PCOS & Pregnancy: Everything You Need To Know

Polycystic ovary syndrome (PCOS) might be known for making things a little more complicated: missed periods, hormonal ups and downs, and a fertility journey that doesn’t always play by the rules. But when it comes to getting pregnant, it doesn’t mean the odds are low. With the right support, lifestyle changes, and a bit of patience, many women with PCOS can and do conceive. It's not always a straight path, but it's one you can surely navigate.

PCOS can affect a woman's ability to conceive and can also increase the risk of certain complications during pregnancy. While PCOS can make getting pregnant more challenging, it's certainly possible, and many women with PCOS successfully carry pregnancies to term with proper management. 

In this blog, we will explore the connection between PCOS and pregnancy, the chances of conceiving with PCOS, and natural ways to support fertility. Whether you are trying to conceive yourself or know someone who is, this will provide helpful insights and natural methods to support a healthy pregnancy journey.

What is PCOS & how does it affect fertility?

PCOS is a common hormonal disorder that affects many women of reproductive age. It has become increasingly prevalent worldwide, impacting an estimated 6% to 13% of women in this age group, and up to 70% of cases may go undiagnosed.

 PCOS can lead to a range of symptoms, some of which are listed below: 

• Irregular periods or no periods

• Excessive acne

• Elevated levels of androgens (male hormones)

• Excessive hair growth on the face, chest (hirsutism)

• Hair thinning or female pattern hair loss

• Multiple cysts on the ovaries

In addition, PCOS can lead to:

• Ovulation issues: PCOS may disrupt the normal release of eggs, making it harder to conceive naturally.

• Hormonal imbalances: The hormonal disturbances caused by PCOS can affect the menstrual cycle and interfere with ovulation.

It is important to understand that PCOS symptoms go beyond irregular periods. They can have a significant impact on your overall health, mental well-being, and chances of fertility. To simplify this, your ovaries contain multiple sacs called follicles, each holding an immature egg. In a typical menstrual cycle, one of these eggs matures and is released through one of your fallopian tubes. This process is called ovulation. However, with PCOS, the follicles often do not grow or release an egg. This leads to the accumulation of cysts in the ovaries and results in anovulation (absence of ovulation). Perhaps, this makes your chances of pregnancy with PCOS even more complicated. This is why PCOS is considered a leading cause of infertility in women.

Can you get pregnant with PCOS? The honest answer

If you’re wondering, can I get pregnant with PCOS? The answer is yes. Many women with PCOS can get pregnant, but the journey can be a bit more challenging. They may take longer to conceive and might require certain fertility treatments as compared to women without PCOS. The main reason for reduced fertility in women with PCOS is hormonal imbalance. They tend to underproduce oestrogen (a key female hormone) and overproduce androgens (male hormones). This imbalance can disrupt ovulation, making it harder to conceive.

In Indian populations, factors such as living in urban areas and having higher levels of education or wealth have been linked to an increased risk of PCOS. However, with the right treatment, lifestyle changes, and a positive mindset, many women with PCOS are still able to conceive successfully.

Is it difficult to get pregnant with PCOS for everyone?

It is important to understand that getting pregnant with PCOS can be a little difficult, but it is certainly not impossible. The journey varies from person to person. Many women with PCOS can go on to conceive successfully, and in some cases, women may experience some complications. While some may require extra support through medical assistance or fertility treatments, others achieve pregnancy through natural methods and lifestyle changes. 

However, the chances of conception can significantly improve with: 

• The right guidance

• A healthy routine

• Early diagnosis

• Lifestyle changes 

• Balanced diet 

• Regular exercise 

However, factors such as an unhealthy lifestyle, poor eating habits, family history, and other underlying health conditions can increase the risk of infertility. 

PCOS & pregnancy: What to expect when you conceive naturally

The relation between PCOS and pregnancy can sometimes be quite overwhelming. Many women might fear the inability to conceive babies. But, it isn’t as challenging as it may sound. Below are some ways to conceive naturally despite dealing with PCOS. 

• Check your BMI: Body Mass Index (BMI) helps determine if your weight is proportionate to your height. If your BMI is outside the healthy range, consult a doctor to take the necessary steps before planning your pregnancy.

• Track your ovulation days: When planning your pregnancy, tracking your ovulation days is crucial. Use an app or maintain a journal. Your chances of conceiving are highest during this fertile window.

• Maintain a balanced diet and exercise regularly: Eating well and staying physically active play a key role in improving your overall health. These lifestyle choices can also boost your chances of getting pregnant with PCOS. Prioritising nutritious foods and regular movement each day can make a meaningful difference to your fertility.

• Monitor your blood sugar levels: Balanced blood sugar levels are essential for a healthy pregnancy, especially with PCOS. It's advisable to get your levels checked and consult a doctor before planning to conceive.

• Managing stress: Stress can significantly affect your chances of getting pregnant with PCOS, as it may cause fluctuations in cortisol levels. Managing stress is important; activities like yoga, meditation, journalling, or simply spending time outdoors can help promote a sense of calm and support hormonal balance.

• Follow an individualised approach: Every pregnancy is unique. Try not to compare your journey with others, and consult a doctor to understand what works best for your body and condition. 

• Build or join a supportive community: Emotional support is vital during pregnancy with PCOS. Join support groups to connect with others facing similar issues. Sharing experiences with others gives you comfort and emotional encouragement during this journey. 

Pregnancy Risks Associated with PCOS: 

• Increased Risk of Miscarriage:
  Studies suggest that women with PCOS may have a higher chance of miscarriage. 

• Gestational Diabetes:
  PCOS increases the risk of developing gestational diabetes, a condition where blood sugar levels become elevated during pregnancy. 

• Hypertensive Disorders:
  Women with PCOS are more prone to developing high blood pressure during pregnancy, including preeclampsia. 

• Preterm Birth:
  PCOS may also be associated with an increased risk of preterm birth. 

• Larger Babies:
  Babies born to mothers with PCOS may be larger than average for their gestational age. 

• Increased Need for Cesarean Section:
  Due to larger babies and other potential complications, women with PCOS may be more likely to require a cesarean section. 

Parting thoughts

Pregnancy is a unique journey for every woman. Emotions, health, and support systems vary from person to person, so comparing your journey to someone else's is futile. For women with PCOS, the journey to pregnancy can be a bit more challenging. But is it difficult to get pregnant with PCOS? Fortunately, not necessarily. With the right guidance, early detection, natural preventive measures, a healthy lifestyle, regular physical activity, and a positive mindset, many women with PCOS go on to have smooth and healthy pregnancies. So, stress less, eat well, and stay positive, because what you think and feel has a significant impact on both your body and your baby.

Frequently Asked Questions

1. Can I get pregnant naturally with PCOS?

Yes, many women with PCOS can conceive naturally. While PCOS can affect ovulation, lifestyle changes, tracking ovulation, and maintaining a healthy weight can significantly improve your chances.

2. How does PCOS affect fertility? 

PCOS can disrupt regular ovulation due to hormonal imbalances, making it harder to predict fertile days and conceive. However, it doesn't mean pregnancy is impossible.

3. Can weight loss improve my chances of getting pregnant with PCOS?

Yes, even a modest amount of weight loss can help balance your hormones, support regular ovulation, and improve your chances of getting pregnant.