Pregnancy already welcomes different changes in your body, but the journey can become more confusing if you're dealing with PCOD. One thing you may not expect is that your iron levels can behave differently. You might absorb too much or too little iron in comparison to those who are pregnant without PCOD. Iron is extremely important for a healthy oxygen supply, keeping you energised, and helping your baby grow. That’s why these changes matter a lot.
In this article:
Why Is Iron So Important During Pregnancy
Iron is important because it helps your body produce haemoglobin. It’s the protein in your blood that carries oxygen. When you’re pregnant, you need even more iron because:- Your baby needs it to grow a healthy brain.
- Your blood volume increases by almost 50%.
- Your placenta needs a more constant flow of oxygen.
Why Can PCOD Change the Way Your Body Absorbs Iron
PCOD impacts your metabolism, hormones, insulin function, and inflammation levels. These factors can significantly affect how your body absorbs iron.1. Does Insulin Resistance Impact Iron Levels?
Yes. Most individuals with PCOD have a certain level of insulin resistance. This condition can increase the amount of iron stored in your body, making your cells absorb less iron from the food that you consume.2. Could Long-term Inflammation Be a Factor?
PCOD can cause mild inflammation that boosts hepcidin, a hormone that controls iron levels. When hepcidin levels go up, the intestine doesn’t absorb iron as well.3. Can Hormonal Imbalance Reduce Iron Absorption?
High androgen levels and irregular menstrual cycles are common in PCOD. Hormone issues can sometimes cause heavier periods before you’re pregnant. So, you might have less iron stored when you conceive. When pregnancy occurs, these low iron stores might have a hard time getting back to normal.4. What If an Individual Is Overweight and Has PCOD?
If a person is overweight and has PCOD, they might have more inflammation, which can make it harder for the body to absorb iron. Studies show that in some cases, inflammation can reduce iron absorption by up to 30%.What Are the Signs of Low Iron Absorption During Pregnancy
You may experience one or multiple symptoms:- Pale lips or skin
- Fatigue even after getting enough rest
- Fast heartbeat
- Dizziness or weakness
- Hair fall or brittle nails
- Headaches or difficulty concentrating
Can Iron Ever Be “Too High” in PCOD Pregnancy
Yes, it's possible. Due to insulin resistance, those with PCOD sometimes have more stored iron, which can lead to higher ferritin levels. Check the signs of:- Body pain
- Severe joint pain
- Fatigue despite high iron levels
- Issues with the digestive system
How Can You Naturally Improve Iron Absorption
Here are some simple steps that work well during pregnancy:1. Pair Iron Foods with Vitamin C
Vitamin C improves iron absorption. Try these combinations:- Lemon water with your meals
- Orange with poha
- Tomato with leafy greens
2. Don’t Drink Coffee or Tea Right After You Eat
These can mess with how your body absorbs iron3. Pick High-absorption Iron Sources
- Beetroot
- Dates
- Spinach
- Nuts
- Jaggery
- Lean meat if you're a non-vegetarian
4. Take Supplements Properly
If your doctor suggests iron pills:- Avoid taking them with calcium
- Have them on an empty stomach
- If it bothers your stomach, try taking it at night
5. Handle Insulin Resistance
Better insulin control helps you absorb iron better:- Eat small, balanced meals
- Do easy exercises like prenatal yoga or walking
- Make sure you get protein at every meal
When to Call the Doctor
You must seek medical help if:- Your heartbeat becomes unusually rapid
- You feel extremely tired, faint, or breathless
- You notice swelling along with weakness
- You face extreme hair loss
- Your test reports show very high or very low iron levels
- Iron saturation
- Ferritin
- Haemoglobin
- Blood sugar levels
- Vitamin B12 and folate
What’s Next
- Get iron and ferritin levels tested early.
- Ask your doctor whether you need to take supplements.
- Avoid tea or coffee with meals.
- Add vitamin C-rich foods daily.
- Don't self-medicate with iron tablets.
- Keep yourself active.
- Weekly, track your symptoms.
- Keep your partner involved for emotional support.
Social & Emotional Support
PCOD pregnancies can feel more challenging, both physically and mentally. Dealing with mood swings, low energy, or fatigue caused by iron changes can make you feel overwhelmed. Sharing how you feel with your partner or loved ones can reduce stress and help you stay consistent with your diet and medicines.Having people around definitely helps you attend check-ups, maintain a healthy diet, and stay motivated during pregnancy.
If you have PCOD when you get pregnant, it can mess with how your body uses iron because of hormones, insulin issues, and swelling, leading to a disruption in your iron levels, which influences the growth of your foetus and how energetic you feel. However, with frequent follow-ups, a healthy diet, and listening to your body, you can monitor your iron levels and have a healthy pregnancy.
Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.
FAQs on How Iron Absorption Can Be Different in PCOD Pregnancies
- Do pregnant women who have PCOD require more iron than other pregnant women?
Not always. You may need more or less iron, depending on your test results. You must check your level first before taking iron blindly. - Is there any effect of PCOD on iron pill absorption?
Yes, insulin resistance and swelling could mean some individuals might not absorb supplements effectively. Pairing them with vitamin C could do the trick. - How early should I test iron levels during pregnancy with PCOD?
You should do it in the first three months, and again in the next three, as you can make the necessary changes in the supplement.