Can You Get Pregnant with PCOS?
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|If you're here on this blog, chances are you've been diagnosed with PCOS or at least suspect you might have.
You've probably Googled symptoms, watched a few reels, and now you're confused about the big question: "Can I still get pregnant with PCOS?"
We get you. PCOS and pregnancy, these two words don't often go together.
PCOS surely makes pregnancy or conceiving a little trickier, but it doesn't make it all (even nearly) impossible for you.
Without making it further complicated, let's break down what you need to know.
So, Can You Get Pregnant With PCOS?
Short answer: Yes, you can get pregnant with PCOS.
But it's a little harder since PCOS makes ovulation (your period cycle) irregular. What does it mean? There are fewer chances of conceiving each month compared to healthy women.
Lost that ray of hope? Please don't. Many women with PCOS still conceive naturally with little or some extra medical support. And that's what this blog talks about.
Read More: Everything About Female Sex Hormones
But Why PCOS Makes Pregnancy Tricky
In a healthy cycle, here's what happens:
The brain releases hormones: FSH (follicle-stimulating hormone) and LH (luteinizing hormone), that signal the ovaries to mature and release an egg. It matures, you ovulate, and if sperm meets the egg, hello, pregnancy!
However, PCOS interferes with this natural cycle. How?
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Irregular ovulation (or none at all)
A healthy woman's ovaries release an egg approximately two weeks before the start of her next period. PCOS can delay or stop egg release. This happens because,
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Increased levels of male sex hormones (androgens)
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Cyst formation in the ovaries (though rare).
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The balance between FSH and LH disrupts, leading to the release of higher levels of LH and normal or reduced FSH.
High androgen levels also interfere with follicle function (a female reproductive organ that stores an immature egg). Therefore, it affects egg development or release.
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Insulin resistance
Many women (50-90%) with PCOS experience insulin resistance. It's a metabolic dysfunction when the body can't use enough insulin to regulate glucose. Results? Unexplained weight gain and high blood sugar levels. But that's not all. Insulin resistance significantly decreases your chances of conceiving naturally.
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Reduces the percentage of mature eggs
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Increase the risk of oxidative damage (impacts the egg quality)
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Impair the quality of the uterus lining, which carries a developing baby, making it less receptive
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Increase the risk of pregnancy loss or miscarriage (especially in early stages)
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May contribute to gestational diabetes and its related complications, like preterm birth or macrosomia
That's how with fewer eggs, unpredictable timing, and greater health risks, PCOS makes conception harder.
PCOS isn’t rare at all
It affects 6–13% of women of reproductive age, and the numbers are rising every year. Thanks to sedentary lifestyles, stress, and unhealthy eating habits. |
Want to Boost Your Pregnancy Chances With PCOS? Start Naturally
Good news? PCOS doesn't mean never. Without medical intervention, 80% women take around two years to conceive naturally. You can boost your chances by implementing some lifestyle changes.
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First, Stay Aware and Informed
The worst part of PCOS is that 70% of affected women remain undiagnosed or realize the truth while trying to conceive. Don't be one among those. Stay aware, watch for the symptoms, and consider regular medical tests. Here is the list of common hallmarks of PCOS:
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Irregular or absent periods
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Excessive hair growth (hirsutism)
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Hormonal acne
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Weight gain or difficulty losing weight
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Male-pattern baldness
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Darkening of the skin
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Mood disorders like anxiety and depression
Moreover, if you have underlying chronic conditions like Type 2 diabetes or obesity, consult an expert gynaecologist (even if you have no other symptoms). The earlier you identify, the better preventative care you can seek.
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Balance Your Blood Sugar Levels
Please remember, insulin resistance is the worst enemy of your pregnancy. Balance your blood sugar levels by:
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Practice mindful eating. Don't overeat and leave some space between meals to avoid blood sugar spikes.
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Add foods with low glycemic index like green veggies, whole grains, legumes, lean proteins, fibers, and fruits like berries, apples, and oranges.
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Exercise regularly. Focus on weightlifting and strength training. Stay active throughout the day, for example, use stairs instead of the lift.
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Avoid processed sugars and junk foods.
In case of chronic diabetic conditions, consider medication (upon doctor's recommendation), and track your blood glucose levels every day.
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Watch Your Weight
Your body mass index (BMI) plays a vital role in deciding your fertility chances. High BMI can often interfere with ovulation and even lead to pregnancy complications. Though PCOS increases weight (due to hormonal imbalance) in most women, try to shed those extra pounds.
Gym, intermittent fasting, low-calorie diet, exercise, follow whatever works for you. You might be surprised to find out, but you can improve your fertility and other PCOS symptoms by losing just 5% of your weight.
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Try To Identify Your Cycle Pattern
PCOS menstrual cycles are often irregular, but they form a pattern over time. Try to track down your ovulation signs to find your most fertile windows. You may use DIY methods like:
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Monitoring basal body temperature: Measure before getting out of bed. It's generally higher than normal around ovulation.
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Cervical mucus tracking: Around ovulation, cervical mucus becomes thin, clear, and stretchy.
Or use a custom ovulation kit or calendar tracking for PCOS, though these methods are not often reliable.
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Stress Less (Seriously)
Chronic stress raises cortisol, which throws off your hormones even more. It may contribute to pregnancy complications or even PCOS itself. Try activities that relax your body and hormones, like
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Yoga or meditation
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Deep breathing practices
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Daily walk in the sun or garden
You can also add happy habits, like spending time dancing, singing, painting, gardening, or anything you love. Guess what? Sometimes even a conversation with your best friend works like a miracle.
Also Read: Signs that You Have High Cortisol As Mom
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Add Necessary Supplements
To support your ovarian function naturally, consider research-backed supplements like:
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B & D Vitamins
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Inositol
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Zinc
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Magnesium
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Folic acid
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Chrominum
You can also consider natural alternatives like curcumin, cinnamon, probiotics, and ashwagandha. Always consult your doctor first.
Read More: Best Vitamins for Women
Seek Medical Help When You Need It
Sometimes lifestyle changes alone aren't enough, especially if you have been trying for 6-12 months or want quicker results. But you can always seek necessary medical help. Your doctor may recommend you:
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First-Line Treatment Through Ovulation Induction
If your condition isn't severe, your doctor will approach the treatment through ovulation induction. Almost 80% of PCOS-affected women, when treated with medication, successfully ovulate. Moreover, half of them conceive within the first six menstrual cycles.
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IVF: The Last Option
When medications and other lifestyle modifications don't work, IVF (In Vitro Fertilization) turns into your savior. In IVF, your eggs are retrieved, fertilized in a lab, and then placed back in the uterus. Though the success rate is good, almost 60% consider it only if nothing works.
IVF success depends on age
If IVF is on your mind, age matters. Women under 35 with PCOS have a 55-65% success rate, while those aged 41-42 may have lower chances and more complications. |
The Bottom Line
PCOS can feel overwhelming. It's unpredictable, frustrating, and it looks different for every woman. Still, it doesn't define your motherhood journey. You may not control the hormonal fluctuations going on inside you. But with the right lifestyle changes, timely medical help, and a little patience, you can still expect a little life within you.
Disclaimer: This content is for informational purposes only and is not intended as medical advice. These statements have not been evaluated by the FDA. Products mentioned are not intended to diagnose, treat, cure, or prevent any disease.
Frequently Asked Questions (FAQs)
Q1. What is PCOS?
PCOS is a disorder that imbalances hormones, disrupting your menstrual and fertility cycle.
Q2. Is a PCOS pregnancy high risk?
Yes. Most PCOS pregnancies are flagged as high-risk due to the health complications involved for the mother and the baby.
Q3. Can I carry a baby with PCOS?
Yes, you may carry a healthy baby with PCOS by making necessary lifestyle and dietary changes.
Q4. What can trigger PCOS?
Low-grade inflammation, processed food, lack of exercise, and genetic factors can trigger PCOS.
Q5. Can I cure PCOS?
There is no permanent treatment or cure to PCOS. But you can manage its symptoms and severity through a healthy lifestyle and necessary medical intervention.
References
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Šišljagić D, Blažetić S, Heffer M, et al. The interplay of uterine health and obesity: a comprehensive review. Biomedicines. 2024 Dec 10;12(12):2801. doi:10.3390/biomedicines12122801. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11673887/
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World Health Organization. Polycystic ovary syndrome (PCOS). WHO Newsroom Fact Sheets. 7 February 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/polycystic-ovary-syndrome
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