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The features include obesity before and during pregnancy, hyperandrogenism, insulin resistance, infertility, cardiometabolic risk factors, and poor mental health. PCOS is not often recognized as a risk factor for poor pregnancy and birth outcomes in pregnancy care guidelines, while its associated features are. Pregnancy\u2010related risk profile should ideally be assessed for modifiable risk factors (e.g., lifestyle and weight management) at preconception in women with PCOS. Hyperglycaemia should be screened using a 75\u2010g oral glucose tolerance test at preconception or within the first 20 weeks of pregnancy if it has not been performed at preconception and should be repeated at 24\u201328 weeks of pregnancy. In the absence of evidence of benefit for strategies specific to women with PCOS, the international evidence\u2010based guidelines for the assessment and management of PCOS recommend screening, optimizing, and monitoring risk profile in women with PCOS (at preconception, during and postpregnancy) consistent with the recommendations for the general population. Recommended factors include blood glucose, weight, blood pressure, smoking, alcohol, diet, exercise, sleep and mental health, emotional, and sexual health among women with PCOS. The guidelines recommend Metformin in addition to lifestyle for assisting with weight management and improving cardiometabolic risk factors, particularly in those with overweight <jats:bold>or<\/jats:bold> obesity. Letrozole is considered the first\u2010line pharmacological treatment for anovulatory infertility in PCOS. Individualized approach should be considered in the management of pregnancy in PCOS.<\/jats:p>","DOI":"10.1111\/cen.14723","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T05:05:38Z","timestamp":1649221538000},"page":"227-236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Clinical management of pregnancy in women with polycystic ovary syndrome: An expert opinion"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5955-1283","authenticated-orcid":false,"given":"Mahnaz","family":"Bahri Khomami","sequence":"first","affiliation":[{"name":"Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Faculty of Medicine Nursing and Health Sciences Monash University  Clayton Level 1, 43\u201051 Kanooka Grove 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