Planning for Pregnancy with PCOS

Are you one of the many women struggling with PCOS who dreams of starting a family? If so, you are not alone. Polycystic ovary syndrome (PCOS) affects up to 10% of women of reproductive age and can make getting pregnant more challenging.

But don’t let that discourage you! With some proactive steps and careful planning, it’s possible to increase your chances of conceiving naturally or through fertility treatments. In this blog post, we will explore tips for planning pregnancy with PCOS and offer practical advice for enhancing fertility and overcoming obstacles along the way.

What is PCOS?

PCOS is a common condition that affects women of reproductive age. It is characterized by the presence of high levels of androgens (male hormones) in the body, which can lead to irregular menstrual cycles, acne, and excess hair growth. PCOS can also cause fertility problems and is a leading cause of female infertility.

There is no single cause of PCOS, but it is thought to be related to a combination of genetic and environmental factors. Treatment for PCOS typically involves lifestyle changes, such as diet and exercise, as well as medications to regulate hormone levels.

The Different types of PCOS

There are four main types of PCOS:

Insulin-resistant PCOS

This is the most common type of PCOS, and is characterized by high levels of insulin and insulin resistance. Women with this type of PCOS may have difficulty getting pregnant, and may be at higher risk for diabetes and heart disease.

Inflammatory PCOS

This type of PCOS is characterized by inflammation, which can lead to pain, fertility problems, and an increased risk for heart disease. Inflammation can show up in this type of PCOS as headaches, joint pain, fatigue that can’t be explained, skin problems like eczema, and bowel problems.

Metabolic PCOS

This type of PCOS is characterized by metabolic problems, such as high blood sugar levels and obesity. Women with this type of PCOS may have trouble getting pregnant and may be at higher risk for diabetes and heart disease.

Pelvic floor dysfunction PCOS

This type of PCOS is characterized by pelvic floor dysfunction, which can lead to urinary incontinence, sexual dysfunction, and pelvic pain.

Symptoms of PCOS

There are a number of symptoms associated with PCOS, and they can vary from person to person. The most common symptoms are:

  • Irregular periods – This is one of the most common and defining symptoms of PCOS. Women with PCOS may have infrequent periods (fewer than eight in a year), or they may have no periods at all.
  • Excessive hair growth – Many women with PCOS experience excessive hair growth on the face, chest, back, or buttocks. This is caused by an increase in androgens (male hormones) in the body.
  • Weight gain – Weight gain is a common symptom of PCOS, and it can be difficult to lose weight if you have the condition.
  • Acne Acne is another common symptom of PCOS, due to the increased levels of androgens in the body.
  • Sleep Apnea – Women with PCOS may be predisposed to poor sleep quality or chronic daytime drowsiness.  If you feel sleepy or unrefreshed after waking up after a full 8-hour sleep, it might be due to sleep apnea.
  • Infertility – Infertility is a common complication of PCOS, as ovulation is often irregular or nonexistent in women with the condition.

Diagnosis of PCOS

There is no one definitive test for diagnosing PCOS. The most common method of diagnosis is through a combination of a physical exam, blood tests, and ultrasounds.

During a physical exam, your doctor will look for signs of excess hair growth, acne, and insulin resistance. Blood tests can check for high levels of testosterone and other hormones that are associated with PCOS. Ultrasounds can be used to assess the size and number of ovarian cysts.

If you have any of the symptoms or risk factors associated with PCOS, your doctor may recommend further testing to confirm the diagnosis. In some cases, treatment may be started before a formal diagnosis is made.

Treatment for PCOS

There is no one-size-fits-all treatment for PCOS, as the condition can vary greatly from woman to woman. However, there are a number of treatments that can be effective in managing the symptoms and improving fertility.

Medications such as birth control pills and metformin can help to regulate hormone levels and improve insulin sensitivity. If you are trying to conceive, your doctor may also recommend fertility treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF).

lifestyle changes can also be helpful in managing PCOS. Reducing stress, eating a healthy diet, and getting regular exercise can all help to balance hormone levels and improve fertility.

Planning for Pregnancy

If you’re planning on getting pregnant and you have PCOS, there are a few things you need to do to ensure a healthy pregnancy.

Diet and Exercise

First, you’ll need to get your weight under control. PCOS can cause weight gain, which can in turn lead to complications during pregnancy. Eating a healthy diet and exercising regularly will help you lose any excess weight.

All of the things that lead to belly fat in PCOS, like hormonal changes and insulin resistance, can be resolved by proper diet.

People have known for a long time that what you eat affects how healthy you are. By eating the right foods, you can lose weight and improve your health as a whole.

Some foods that are good for women with PCOS are:

  • Whole foods are things like fruits, vegetables, eggs, and legumes.
  • Eggs, seafood, beans, and soy are all good sources of protein.
  • Nuts, avocados, and fatty seafood are good sources of healthy fats.
  • Avoid processed foods
  • Eat fewer dairy products

Along with what you eat, exercise is a very important part of getting rid of belly fat. In general, your weight is affected by both how many calories you eat and how many you burn.

Some of the best ones are:

  • Yoga
  • Walking
  • Moderate-intensity workouts like running and cycling
  • High-intensity workouts, such as HIIT (high-intensity interval training)
  • Weightlifting and Pilates are examples of exercises that build strength.

Folic Acid

In 2014, a study found that taking folic acid supplement may help keep inflammation, blood sugar, and oxidative stress at healthy levels. It looked at 69 women with polycystic ovary syndrome who were between the ages of 18 and 40. 

After 8 weeks, they all benefited from taking folic acid supplements because they had less inflammation, better control of their blood sugar, and healthier cells than the other group that took less folic acid.

Folic acid can help treat ovulatory infertility, so adding it to your diet is a good idea. In another study, women with PCOS who took a multivitamin with folic acid at least three times a week had less trouble getting pregnant. This could mean that their chances of getting pregnant went up.

Insulin Regulation

You may also need to take medication to control your insulin levels. Insulin resistance is a common symptom of PCOS, and it can cause problems during pregnancy. Your doctor can prescribe medication that will help regulate your insulin levels and make sure they’re at a healthy level for pregnancy.

Mental Preparation

You’ll also need to take care of your mental health. PCOS can cause anxiety and depression, which can be exacerbated by the stress of planning for a baby. 

Make sure to talk to your doctor about any concerns you have and seek counseling if necessary. With the right preparation, you can have a healthy and successful pregnancy despite having PCOS.

How Does PCOS Affect Your Health and Pregnancy?

PCOS can affect your health in a number of ways. It can cause issues with your menstrual cycle, make it difficult to get pregnant, and increase your risk for certain health conditions, like heart disease, diabetes, and endometrial cancer.

Type 2 Diabetes

By the age 40, more than half of women with PCOS will most likely have Type 2 diabetes due to the resistance of cells to insulin

Glucose in your blood is moved into cells all over your body by insulin. Glucose comes from both the food you eat and the glucose that your body stores and then releases on its own.

Insulin acts like a “key” that lets your body’s cells out of their “doors.” Once insulin opens the doors to your cells, glucose from your bloodstream enter your cells, where it is used for energy. Glucose can’t get into your cells if you don’t have enough insulin, so it builds up in your blood (hyperglycemia).

When your cells are resistant to insulin, glucose will not enter your cells. This leaves your bloodstream with high glucose levels, leading you to Type 2 Diabetes. 

If you have PCOS, it’s important to work with your healthcare provider to manage the condition and reduce your risk for complications.

In Vitro Fertilization (IVF)

All about PCOS and pregnancy, you might want to consider the procedure called In Vitro Fertilization or IVF. It is statistically proven to increase the likelihood of pregnancy for women who are struggling to get pregnant.

Penn Fertility Care did a study that showed that women younger than 35 have a 21.3% chance of having a full-term, normal birth weight after an IVF treatment using fresh embryos from their own eggs. IVF treatment is a well-known type of assisted reproductive technology (ART). In this method, a woman’s ovulatory process is watched and sped up before mature eggs and sperm are taken from her ovaries and put together in a lab.

Still, the success rate of IVF treatment depends on many things, such as the age of the mother, the status of the embryo, infertility, lifestyle factors, and the history of reproduction. For instance, embryo transfer is a very important method because not all embryos make it through the process of development. Also, a woman’s chances of having a successful IVF are cut in half if she smokes.

Living with PCOS

If you have PCOS, you’re not alone—approximately 1 in 10 women of childbearing age have this condition. PCOS can make it more difficult to get pregnant because it can interfere with ovulation. But there are steps you can take to manage your PCOS and increase your chances of getting pregnant.

When it comes to managing PCOS, diet and exercise are key. Eating a healthy, balanced diet and getting regular exercise can help to regulate your hormones and improve your insulin resistance. There are also medication options available that can help to stimulate ovulation.

If you’re trying to conceive, it’s important to work with your healthcare team to create a plan that’s right for you. They can help you track your cycle and figure out the best time for you to conceive. They can also provide support and guidance throughout your journey.


Planning for pregnancy with PCOS is not an easy task, but it can be done. With the right diet and lifestyle changes, as well as other forms of treatment such as medications or in vitro fertilization (IVF), you have a chance of becoming pregnant and having a successful pregnancy. Remember to always consult your doctor before making any major decisions regarding your health during your pregnancy journey.