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Infertility Cubby

Will Fertility Drugs Be Needed for a Second Pregnancy?
By Sam Thatcher, MD, Ph.D.

Sam Thatcher, MD, Ph.D.Q. I have PCOS and now I'm pregnant with my first child, with help from Clomid. My questions for you are: Do I have a chance to conceive without help from medicine in the future?

A. Sometimes a second pregnancy will follow the first without any additional help. It largely depends on whether ovulation will more likely or more frequently occur. You should not think that you are either infertile, or that you might not need additional therapy. The fact that you became pregnant after clomiphene suggests that your ovulatory disturbance was not too severe. If you do not want to become pregnant and have stopped breastfeeding, I usually suggest oral contraceptives. Do not wait, but try to become pregnant the first month off the pill. The miscarriage rate may be slightly increased, but so is the pregnancy rate. Try to keep weight down and exercise up. This will go a long way toward improving fertility.

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