PCOS Diet, Miscarriage and Pregnancy

[Sophieflorence1993]

Hello. This is my first ever thread!
I have been trying for a baby for a year and found out I have PCOS 6 months ago.
I was put on letrazole and the first month I took it I fell pregnant. I’m 6 weeks. Although I’m really happy, I’m just super worried about an early miscarriage because this is my first baby and with PCOS I know there’s a higher risk of early loss.
I have lean PCOS so are a normal body weight. I also went on a low carb diet along with taking the letrazole and wonder if the low carb actually helped mostly.
Does anyone know if my chances of miscarriage reduce after the first trimester or am I at risk through most of my pregnancy and should I avoid sugar and carbs the rest of my pregnancy? There’s very little info online about diet during pregnancy for PCOS women. It’s hard because all I’m eating is sugar and carbs!
I just want to limit the chance of a miscarriage early on and if my diet could contribute to that I know it’s something I’m responsible for.

Hey I've also got PCOS and had Letrozole which helped me conceive first time. I'm now 10 weeks. I don't think the risks of miscarriage are that much higher for PCOS, especially if you've had treatment to release a more mature egg. If miscarriage happens it's mostly down to bad luck and chances are the next one will be fine. If you were taking inositol you might chose to continue it for a bit to help with sugar cravings?

Could you go for an early reassurance scan to put your mind at ease? Seeing a healthy heartbeat on an early scan will suggest the odds are very good for your pregnancy. Try to enjoy the pregnancy rather than thinking about miscarriage risks. It is common to miscarry but it's much more common to have a healthy baby. Try to focus on the good statistics, not the bad ones.

Also what I've realised from speaking to my fellow pregnant women - it's very common to eat like crap in trimester one!

Thanks for the reply! You’re absolutely right. I need to try and stay positive and enjoy the moment. Congratulations to you too!

Hi @Sophieflorence1993 another lean PCOSer here! Honestly I think it’s really hard to tell, I did a lot of research and I don’t think anyone really knows. I found some research on PCOS and miscarriage in general, but nothing specific to lean PCOS. Anecdotally I’ve got a little boy, then two miscarriages (but both totally different and therefore the causes are probably unrelated), and I’m 21 weeks with my second. With my son I basically lived off custard, tinned peaches and crackers for the first trimester with no ill effects, same for this one. My diet was ironically much healthier for the two miscarriages as I didn’t feel as unwell. I’m also tested for gestational diabetes as there can be a link with PCOS but again always negative to date. In short I think you probably don’t have anything to worry about! The risks for loss only rise if you have issues with controlling blood sugar was always my understanding, but obviously I’m not medically qualified.

Thanks that makes alot of sense. I havn’t had my blood sugars checked as my doctor wasn’t worried so I’m taking that as no concerns. Good luck with you second pregnancy!

Hi hope all goes well for you. My doctor said PCOS can be linked to gestational diabetes risk so it might be an idea to limit sugar and simple carbs once you're out of the first trimester. He basically said that first trimester just do whatever to get through it so i took that as green light for hula hoops etc and then just became disciplined after then.