Q:

What is the chance of conceiving if you have lupus anticoagulant and PCOS?

A:

Quick Answer

Women who have lupus anticoagulant and polycystic ovarian syndrome can conceive and give birth, explains the Lupus Foundation of America and the National Institutes of Health. However, physicians classify these pregnancies as high risk and monitor them closely.

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Full Answer

Lupus anticoagulant, a type of antiphospholipid antibody, may disrupt the growth of the placenta by forming blood clots, usually in the second trimester of the pregnancy. The slow growing placenta may also slow fetal growth, prompting early delivery of the baby, explains the Lupus Foundation of America.

One in three pregnant women with lupus delivers a preterm baby. The most common causes of early delivery are active lupus, preeclampsia and the presence of antiphospholipid antibodies, reports WebMD. Since risk of fetal loss is higher in women with lupus anticoagulant, the doctor may prescribe a blood thinner to reduce the chance of miscarriage. Approximately 80 percent of women who take a blood thinner do not miscarry.

Women with polycystic ovarian syndrome are three times more likely to suffer a miscarriage early in the pregnancy than those without polycystic ovarian syndrome, notes the National Institutes of Health. The prescription drug metformin may lower the risk of miscarriage, but studies are not conclusive, so more research is necessary.

Pregnancy complications linked to polycystic ovarian syndrome include pregnancy-induced high blood pressure, preterm birth, gestational diabetes and preeclampsia, notes the National Institutes of Health. Women with polycystic ovarian syndrome most likely deliver their babies by cesarean section due to pregnancy complications.

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