Is it difficult to get pregnant with PCOS?

by | Sep 18, 2025 | Blog | 0 comments

Is it difficult to get pregnant with PCOS?

Let’s talk about one of the most common hormonal conditions among women of reproductive age. Polycystic Ovary Syndrome (PCOS). Not surprisingly, around 1 in 10 women around the world are affected by PCOS. Ultimately, it is also one of the leading causes of female infertility.

Yes, it can be overwhelming if you are diagnosed with PCOS, especially when you are planning to start a family. Fear, anxiety, and worries come up in the mind along with lots of questions related to possibilities, treatments, time, and more. But this is not the end of the tunnel. With the right care and guidance, you can go on to have healthy pregnancies with PCOS.

Understanding PCOS and Fertility

Let’s first understand the hormonal imbalance. This imbalance disrupts the normal functioning of your ovaries. You start producing higher levels of androgens. These are male hormones that are present in small amounts in your body. Now, this imbalance can stop the ovaries from releasing eggs on time. And when it is not released in time, it leads to irregular ovulation or no ovulation at all. Because a mature egg does not release, the chances of your conception are reduced.

Your ovaries may also form many small fluid-filled sacs called follicles. These follicles have the immature eggs that rarely mature enough to be released. This makes the cycles and conception unpredictable or difficult.

This imbalance can also affect the quality of eggs and overall reproductive health. Even when fertilization happens, the chances of a healthy pregnancy get hard to achieve.

Can You Still Get Pregnant with PCOS?

Yes, you can. PCOS is one of the most common causes of infertility, but it is also one of the most treatable. You may find that with lifestyle adjustments, your cycles become more regular and pregnancy can happen without further treatment.

PCOS does not automatically mean infertility. Many women with PCOS conceive more than once. It may sometimes happen naturally and sometimes with help. What matters is recognizing when to seek guidance. Also, ensuring that treatment is according to your body’s unique needs.

Steps That May Help You Conceive with PCOS

Treatment for PCOS-related infertility is a guided approach and follows some steps that you may take. Your doctor will assess your overall health, hormone levels, and ovulation patterns before recommending the best plan.

  1. Lifestyle changes
  •     Weight management, balanced nutrition, and regular exercise can help you a great deal to improve hormone balance and restore ovulation.
     
  •     Even a little weight loss of 5-10% can do wonders to improve your menstrual regularity. Also, this weight loss can boost the body’s response to fertility medications.
  1. Medicines to stimulate ovulation
  •     You may be put on some medications prescribed by your doctor to help the ovaries release eggs.
     
  •     These are usually the first line of treatment. These can be highly effective when cycles are tracked closely by a fertility specialist.
     
  1. Correcting other hormone imbalances
  •     Thyroid disorders or raised prolactin levels can also disturb your ovulation cycle. Treating these issues can get you more regular cycles and improve natural fertility.
     
  1. Advanced fertility treatments
  •     When these steps are not successful, you can go for in vitro fertilization (IVF).
     
  •     IVF solves many of the challenges of PCOS by directly stimulating the ovaries, retrieving eggs, and creating embryos in the lab.
     
  •     These embryos can then be transferred into the uterus when the time is right.
     

Emotional Support Matters Too

Trying to conceive with PCOS is an emotional journey too. The irregular cycles, the uncertainty of each month, the repeated disappointments, and so many other things can be overwhelming. If put in words, it is a process and a cycle of hope and frustration.

Of course there is family and your loved ones. But this support may also come from counselling, patient support groups, or simply sharing experiences with others who are going through the same journey. Also, manage your stress through yoga, meditation, or relaxation techniques.

When Should You Seek Medical Help?

You should think about consulting a fertility specialist if:

  •     You have been trying to conceive for more than one year without success (or more than 6 months if you are over 35).
     
  •     Your menstrual cycles are irregular, absent, or very unpredictable.
     
  •     You have already been diagnosed with PCOS and are struggling to conceive.
     
  •     You have a history of thyroid disorders, endometriosis, pelvic infections, or surgery.
     

What happens in a fertility evaluation? Your doctor may perform blood tests to check hormone levels. You may also have ultrasound scans of your ovaries and uterus, and sometimes other assessments. Early diagnosis and treatment can save a lot of time, reduce frustration, and boost the chances of pregnancy.

Your Path to Treatment and Care

It is true that PCOS can make conceiving more challenging. But it does not take away the possibility of you being a parent.

If you are going through tough times in conceiving with PCOS, you can consult Dr. Ila Gupta. She brings 30+ years of experience in reproductive medicine. With a compassionate approach, she has provided consistent support in overcoming PCOS-related infertility.

At her clinic, you get all the care and support. Whether it’s diagnostic tests, ovulation-inducing treatments, or IVF procedures, counselling, everything is available under one roof.

Achieve your pregnancy with positivity, care, and utmost safety. Take the next step; schedule a consultation with Dr. Ila Gupta at ilaguptaivf.com.

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