I Have PCOS, Does That Mean I'm Infertile?

I Have PCOS, Does That Mean I’m Infertile?

Polycystic ovary syndrome (PCOS) is a common condition affecting up to 10% of women of reproductive age. One of the most pressing concerns for many women diagnosed with PCOS is whether this condition means they are infertile. At the Fertility Institute of San Diego, we understand the complexities and challenges associated with PCOS and are here to provide clarity and support. Dr. Minoos Hosseinzadeh, our lead medical director, has extensive experience in helping women with PCOS navigate their fertility journey. In this article, we will explore the relationship between PCOS and infertility and provide insights into the options available to help women with PCOS achieve their dream of becoming mothers.

Understanding PCOS

Polycystic ovary syndrome is a hormonal disorder characterized by irregular menstrual periods, excess androgen levels, and polycystic ovaries. These three main features often lead to symptoms such as:

  • Irregular or missed periods
  • Excess facial or body hair (hirsutism)
  • Acne or oily skin
  • Thinning hair on the scalp
  • Weight gain or difficulty losing weight

The exact cause of PCOS is unknown, but it is believed to be related to insulin resistance and hormone imbalances. Women with PCOS often have higher levels of insulin, which can lead to an increase in androgen production. This hormonal imbalance can interfere with the normal development and release of eggs from the ovaries, leading to infertility.

PCOS and Infertility: The Connection

One of the major concerns for women with PCOS is how the condition affects their fertility. PCOS can lead to anovulation, where the ovaries do not release an egg during a menstrual cycle. Without ovulation, pregnancy cannot occur. However, it is important to note that having PCOS does not mean you are infertile. Many women with PCOS can and do conceive, often with the help of fertility treatments.

According to Dr. Hosseinzadeh, “The most important thing to remember is that PCOS is a manageable condition. With the right treatment and lifestyle changes, many women with PCOS can improve their chances of ovulating and achieving pregnancy.”

Treatment Options for Women with PCOS

There are several treatment options available to help women with PCOS manage their symptoms and improve their fertility. These treatments can be tailored to each individual’s needs and may include:

Lifestyle Changes:

Diet: Eating a balanced diet with a focus on whole foods, lean proteins, and low glycemic index carbohydrates can help manage insulin levels and reduce symptoms of PCOS.

Exercise: Regular physical activity can help with weight management and improve insulin sensitivity.

Weight Management: Losing even a small amount of weight can help regulate menstrual cycles and improve ovulation.


  • Metformin: This medication is often used to improve insulin sensitivity and lower insulin levels, which can help with ovulation.
  • Clomiphene Citrate (Clomid): A common fertility drug that stimulates ovulation.
  • Letrozole (Femara): Another medication used to induce ovulation, often prescribed if Clomid is not effective.

Fertility Treatments:

  • Intrauterine Insemination (IUI): A procedure where sperm is placed directly into the uterus around the time of ovulation.
  • In Vitro Fertilization (IVF): A more advanced fertility treatment where eggs are retrieved from the ovaries, fertilized with sperm in a lab, and then implanted into the uterus.

Surgical Options:

  • Ovarian Drilling: A laparoscopic procedure that can trigger ovulation by destroying a small portion of the ovary.

FAQs About PCOS and Infertility

  1. Can lifestyle changes alone help with fertility in women with PCOS?

Yes, lifestyle changes such as a healthy diet, regular exercise, and weight management can significantly improve insulin sensitivity and hormonal balance, which can enhance fertility. However, some women may still require medical or fertility treatments.

  1. Is IVF the only option for women with PCOS who want to conceive?

No, IVF is not the only option. Many women with PCOS can conceive with less invasive treatments such as lifestyle changes, medications like Clomid or Letrozole, and IUI. IVF is often considered when other treatments have not been successful.

  1. How long should women with PCOS try to conceive naturally before seeking help?

If you have been trying to conceive for more than 12 months (or 6 months if you are over 35), it is a good idea to seek help from a fertility specialist. Early intervention can increase the chances of successful treatment.

The Importance of Personalized Care

Every woman with PCOS is unique, and what works for one person may not work for another. That’s why it’s essential to have a personalized treatment plan tailored to your specific needs. At the Fertility Institute of San Diego, we take a holistic approach to fertility care, considering all aspects of your health and well-being.

Dr. Hosseinzadeh emphasizes, “Our goal is to provide compassionate and comprehensive care to help women with PCOS overcome their fertility challenges. We are dedicated to finding the best solutions for each individual.”

While PCOS can pose challenges to fertility, it is not a definitive barrier to becoming pregnant. With the right combination of lifestyle changes, medical treatments, and fertility interventions, many women with PCOS can successfully conceive. If you have PCOS and are concerned about your fertility, it’s important to seek the guidance of a specialist who can provide personalized care and support.

If you’re ready to start your fertility journey, please book a complimentary virtual consultation with Dr. Hosseinzadeh to go over fertility options or any other reproductive healthcare questions. Click here.

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