Infertility/Fertility/Pregnancy 2nd time


Hi. I have a healthy 20mth old baby girl who we conceived on our 2nd attempt.

We have recently begun trying again.

I have mild pcos (no affect last time). I have ovary pain still. Could pcos get worse or any better after pregnancy?

After having our first child we only had sex 3-4 times in a 12mth period.

Could this have affected my husbands sperm motility etc?

Also, my weight - I am 79kg (pre first pregnancy weight of 68kg) and 164cm. Would this affect my chances of conception?


Hello Renee from Australia,

A basic requirement to have the diagnosis of PCOS is an ovarian dysfunction, meaning the ovary is not functioning correctly.  When the ovaries do not function correctly, it does not ovulate and therefore you have either irregular periods or skipped periods.  If you have regular menstrual cycles, then you, by definition, don't have PCOS.

PCOS does not change from pregnancy.  However, if you gain excess weight from the pregnancy and don't lose it after, this increased weight can propel some patients over the threshold where the ovaries begin to dysfunction, and therefore, develop PCOD.

Having infrequent sex does not affect a man's sperm parameters.

Weight by itself does not affect a person's ability to become pregnant, but as mentioned above, in some patients it can cause the onset of ovarian dysfunction that is inherent in PCOD.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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