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About Elayne Glantzberg
Expertise
I can answer questions on PCOS, Clomid, spontaneous reduction, preterm labor, severe prematurity, micropreemies, NICU, how to raise triplets without outside help, life with triplets and more, cerebral palsy, visual impairments, Asperger's/autism, and breastfeeding.

Experience
I have bgg triplets born in 1999 and three more boys born in 2002, 2006, and 2008, the last two by VBA2C (vaginal birth after 2 cesareans). My triplets were born at 26 weeks. My singletons were all full-term and fully breastfed. We have raised our triplets with no help and with a blind father. One of our triplets is also disabled with mild CP and mild autism, two have some vision problems, and one has had lung issues since birth.

 
   

You are here:  Experts > Parenting/Family > Parenting of Multiples > Twins/Triplets > PCOS Syndrome

Twins/Triplets - PCOS Syndrome


Expert: Elayne Glantzberg - 9/3/2009

Question
Ok i have PCOS. Now i want to have a baby, so i am taking bromocriptine the doctor said it would help. Would it really?How long could it take me?

And also I've been told that i have a good chance of having twins.
Do i really?What are the odds?

No one in my fam or in my husbands fam have twins.

if this helps i am 18 going on 19 and he is 19 going on 20

Answer
I am not familiar with the use of bromocriptine in the treatment of PCOS.  Bromocriptine (or Parlodel) is used to regulate blood sugar and to lower prolactin levels.  There does seem to be some case history with Parlodel and PCOS in the literature, but I'll have to study it to be familiar.  Offhand, I would say that Parlodel may have been prescribed in your case if you have elevated prolactin levels, and it may be able to have some impact on your PCOS and fertility.

I would urge you to discuss with your doctor your blood levels of insulin, testosterone, and triglycerides, the PCOS "trifecta", to make sure the Parlodel is lowering those along with your prolactin.  Otherwise, you will continue to be at increased risk of health problems down the road.

If you are only treating your PCOS with Parlodel or similar drugs like Glucophage, you will not have an increased risk of twins.  The increased risk of multiples comes when fertility treatment alone is prescribed for PCOS, instead of treating the underlying endocrine dysfunctions that lead to the infertility.  Fertility drugs like Clomid will increase the risk of multiples, sometimes by as much as 15%, but treating the PCOS merely restores your natural fertility, leaving you with a normal risk of twins (approximately 1 in 88 natural pregnancies).

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