PCOS and Fertility: Can You Still Get Pregnant?

A diagnosis of Polycystic Ovary Syndrome (PCOS) often comes with fear — especially around fertility. One of the most common questions women ask is:
“Can I still get pregnant if I have PCOS?”

The reassuring answer is yes. Many women with PCOS conceive naturally or with support. However, PCOS can affect how regularly ovulation occurs, which may influence how long it takes to get pregnant — not whether it’s possible.

If you’re new to the condition, it helps to first read PCOS 101: What You Need to Know, where we explain what PCOS is and how it affects hormones and metabolism. This article focuses specifically on PCOS and fertility, what the science says, and what genuinely helps.

How PCOS Affects Fertility

PCOS mainly impacts fertility through irregular ovulation. Ovulation is the monthly release of an egg, and in PCOS this process may happen unpredictably or not at all.

Common fertility-related challenges include:

Irregular or absent ovulation
Hormonal imbalance (especially raised testosterone)
Insulin resistance affecting egg development
Irregular or absent menstrual cycles

👉 Importantly, PCOS does not mean infertility. It simply means ovulation may need support or regulation.

How Common Are Fertility Difficulties in PCOS?

Globally, PCOS is one of the leading causes of ovulatory infertility, yet outcomes are often positive with the right care.

Up to 70–80% of women with PCOS experience ovulation problems
Many still conceive naturally
Others conceive with lifestyle or medical support

In fact, fertility outcomes for women with PCOS have improved significantly over the past two decades due to better understanding and treatment options.

Lifestyle Changes That Support PCOS and Fertility

For many women, lifestyle adjustments are the first and most effective step in improving fertility.

Research consistently shows that:

Balanced nutrition
Regular movement
Improved insulin sensitivity

can help restore ovulation.

Anti-inflammatory meals, stable blood sugar, and sustainable habits all play a role in improving reproductive health. Read more on our previous article PCOS & Your Plate: How Anti-Inflammatory Foods Support Hormone Balance.

Even modest changes — such as a 5–10% weight reduction where appropriate — can help restart ovulation in some women with PCOS.

Medical Options That Can Help

When lifestyle changes alone aren’t enough, medical support is highly effective.

Depending on individual needs, doctors may recommend:

Ovulation-induction medications (such as letrozole or clomifene)
Metformin to improve insulin resistance
Hormonal support to regulate cycles
Assisted fertility treatments, including IVF, in some cases

It’s worth noting that most women with PCOS who seek help do not need IVF.

Does PCOS Mean It Will Take Longer to Conceive?

Sometimes — yes. But longer does not mean impossible.

Many women with PCOS:

Ovulate irregularly at first
See improvements once cycles stabilise
Go on to have healthy pregnancies

Early support and realistic expectations can significantly reduce stress during this process.

When to Seek Fertility Advice

You may want to speak to a healthcare professional if:

Periods are very irregular or absent
You’ve been trying to conceive for 6–12 months
You have PCOS alongside other conditions (e.g. diabetes or thyroid disorders)

Early conversations often lead to better outcomes and fewer delays.

Key Takeaways

PCOS and fertility are closely linked — but infertility is not inevitable
Ovulation challenges are common but treatable
Lifestyle changes have a powerful impact
Medical treatments are effective and widely available
Many women with PCOS conceive naturally or with minimal support

💬 What’s Your Take?

Has PCOS made you worry about fertility — or has your experience challenged common myths?
Your story matters. Sharing helps others feel informed, supported, and less alone.