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HOW DO WOMEN WITH PCOS GET PREGNANT?


How do women with PCOS get pregnant?
How do women with PCOS get pregnant?
 * Get Pregnant with PCOS Naturally | 3 Best Tips
 * Secondary Infertility TREATMENT – Trying to Conceive

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HOW DO WOMEN WITH PCOS GET PREGNANT?



Transcription :

Welcome back. In this video, I’m going to be talking about PCOS and trying to
conceive with PCOS, because it can be pretty tricky, but if you do get the right
support, with the right plan, and give yourself enough time, you can get
pregnant. It’s actually one of my favorite conditions to support because I think
there’s so much that can be done, so much progress that can be made, and I do
believe that the majority of you can get pregnant naturally with PCOS if you do
get the right support. And on top of that, the first woman I ever helped
conceive did have PCOS, and I helped her with two children. And so PCOS is
something that is true to my heart, it’s something that I love to support, and
brings me back to the original reason why I started supporting patients on their
fertility journeys.

Questions about PCOS are ones that I get on a regular basis, which is why I’m
going to be doing a series completely devoted PCOS, PCOS & Fertility, PCOS &
Secondary Infertility, PCOS & Thyroid, PCOS & Egg Quality. You name it, we’re
going to talk about it in this series, devoted to supporting all of you who have
polycystic ovarian syndrome. So let’s get started with the first video, which
I’m going to dive deeper into this one question that get asked all the time. Can
I get pregnant with PCOS naturally, even if I don’t have a regular cycle? So
let’s get into it.

For those of you who don’t know, I’m Dr. Mark. Sklar, also known as The
Fertility Expert, and I’ve been working with couples for over 19 years, right
here in sunny San Diego, and through my online coaching programs. And supporting
women and couples, for that matter, with PCOS is something that we regularly
see, and something that I love, love to inform all of you about. And this
YouTube channel is exactly about that. It’s about informing all of you, giving
you the proper information and knowledge to support you on your fertility
journeys. That’s my mission. And a little thing that you can do to help me on my
mission to spread the word and inform couples from all over the world is like
and subscribe to this video, and my channel, FertilityTV, so that we can support
and reach more couples throughout the world.

Before I dive into this week’s video, and give you so much useful and hopefully
practical information that you can get started with, I do want to mention and
give thanks to this week’s sponsor for this video. Fairhaven Health is
sponsoring this video, and I think it’s an appropriate video for them to sponsor
because we’re talking about PCOS and their FH Pro for Women, which is an amazing
supplement, does exactly that. It’s got all the foundational nutrients,
specifically to help those women with PCOS. Now, it does support all women,
regardless of if you have PCOS or not, but this is one of my favorite ones for
those of you who do so. Check it out using the link in the description below.

So PCOS is a relatively big topic, and one that does require a lot of time and
attention, and there’s so much information to cover. That’s why I’ve created
this series for you. And today, I want to start at some of the more
foundational, basic things. I do want to ask all of you though, if you have PCOS
or have questions about PCOS, and want more information about it, I want you to
comment below and let me know, what are those questions? What information are
you looking for about PCOS that I can work into these coming videos to help you
on your fertility journey, and getting better control over your PCOS? So comment
below in the comment section and let me know what your questions are about PCOS.

So the two main questions that I want to actually dive into today is, “How do I,
or how can I get pregnant if I have PCOS? And I got pregnant the first time no
problem. Now, after my delivery and pregnancy, I’m not ovulating, I’m not having
a regular cycle. What’s going on?” This can be what we call secondary
infertility with PCOS. That’s not always the case, but we’re going to dive into
those main questions right now. So I want to dive into what is PCOS and how can
I conceive with PCOS by actually asking some different questions. And these are
not questions that I created, these are questions that all of you have asked me
routinely. So this is where I’m going to start. The first one, which I’m going
to read for my computer says, “What does PCOS mean?” Well, PCOS stands for
polycystic ovarian syndrome.

And what it really means is that your ovaries are producing a lot of follicles.
In this case, with the syndrome, we’re calling them cysts, and we’re calling
them cysts because the follicles do not mature at a proper rate to become at the
eyes to ovulate, and release the egg. We don’t expect all of those follicles to
release eggs, but you are prone, with PCOS, to have more follicles that might
mature and be ready to ovulate at ovulation time than if you didn’t have PCOS.
These follicles are not really cysts. And I often like to joke that this
condition really should be called, instead of polycystic, polyfollicular ovarian
syndrome, because these are follicles that are not maturing. And most of the
time, they don’t turn into major cysts, although that can happen.

And so typically, with women with PCOS, they’re going to have irregular cycles,
maybe no menstrual cycle at all, or very rarely, maybe 2, 3, 4 times a year,
because those follicles are not maturing, and they take a long time to mature,
meaning months before one or two of them are big enough to mature. And so this
could happen for multiple reasons. I have actually tons of videos on PCOS that
I’ve recorded previously, that you can check out where I dive much deeper into
it. But for the sake of this video, I just want you all to understand that is a
very common issue with PCOS, is this irregularity with your cycle, you’re not
ovulating appropriately, it could take a long time to ovulate. And when we run
lab work, blood work, hormones, we will see often that we’ll have either
elevated A1C, which is a diabetes marker, or high glucose levels, or insulin,
because that is a big component of PCOS.

We’ll also see that your androgen levels can also be elevated because that’s a
typical sign, or in this case, lab work result of PCOS. Now, that doesn’t mean
that everyone who has PCOS will have the same presentation. Actually, there are
4 to 10 different variations of PCOS. I’m just talking about the classical
textbook presentation of that, where someone might be overweight, difficulty
losing weight, unwanted facial hair, body hair, cystic acne. These are all signs
and symptoms of a classic presentation of PCOS. But everyone doesn’t fit into
that category. And about 50% of the women that we were work with who have PCOS
don’t have that classical presentation, and are a more atypical presentation
when it comes to PCOS. Again, I have a couple of videos completely devoted into
that if you’re trying to figure out if you have PCOS or not. You can check those
out after you watch this video.

So the next question that I want to address as we’re setting the stage and
talking about some of the foundational information around PCOS is why do women
with PCOS have trouble conceiving? Well, the reason they have trouble conceiving
is for all the reasons I just mentioned. When you’re not ovulating regularly, or
frequently at all, it’s very difficult to time intercourse with ovulation, in
conjunction with ovulation, so that the sperm can meet the egg at the right
time, fertilize and implant. So that is one of the biggest variables causing a
disruption or making it more difficult for someone to conceive with PCOS. So in
those situations, we do want to focus on having a more regular or consistent
cycle, where you can predict ovulation, or at least track your cycles, monitor
ovulation, and have intercourse around that fertile window.

Now, that doesn’t happen for everybody, but that is our goal. And in these
situations, I’m less concerned with having somebody get into the 28-day typical,
regular cycle, and I’m more concerned with just making sure that they ovulate
consistently and have a consistent cycle. Even if that cycle is, let’s just say,
35 days or 40 days, because then at least they can time intercourse
appropriately based on that situation. With women who are atypical PCOS, so in
those situations, we typically find that you’re ovulating regularly and have a
relatively regular or predictable menstrual cycle, that situation will be
different. That’s where we have to fall back more on supporting the other
symptomology that we’re seeing and regulating the hormones that I mentioned
earlier. That’s a big key to this piece of the puzzle as well, and making sure
that we have a good, strong ovulation, we have a good, healthy follicle.

So moving on to another question which we get all the time is, does this mean
that women with PCOS need to do IVF to be successful or get pregnant? No, the
answer is no. I have seen typically and believe that 90% of women with PCOS can
get pregnant naturally, and should get pregnant naturally with the right plan
and support. It doesn’t mean that IVF won’t be useful for you. It will be, if
that’s the choice you go and the path you go down. But typically, I also see
that’s not necessary, and many couples go down the IVF road unnecessarily or
prematurely, just because they think that’s really the answer, and no one has
really worked to support them. One of my pet peeves when it comes to PCOS, which
I’m not a big fan of, is that often these women put on birth control pills to
help them get pregnant.

They’re put on birth control, or you’re put on birth control, to regulate your
cycle. Birth control, hence its name, will not allow you to get pregnant. It’s
going to make things more challenging. My preference would be that we work and
you work to find a way to regulate your hormones and get a better consistent
cycle and ovulation on your own versus relying on the birth control pill to do
that. Because at some point, we’re going to have to do that if you want to get
pregnant. We got to come off the birth control and we’ve got to regulate your
hormones and support your body properly. And so I do encourage all of you who
have PCOS, or have been diagnosed with PCOS, to start on that path as soon as
possible.

So how can you get pregnant with PCOS if you don’t have a regular cycle, or
you’re not ovulating consistently, and you don’t know when you ovulate? Well,
therein lies the first piece of the puzzle. We need to support ovulation first.
And this comes back to what I said before. We have to test your hormones, we
have to understand what’s going on, and then address what we see. All too often,
women are diagnosed with PCOS just by visually looking at the ovaries and seeing
that there’s a lot of follicles or cysts, and not doing all the necessary blood
work to understand what’s going on hormonally, so they bypass that. The other
piece of that is if you’ve been diagnosed with that when you were younger, then
you’re put on birth control when you’re younger, and then everybody just thinks,
“Well, everything’s going to be fine and everything’s controlled,” and it’s not.
And then hormones aren’t retested later.

So we do need to come back to some of the foundational things. And as you often
hear me say, let’s test and not guess. Let’s run some labs, let’s understand
what your body’s doing. What is going on with your blood sugar levels? What is
going on with your androgen levels? What’s going on with all your other
hormones? Which I’ll get into in some of these other videos, because there are
other that are impacted and affected by PCOS that also need to be addressed
because that’s going to make it easier to regulate your symptoms and control the
syndrome. Some of those, just to hint of that, is your thyroid, digestive
system, stress. These are all big variables that need to be considered when
you’re working on regulating and controlling your PCOS symptoms and cycles. And
it’s going to be very difficult to do that if we don’t also address some of
these other systems that are impacting it.

But as we’re talking about regulating your cycles and ovulation, foundational
things here are going to be essential. Diet is a huge, huge piece of regulating
PCOS. Sleep, getting proper, healthy, consistent, good quality sleep is
essential for regulating PCOS. Exercise, not too much, not too little, really
not focusing on the weights, but more cardio, that is also going to be an
essential piece of PCOS. Now, in those atypical cases where you might be
thinner, we do have to also be very careful about exercise in that situation.
And typically, what I find in those situations, is that we’re exercising too
much and that’s causing a problem. I see a lot of athletes who have PCOS,
relatively thin, that’s impacting your androgen levels, that causes all sorts of
issues as well with PCOS. So exercise is a big piece, and then managing your
stress. We can’t really achieve success long term if we’re not managing your
stress levels when we are focusing on supporting you with PCOS.

And I see this, and I’m going to harp on this for just a moment, I see this all
the time. Stress comes in many forms, okay, whether it’s dietary stress,
emotional stress, lack of sleep stress, whatever it is. And for all those women
who I help regulate their cycles, often what I see is they’ll reach back out to
me, send me an email, “Mark, all of a sudden, my cycles are not doing well. Why
is that happening?” My first question back is, “Have you’ve been stressed? Why?
What’s going on?” And invariably, almost 99% to 100% of the time they say, “Yes,
I have.” And they give me their reason. Stress dramatically will throw off your
hormones when you have PCOS, you’re more sensitive to it, and it will cause
irregularities quickly. So you do have to manage that long term to keep your
hormones stable, and to keep your cycles consistent.

I do want to expand on this piece just a little bit, when we’re talking about
ovulation and irregular cycles. I’ve had women who ovulate every 3, 4, 5 months
get pregnant with PCOS. I’ve had women who ovulate every month get pregnant with
PCOS. I recently recall the story of a woman, she would not get her cycles maybe
once a year at best, and she had a ton of digestive issues. Stress was a big
factor, her thyroid was a big factor. We took a long time to regulate her
hormones and to get her on track. She never thought she was going to get
pregnant. She actually gave up trying after, I think, it was about seven of
months of working with me. And in the eighth month, she emails me to tell me
she’s pregnant. She was actually pregnant when she gave up. I mean, she didn’t
realize it.

It can happen, but you need the right plan. You need the right approach, the
right guidance and coaching, and you need patience. You need to give your body
time to respond to what you’re doing so that you can see the long-term results,
and get the pregnancy that you deserve and want. So, in terms of what you can do
to support your PCOS, like how do you start to put all of this together? We
talked about a lot of those foundational things, just a moment ago, diet, sleep,
managing stress levels, exercise, lifestyle management. These are all things
that are essential, but I didn’t talk about supplements. Supplements, I do think
are a big part of what you are going to need to help you regulate your hormones
and get a consistent ovulation and menstrual cycle.

And in the beginning of this video, I did mention our sponsor, Fairhaven Health,
with their FH Pro. I do think this is a great product to start with, you can
check it out in the link below. But many of you might need a customized plan.
This is just a one size fits all. It’s not for everybody, and I do believe that
most of you are going to need a little bit of fine-tuning and adjustment for
what you need. What happens if you do have raised androgens? What happens if
your blood sugar’s not regulating on its own, or with that product? Maybe you
need a little bit more support. These are all things that really take a refined
look at your situation. And this is why most of you need additional support and
guidance, and why I find that many women with PCOS, although you try to do it on
your own, because there’s so much information out there, really need a little
bit of fine-tuning and guidance and coaching to get the fundamental results that
you’re looking for.

So yes, there are good supplements when it comes to that. But I do believe that
most of you need refining when it comes to that, so that you can get a
customized plan, a specific plan, to what you need versus just taking whatever’s
off the shelf. Now, I know most of you are still going to just go and grab
something off the shelf, and so be it. But I don’t see the best results that
way. And I do think if you’re going to do that, you also need to give it a
little bit of time to make sure you’re getting the results that you desire. But
I would start by using that link below to check out the FH Pro product first. I
do also get questions about medication. What drugs or medication can I take to
support my cycles and my fertility and help me ovulate? Well, there is certainly
Clomid and letrozole, that can be helpful.

Now, I want to be clear about these medications. They will help you ovulate,
they will help you to recruit more follicles to mature to ovulate, but they will
not, in and of themselves, regulate your cycle. I actually often see the
opposite. And I often see when you go on these that your cycles will become
shorter or longer, they won’t be as predictable if you did have a predictable
cycle. So I just want you all to be mindful of that. These are not meant to fix
anything, they’re meant to bypass the problem, allow you to ovulate, and
hopefully recruit an egg. And in that situation, hopefully try naturally with
IUI or IVF. There is a place for that. And if that’s what you desire, fine, but
I want you all to know that it’s not fixing anything, okay? It’s bypassing
things. The other question I get asked a lot about when we start talking about
PCOS in terms of medication is metformin.

Metformin is a standard treatment for PCOS, and yes, it can be really beneficial
for all of you. But I would also say that you might not need it depending on
your circumstances and what your blood sugar levels are. And that is primarily
the main form of treatment that your OB-GYN or REI are going to have for you, it
doesn’t mean it’s the only form. I like to try myo-inositol. The inositol family
is actually very good for regulating blood sugar. And in research studies, has
shown to be just as good, if not better than metformin, and with less side
effects. So why not try that? I do think that’s about getting the right dosage
for all of you. Now, again, I do think that many of you need a trained eye to
refine things with your plan. And some of you might say, “Well, I’ve been on it
and it hasn’t done anything.” Well, that’s why you need a trained eye to
understand what’s going on and to support you in the right way.

But those are questions I get often, so I did want to address them for all of
you. This question that I’m going to wrap up on is really a unique question. And
one that I’ve been getting more recently. What happens if I’ve already been
pregnant, had a child, and now I have PCOS but I didn’t have it before? How is
that the case? Well, I will say is there’s a couple variables we need to look
at. First and foremost, it may have been missed before, and it might not have
been so extreme that it was easily missed, or maybe at that time you had more of
an atypical form of PCOS. And so you were ovulating menstruating regularly, so
it wasn’t really picked up on. But after your pregnancy and delivery, something
changed hormonally for you, and now things are off. So that can be the case.

And whether you had the tendency before or not, again, you’re no longer the same
person you were after you got pregnant, 10 months of carrying a child,
delivered, and now you’re caring for a baby and postpartum, your body’s not the
same, your hormones aren’t the same. So things have shifted. Often, I find
that’s a result of all these other systems that are impacting your hormones,
like your adrenal system, your stress response, that can be impacting because
life is no longer the same. You’re caring for a little child as you should, you
don’t take care of yourself in the same way, maybe diet’s off, you’re not
sleeping well, whatever it might be, those are impacting your hormones, and
causing you to have irregular cycles and possibly PCOS. The other one is thyroid
disease.

Thyroid conditions are very common today, and even more so postpartum, if you
didn’t have it before. And that can also throw off your hormones and cause you
to have PCOS-like symptoms or develop PCOS. So those are common things that I do
see clinically. And I do think that they could impact your ability to conceive
the second time, which is what we would call secondary infertility. And so if
you are struggling there, we do want to rule those things out, but there could
be other reasons as well. It doesn’t have to be PCOS, it could just be
amenorrhea, for other reasons, your hypothalamus could be impacted. So we do
need to look at the entire picture and not make assumptions. But regardless of
what that looks like, I want you to know that happened as a result of certain
things occurring, whether it was in the pregnancy or postpartum or delivery, and
I do believe that those things can be supported and hopefully regulated so that
you can get back on track and get pregnant again. But you need the right plan
and support for you.

So I want to encourage all of you, whether you have secondary fertility issues,
PCOS, atypical, classical presentation, we all need coaching and support, and we
all need the support that is unique to us because there is no one size fits all
situation for any healthcare condition, but especially with PCOS and fertility.
So I want to encourage you all to get the right support and attention that you
all need and deserve. For those of you who are interested in working with me and
my team, then I want to invite you to apply to join my HOPE Fertility Coaching
Program. All you have to do is use the link in the description below to apply to
see if you qualify. And then you’ll be able to set up a call with my team to
discuss your needs and see if we can support you on your fertility journeys.
We’d love the opportunity. And if you want that opportunity, all you have to do
is use the link in the description below.

By the way, before I wrap up, I do want to remind you all, I have a free
fertility guide that I recently created and released for all of you. And if you
are tired of wasting time and money and resources, you don’t know where to go
with your plan, you don’t know what’s the right products, the right way to
approach your fertility, then I do believe this free resource is going to be an
amazing resource for all of you, and really valuable. And the feedback we’ve
been getting from everybody has been really tremendous, saying how much they
appreciate all this information, and how much it’s really helping them. So if
you want that free fertility guide, use the link in the description below to
download it and check it out.

Now, again, if you are watching this video for the first time and you are new to
FertilityTV, then you’ve got to like and subscribe, like this video, subscribe
to this channel, so you know when I put out a new video for all of you, which I
try to do regularly. I will also want to invite you all and remind you all to
comment below. What did you like about this video? What did you learn about this
video? More importantly, what questions do you have about PCOS? Comment below,
ask them there, and I’ll do my best to answer them in the coming videos. All
right, everyone. Thank you so much for watching til the end. Until the next
video, stay fertile.


Tags:fertility, fertility tv, getting pregnant with pcos, How do women with PCOS
get pregnant?, How to get pregnant faster, how to get pregnant with pcos, marc
sklar, pcos, pcos and getting pregnant, pcos and pregnancy, pcos pregnancy,
polycystic ovarian sydrome, polycystic ovarian syndrome, polycystic ovary
syndrome, pregnant with pcos, The fertility expert, trying to conceive pcos, ttc
with pcos, what is pcos
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This profile adjusts the website, so that it is accessible to the majority of
visual impairments such as Degrading Eyesight, Tunnel Vision, Cataract,
Glaucoma, and others.
OFF ON
ADHD Friendly Profile More focus & fewer distractions
This profile significantly reduces distractions, to help people with ADHD and
Neurodevelopmental disorders browse, read, and focus on the essential elements
of the website more easily.
OFF ON
Cognitive Disability Profile Assists with reading & focusing
This profile provides various assistive features to help users with cognitive
disabilities such as Autism, Dyslexia, CVA, and others, to focus on the
essential elements of the website more easily.
OFF ON
Keyboard Navigation (Motor) Use website with the keyboard
This profile enables motor-impaired persons to operate the website using the
keyboard Tab, Shift+Tab, and the Enter keys. Users can also use shortcuts such
as “M” (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics)
to jump to specific elements.

Note: This profile prompts automatically for keyboard users.
OFF ON
Blind Users (Screen Reader) Optimize website for screen-readers
This profile adjusts the website to be compatible with screen-readers such as
JAWS, NVDA, VoiceOver, and TalkBack. A screen-reader is software that is
installed on the blind user’s computer and smartphone, and websites should
ensure compatibility with it.

Note: This profile prompts automatically to screen-readers.
Content Adjustments
Content Scaling
Default

Readable Font
Highlight Titles
Highlight Links
Text Magnifier
Adjust Font Sizing
Default

Align Center
Adjust Line Height
Default

Align Left
Adjust Letter Spacing
Default

Align Right
Color Adjustments
Dark Contrast
Light Contrast
High Contrast
High Saturation
Adjust Text Colors
Cancel
Monochrome
Adjust Title Colors
Cancel
Low Saturation
Adjust Background Colors
Cancel
Orientation Adjustments
Mute Sounds
Hide Images
Read Mode
Reading Guide
Useful Links
Select an option Home Header Footer Main Content
Stop Animations
Reading Mask
Highlight Hover
Highlight Focus
Big Black Cursor
Big White Cursor
HIDDEN_ADJUSTMENTS
Keyboard Navigation
Accessible Mode
Screen Reader Adjustments
Read Mode
Web Accessibility By Learn More
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English
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Français
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עברית
繁體中文
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عربى
عربى
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繁體中文
日本語
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Accessibility StatementCompliance status

We firmly believe that the internet should be available and accessible to anyone
and are committed to providing a website that is accessible to the broadest
possible audience, regardless of ability.

To fulfill this, we aim to adhere as strictly as possible to the World Wide Web
Consortium’s (W3C) Web Content Accessibility Guidelines 2.1 (WCAG 2.1) at the AA
level. These guidelines explain how to make web content accessible to people
with a wide array of disabilities. Complying with those guidelines helps us
ensure that the website is accessible to blind people, people with motor
impairments, visual impairment, cognitive disabilities, and more.

This website utilizes various technologies that are meant to make it as
accessible as possible at all times. We utilize an accessibility interface that
allows persons with specific disabilities to adjust the website’s UI (user
interface) and design it to their personal needs.

Additionally, the website utilizes an AI-based application that runs in the
background and optimizes its accessibility level constantly. This application
remediates the website’s HTML, adapts its functionality and behavior for
screen-readers used by blind users, and for keyboard functions used by
individuals with motor impairments.

If you wish to contact the website’s owner please use the website's form

Screen-reader and keyboard navigation

Our website implements the ARIA attributes (Accessible Rich Internet
Applications) technique, alongside various behavioral changes, to ensure blind
users visiting with screen-readers can read, comprehend, and enjoy the website’s
functions. As soon as a user with a screen-reader enters your site, they
immediately receive a prompt to enter the Screen-Reader Profile so they can
browse and operate your site effectively. Here’s how our website covers some of
the most important screen-reader requirements:

 1. Screen-reader optimization: we run a process that learns the website’s
    components from top to bottom, to ensure ongoing compliance even when
    updating the website. In this process, we provide screen-readers with
    meaningful data using the ARIA set of attributes. For example, we provide
    accurate form labels; descriptions for actionable icons (social media icons,
    search icons, cart icons, etc.); validation guidance for form inputs;
    element roles such as buttons, menus, modal dialogues (popups), and others. 
    
    Additionally, the background process scans all of the website’s images. It
    provides an accurate and meaningful image-object-recognition-based
    description as an ALT (alternate text) tag for images that are not
    described. It will also extract texts embedded within the image using an OCR
    (optical character recognition) technology. To turn on screen-reader
    adjustments at any time, users need only to press the Alt+1 keyboard
    combination. Screen-reader users also get automatic announcements to turn
    the Screen-reader mode on as soon as they enter the website.
    
    These adjustments are compatible with popular screen readers such as JAWS,
    NVDA, VoiceOver, and TalkBack.
    
    
 2. Keyboard navigation optimization: The background process also adjusts the
    website’s HTML and adds various behaviors using JavaScript code to make the
    website operable by the keyboard. This includes the ability to navigate the
    website using the Tab and Shift+Tab keys, operate dropdowns with the arrow
    keys, close them with Esc, trigger buttons and links using the Enter key,
    navigate between radio and checkbox elements using the arrow keys, and fill
    them in with the Spacebar or Enter key.
    
    Additionally, keyboard users will find content-skip menus available at any
    time by clicking Alt+2, or as the first element of the site while navigating
    with the keyboard. The background process also handles triggered popups by
    moving the keyboard focus towards them as soon as they appear, not allowing
    the focus to drift outside.
    
    Users can also use shortcuts such as “M” (menus), “H” (headings), “F”
    (forms), “B” (buttons), and “G” (graphics) to jump to specific elements.

Disability profiles supported on our website
 * Epilepsy Safe Profile: this profile enables people with epilepsy to safely
   use the website by eliminating the risk of seizures resulting from flashing
   or blinking animations and risky color combinations.
 * Vision Impaired Profile: this profile adjusts the website so that it is
   accessible to the majority of visual impairments such as Degrading Eyesight,
   Tunnel Vision, Cataract, Glaucoma, and others.
 * Cognitive Disability Profile: this profile provides various assistive
   features to help users with cognitive disabilities such as Autism, Dyslexia,
   CVA, and others, to focus on the essential elements more easily.
 * ADHD Friendly Profile: this profile significantly reduces distractions and
   noise to help people with ADHD, and Neurodevelopmental disorders browse,
   read, and focus on the essential elements more easily.
 * Blind Users Profile (Screen-readers): this profile adjusts the website to be
   compatible with screen-readers such as JAWS, NVDA, VoiceOver, and TalkBack. A
   screen-reader is installed on the blind user’s computer, and this site is
   compatible with it.
 * Keyboard Navigation Profile (Motor-Impaired): this profile enables
   motor-impaired persons to operate the website using the keyboard Tab,
   Shift+Tab, and the Enter keys. Users can also use shortcuts such as “M”
   (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to
   jump to specific elements.

Additional UI, design, and readability adjustments
 1. Font adjustments – users can increase and decrease its size, change its
    family (type), adjust the spacing, alignment, line height, and more.
 2. Color adjustments – users can select various color contrast profiles such as
    light, dark, inverted, and monochrome. Additionally, users can swap color
    schemes of titles, texts, and backgrounds with over seven different coloring
    options.
 3. Animations – epileptic users can stop all running animations with the click
    of a button. Animations controlled by the interface include videos, GIFs,
    and CSS flashing transitions.
 4. Content highlighting – users can choose to emphasize essential elements such
    as links and titles. They can also choose to highlight focused or hovered
    elements only.
 5. Audio muting – users with hearing devices may experience headaches or other
    issues due to automatic audio playing. This option lets users mute the
    entire website instantly.
 6. Cognitive disorders – we utilize a search engine linked to Wikipedia and
    Wiktionary, allowing people with cognitive disorders to decipher meanings of
    phrases, initials, slang, and others.
 7. Additional functions – we allow users to change cursor color and size, use a
    printing mode, enable a virtual keyboard, and many other functions.

Assistive technology and browser compatibility

We aim to support as many browsers and assistive technologies as possible, so
our users can choose the best fitting tools for them, with as few limitations as
possible. Therefore, we have worked very hard to be able to support all major
systems that comprise over 95% of the user market share, including Google
Chrome, Mozilla Firefox, Apple Safari, Opera and Microsoft Edge, JAWS, and NVDA
(screen readers), both for Windows and MAC users.

Notes, comments, and feedback

Despite our very best efforts to allow anybody to adjust the website to their
needs, there may still be pages or sections that are not fully accessible, are
in the process of becoming accessible, or are lacking an adequate technological
solution to make them accessible. Still, we are continually improving our
accessibility, adding, updating, improving its options and features, and
developing and adopting new technologies. All this is meant to reach the optimal
level of accessibility following technological advancements. If you wish to
contact the website’s owner, please use the website's form

Hide Accessibility Interface? Please note: If you choose to hide the
accessibility interface, you won't be able to see it anymore, unless you clear
your browsing history and data. Are you sure that you wish to hide the
interface?
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