PCOS and Fertility

Polycystic Ovary Syndrome (PCOS) is one of the most common hormone-related conditions in women of reproductive age. In the UK, it is estimated to affect around 1 in 10 women. PCOS can be associated with irregular menstrual cycles and ovulation problems, which may make it more difficult to conceive.

The good news is that with appropriate medical support — and attention to lifestyle factors — many women with PCOS go on to conceive and have healthy pregnancies.

How PCOS may affect fertility

• Irregular ovulation: In PCOS, hormonal changes such as higher levels of androgens (e.g. testosterone) can sometimes disrupt the regular release of eggs (ovulation).
• Egg development: Hormonal imbalance may also influence how eggs mature, which can affect fertility.
• Conception challenges: The combination of less frequent ovulation and possible changes in egg development can make natural conception more difficult for some women.

Support options for PCOS and fertility

• Nutrition and lifestyle: Research suggests that dietary changes, regular movement, stress management, and supporting healthy inflammation responses may help improve overall wellbeing and support more regular cycles in some women with PCOS.
• Medical treatments: Ovulation induction medications are sometimes prescribed by doctors to encourage egg release.
• Assisted conception: If other approaches are not effective, treatments such as IVF may be recommended by fertility specialists.

Important considerations

• Early conversations: Raising fertility concerns with your GP or specialist early can help ensure the right investigations and support are in place.
• Individual approaches: PCOS presents differently from person to person. The most appropriate strategy will depend on personal health, symptoms, and medical guidance.

The positive news

Although PCOS is often considered a long-term condition, it can be managed, and many women with PCOS do have healthy pregnancies.

If you’d like to explore how nutrition and lifestyle support may fit into your wider fertility journey, you’re welcome to book a free call with us at PCOS Clinics.

Please note: we do not diagnose or treat PCOS or fertility issues. Nutrition and lifestyle approaches can complement medical care, but diagnosis and treatment should always be discussed with your GP or fertility specialist.