How PCOS affects fertility
PCOS is the most common cause of infrequent ovulation. Many women with PCOS conceive naturally, though it may take longer. When help is needed, treatments that bring on ovulation are usually effective.
Before trying to conceive
- Check blood sugar, thyroid function and blood pressure
- Start folic acid as advised by your doctor
- If overweight, even modest weight loss can make ovulation more regular
- Review all medicines; some acne and hair treatments must be stopped before pregnancy
Treatment to help ovulation
Your gynaecologist or fertility specialist leads this. Tablets that stimulate ovulation are usually tried first, with injections or IVF if needed. Metformin is sometimes added.
During pregnancy
Women with PCOS have a higher chance of gestational diabetes and high blood pressure in pregnancy. Glucose testing is often done earlier, and regular antenatal checks matter.
After pregnancy
The long-term risk of type 2 diabetes remains, especially after gestational diabetes, so continue regular check-ups.
The endocrinologist’s role
An endocrinologist can help prepare metabolic health before pregnancy and manage diabetes or thyroid problems during it, working alongside your obstetrician.
This guide is general information and is not a substitute for a consultation.
Related guides
PCOS and women's hormonal health at the clinic All patient guides