Can You Get Pregnant with PCOS?

Short answer: yes, you can.

PCOS can make pregnancy trickier, but not impossible. Many women go on to conceive naturally or with a bit of support. And a fun fact, is that women with PCOS often have a higher egg reserve, so fertility may decline more slowly with age

Why fertility is affected

There are so many reasons that are unique to each person, but here are some of the common offenders:

• Irregular ovulation → hard to know when you’re fertile

• High androgens → can affect egg quality

• Insulin resistance → impacts hormones and implantation

What helps?

• Blood sugar balance → protein + healthy fats, fewer refined carbs

• Supplements → inositol, vitamin D, omega-3, magnesium

• Stress management → cortisol affects ovulation too

• Medical options → letrozole, clomiphene, IVF if needed

The GP may have told you, you will struggle but it’s not all doom and gloom!

I’ve helped many women regulate cycles and conceive naturally by understanding what is going on in their bodies and working on the right plan for them as an individual.

FAQs

Q: Can women with PCOS get pregnant naturally?
Yes, many do. It may take longer if ovulation is irregular, but with the right support, natural conception is very possible.

Q: Do I need to lose weight to get pregnant with PCOS?
Not necessarily. Even small lifestyle tweaks, like balancing blood sugar or adding gentle movement, can improve fertility, regardless of weight.

Q: What if my cycles are really irregular?
That’s common in PCOS. The goal is to support more regular ovulation through nutrition, supplements, stress management, and (sometimes) medical support.

Q: Will I need fertility treatment?
Not always. Many women conceive without it, but if you do need help, options like letrozole or IVF are often very effective for PCOS.

👉 Next read: [PCOS and Weight Gain]