Does PCOS Make It Harder to Get Pregnant?
Medically reviewed by Andre Stone | MD, University of Pittsburgh School of Medicine on August 25th, 2026.
PCOS can make it harder to get pregnant, mainly when it causes irregular or absent ovulation. The degree of difficulty varies, and many women with PCOS conceive naturally or with treatment. The main issue is often irregular or absent ovulation related to the hormonal and metabolic changes associated with PCOS, which may include higher androgen or insulin levels. Women with PCOS may ovulate only a few times per year instead of monthly, dramatically reducing conception chances. Insulin resistance is common in PCOS and may contribute to ovulation and fertility problems, although it does not affect everyone with the condition. However, many women with PCOS conceive successfully, either naturally or with treatment. Options may include lifestyle support when appropriate, ovulation-inducing medication—often letrozole as the first choice—and, in some cases, metformin or assisted reproductive technologies. Treatment should be tailored with a clinician.
Still have questions about this?
Ask your AI Doctor
Keep exploring
Related Questions
From the blog
More from Doctronic
Best Birth Control Options for PCOS: A Comprehensive Guide
Polycystic ovary syndrome (PCOS) is a complex hormonal disorder that affects millions of women worldwide. Finding the right birth control can be…
PCOS Symptoms: The Early Signs Most Women Miss
PCOS is one of the most common hormonal disorders affecting women, yet up to 70% of cases remain undiagnosed. Understanding the subtle early signs…
How To Lose Weight With PCOS
Polycystic Ovary Syndrome (PCOS) affects approximately 10% of women of reproductive age, making it one of the most common hormonal disorders. For…