How to Get Pregnant With PCOS

Polycystic ovarian syndrome (PCOS) is one of the most common causes of female infertility, affecting an estimated 5 million women. But you can get pregnant with PCOS.


Most women will be able to conceive with a combination of lifestyle changes and fertility drugs. While some women with PCOS will need IVF, the great majority will get pregnant using lower-tech fertility treatments. Here are some of the options you and your doctor can explore.

Diet, Exercise, and PCOS
Eating a healthy diet is really important for women with PCOS. This is partially due to the higher risk of becoming overweight, and partially due to their bodies’ trouble with insulin regulation. Is there anyone diet that is best for PCOS? That’s a matter of debate.

Some studies have claimed that a low-carb diet is the best one for PCOS, but other studies have not found a low-carb advantage. The most important thing is to make sure your diet is rich in nutrient-rich foods and adequate protein and low on high sugar foods. Avoiding junk food and processed foods are your best bet.



Metformin Treatment
Metformin is a diabetes medication used to treat insulin resistance. It is sometimes prescribed to women with PCOS, even if they aren’t actually insulin resistant. Using metformin for PCOS is considered off-label use. However, the drug is relatively safe and may help women with PCOS get pregnant.


According to the research, metformin may...

Help you lose weight
Restart regular menstrual cycles
Improve the effectiveness of some fertility drugs
Reduce the rate of miscarriage (only in those with repeated miscarriage)
Can metformin alone help you get pregnant? This is unlikely. While earlier research found that metformin increased the odds of a woman ovulating on her own, further studies have not found an increase in pregnancy or live birth rates. In other words, the improvement with ovulation didn't lead to increased fertility.

Losing Weight to Restart Ovulation 
Many (but not all) women with PCOS struggle with obesity. This is because PCOS negatively affects how your body processes insulin, which can, in turn, cause weight gain.

One of the main reasons women with PCOS can’t conceive is they don’t ovulate, or they don’t ovulate regularly. Women with PCOS who are overweight are more likely to experience more severe anovulation, going months between periods.

Studies have found that losing some of the extra weight may bring back ovulation. You don’t have to lose all the weight. According to the research, losing 5 to 10 percent of your current weight may be enough to jump-start your menstrual cycles.

Unfortunately, there’s not much evidence to say losing weight will help you conceive on your own. You may still need fertility drugs. Research has found that women who have lost weight have a great chance of having fertility treatment success.

Losing weight isn’t easy for anybody, and it may be even more difficult for those with PCOS. Also, not all women with PCOS are overweight. If that's your situation, weight loss isn't a solution to help with fertility.

Make sure your doctor tests your insulin levels. If you’re insulin resistant, taking the diabetes drug metformin can treat the insulin resistance and may help you lose that extra weight. It may also help you conceive.




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