Polycystic ovary syndrome and pregnancy – From a clinical pe
This narrative review focuses on existing evidence and clinical practice for prepregnancy screening, antenatal care, and postpartum follow-up of women with PCOS. It also briefly reviews the treatment options, neonatal outcomes, and breastfeeding.

Until quite recently, polycystic ovary syndrome (PCOS) was a condition mainly dealt with by endocrinologists and gynecologists in the field of reproductive medicine with the ultimate goal to achieve pregnancy. During antenatal care, the PCOS diagnosis as medical history was (often still is) out of scope and forgotten. Its relevance was uncertain, and there were no guidelines to lean on.

The general knowledge about PCOS is low and varies among professionals, and recognition of the consequences of PCOS for the course of pregnancy and pregnancy outcome is even less. During the last decades, however, numerous epidemiologic and clinical studies have contributed to increased knowledge about pregnancy with PCOS. Four meta-analyses have concluded on increased complication rates in PCOS pregnancies, and the newly developed International Evidence Based Guideline on PCOS 2018 is a milestone.

It is important to bear in mind that most studies on PCOS pregnancies have been carried out on a referred PCOS population that may have more pronounced symptoms and represent more severe conditions than unselected birth cohort–based PCOS populations. This review is based on a search of recent literature on pregnancies of women with PCOS. The aim of this narrative report is to review existing evidence and clinical knowledge on prepregnancy screening, antenatal care, and postpartum follow-up of women with PCOS. Increased awareness of this complex condition will improve pregnancy outcomes.

Source: https://www.sciencedirect.com/science/article/pii/S2451965020300053