For women with Polycystic Ovarian Syndrome (PCOS) trying to conceive, the road to pregnancy can be complicated by how the body handles insulin. Insulin is a hormone that helps your body use sugar for energy. When your body becomes resistant to it, it can interfere with ovulation and overall reproductive health.
A study of 746 women found that higher levels of insulin resistance before starting treatment were linked to lower rates of ovulation and fewer clinical pregnancies. Specifically, women in the highest group for insulin resistance showed a 26.5% pregnancy rate, while those in the lowest group had a 36% rate. These higher levels were also linked to lower live birth rates.
On a positive note, the study found that improving insulin resistance during treatment was linked to better odds of pregnancy and a lower risk of preeclampsia, a serious blood pressure condition during pregnancy. While these results show a clear link between insulin and pregnancy outcomes, it is important to remember that this was a secondary analysis of a trial. These findings show a connection, not a direct cause, and your doctor can help determine the best path for your specific needs.