Ozempic, Wegovy, Semaglutides: What You Need to Know BEFORE You Get Pregnant - Dr Lora Shahine

3 years unprotected and never conceived. 2 months on ozempic and I found out I was pregnant (I have PCOS). Delivered a healthy baby girl 5 months ago. I am convinced I got pregnant due to this medication! Was never heavily overweight but had super irregular periods - this regulated me to a perfect 4 week cycle. I would take this medication again in a heartbeat when I am ready for another kid!

Metformin along with diet and exercise seems to be a safer alternative if you are planning to conceive and breastfeed. Save all the injections for later when there are more studies and research on this 😅.

Facts are more important than peoples feelings This is how they got here. You need to be firm on patients, If they’re serious, they’ll listen.

After real bad side effects with metformin and having no luck with pregnancy these past years my OBG is recommending ozempic and birth control for 6 months and then try for a baby. But she doesn’t recommend taking while trying to conceive. She believes I’m a good candidate for Ozempic to try and control my pcos and help regulate my hormones. It’s kind of a last resort in my case fingers crossed it works.

Thanks Dr. Shahine! Great information

So torn weighing out the pros and potential cons. Do you still recommend discontinuing Ozempic even if it’s treating insulin resistance in Type 2/ PCOS? Seems like that could interfere with the ability to conceive but also, malformations are scary 😧 Any idea if the fetal malformations were with normal doses or potentially related to decreased food intake vs the medication?

Thank you for this video!!!❤

You explained everything very well

I know that we shouldn’t be taken semaglutide while being pregnant bc my provider for the medication of semaglulitide let me know that the moment I know that I am pregnant I have to stop but now I am confused bc I went for a pap smear this pass week n I spoke to my provider and let her know I was on the medication and she said that it was not good that I was am suppose to be on birth control while taking any weight lost medication but I continue to explain to her that I have pcos n I don’t have regular cycle and that I needed help on tracking cycles n she didn’t give no help at all or explication so how can I even trust about the weight lost medication what would u recommend?

Some additional thoughts… given the half life of a week, it takes semaglutide approximately 5-7 weeks to no longer present in the circulation. Likely because of that, the manufacturer recommends waiting at least two months after stopping semaglutide before trying to conceive. It sounds like from what you said some providers prefer to be more conservative, which makes sense. I also got the impression that as of now it’s unknown if the fetal effects were due to the medication, or from weight loss during pregnancy. I am going to go ahead and assume there won’t be a trial in pregnant women in this space, but I imagine we will get more observational data with time … the manufacturer has a registry to monitor outcomes in pregnancy as well which providers can reach out to.

Hi! I have Type 2 Diabetes and am taking 1000mg of Metformin (500 at a time, 2xs during the day), and also take Rybelsus 7mg 1x a day. My husband and I go in for our IVF consult next month (we have male factor infertility, my tests all came back normal and I had 1 successful pregnancy in the past). Do you feel it would be okay to continue these medications for someone attempting IVF in the near future?

I am taking Saxenda, at the recommendation of my cardiologist and my diabetologist as I have an IMC above 40 and high blood pressure. As Saxenda contains Liraglutide, I would like to ask you if there are any risks in case of conceiving a baby while taking Saxenda. Thank you.

love your videos!!!

Amazing video. For women with obesity that are going through IVF- What about using ozempic to lose weight for a few months prior to IVF egg retrieval and then stopping 2 months before embryo transfer? Or is there thought that it may reduce response to IVF stimulation?

Hi i got pregnant and i have been taking phentermine for 3 weeks and i took my semaglutide shot yesterday but I'm afraid to have the baby for risk of any congenital malformation. I don't know what to do

When they say you shouldn’t take this when trying to conceive do they just mean the pregnancy part? I’m considering doing IVF to use my eggs but would then use a surrogate. Do you think it would be safe to use ozempic in that case?

I'm 13dpiui and positive. I'm only been on for a month .25mg - now that I'm pregnant and I'm freaking out. Please let me know if it's okay

Does it not bother anyone that Ozempic carries a black box warning for thyroid cancer?

ozempric most insurance will decline if you don't have type 2 diabetes I am on wegovey.. my doctor said I have to lose 70 pounds in order to do ivf so for now I have to do this to get it off me and learn new food options and portions but super stressful ps I've is our only option.

What about breastfeeding? Is it okay?