Learn how to identify if your infertility is linked to PCOS—discover key symptoms, diagnostic tests, and effective treatments to support your fertility journey.
Polycystic ovary syndrome (PCOS) is one of the most common causes of infertility. If you're struggling to conceive, understanding whether PCOS might be the reason is the first step toward the right treatment plan.
What Is PCOS?
PCOS is a hormonal disorder marked by irregular periods, high androgen levels, and ovarian cysts visible on ultrasound. It disrupts ovulation and can make it harder to get pregnant.
Signs PCOS May Be Affecting Your Fertility
- Irregular or absent periods: Infrequent ovulation is a key factor in conception difficulties.
- Excess androgen symptoms: Acne, unwanted facial/body hair, or scalp thinning.
- Polycystic ovaries: Multiple small follicles seen on an ultrasound scan.
Diagnostic Tests to Confirm PCOS-Related Infertility
- Hormone testing: Blood tests check LH, FSH, testosterone, and insulin levels.
- Ultrasound scan: Detects ovarian cysts and follicle count.
- Ovulation tracking: Basal body temperature, ovulation predictor kits, or mid-luteal progesterone test.
Why PCOS Affects Fertility
PCOS disrupts the hormonal balance needed for egg maturation and ovulation—making it harder to get pregnant. High insulin and androgen levels can further impair reproductive function.
Treatment Options
- Lifestyle changes: Weight loss, balanced diet, and exercise can restore ovulation in many cases.
- Medications: Clomiphene citrate or letrozole help stimulate ovulation.
- Metformin: Regulates insulin and supports ovulation, especially if insulin resistance is present.
- Fertility treatments: IVF or IUI may be recommended when medications alone aren't enough.
When to See a Specialist
If you're under 35 and haven’t conceived after a year—or over 35 and haven’t in six months—consult a reproductive endocrinologist. They’ll run tests and tailor a treatment plan for PCOS-related infertility.
Internal Links
Related reads: PCOS Symptoms to Watch For and Lifestyle Changes to Manage PCOS.
Conclusion
If PCOS may be affecting your fertility, get evaluated with hormone tests, ultrasound, and ovulation tracking. With lifestyle tweaks and the right medical support, many women with PCOS go on to conceive successfully.
Also check out: Eating Plan for PCOS Fertility and PCOS and Emotional Health.