular, and you are not experiencing fertility issues. However, if you have never been able to conceive again, it is possible that you could be facing fertility challenges beyond just having polycystic ovaries.

Charting Your Cycle: A Key Step in Fertility Management

If you suspect that you may have PCO or PCOS, it might be helpful to start charting your menstrual cycle with detailed information about your cervical mucus and other fertility symptoms. This information can be invaluable to your doctor, especially if they are trained in Natural Family Planning (NFP).

NFP involves monitoring your menstrual cycle to identify fertile and infertile periods. By charting your cycle, you can track your cervical mucus, basal body temperature, and other symptoms. This data can help your doctor understand how your hormones are affecting your fertility and whether any interventions are necessary.

Seeking Further Assistance: A Path to Fertility

If you are unsure how to proceed or if you have tried charting your cycle without success, it might be helpful to consult with a fertility specialist. Here are some suggestions:

Consult Your GP for Blood Tests: Your general practitioner (GP) can order blood tests to check for any underlying hormonal imbalances or thyroid issues that could be affecting your fertility. Referral to a Fertility Clinic: Based on the results of these tests, you may be referred to a fertility clinic for further evaluation and treatment. Analyze Past Diagnoses: Years ago, you were diagnosed with pelvic inflammatory disease (PID) but all tests came back negative. While this does suggest that the diagnosis was likely a mistake, it is still essential to revisit these findings with a trained specialist.

It is possible that a pelvic scan performed years ago may have detected the polycystic ovaries, and blood tests could have been conducted sooner to check for potential hormonal imbalances or thyroid issues.

It is important to remember that while some might face significant challenges in achieving a pregnancy, many find success through natural methods and even conception years after initial diagnosis. With the right support and interventions, you can significantly improve your chances of achieving a pregnancy.

Stay hopeful and work closely with your healthcare provider to explore all available options. Through careful monitoring and appropriate interventions, you can increase your chances of conceiving naturally.

Thank you for taking the time to read this article. If you have any further questions or need more information, please visit my profile for additional resources on ovarian cysts and PCOS.