How to Get Pregnant Naturally With PCOS: Expert Tips

Editor: Arshita Tiwari on Apr 24,2025
polycystic ovary syndrome text with tablets and injections

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects approximately 1 in 10 women of reproductive age. One of the most challenging aspects of PCOS is its effect on fertility. However, the good news is that many women with PCOS successfully conceive and have healthy pregnancies — naturally and without invasive interventions. If you're wondering how to get pregnant with PCOS, this guide will walk you through proven and effective strategies.

Understanding PCOS and Fertility

PCOS is a change in the hormonal balance of a woman: it is the levels of insulin, androgens (male hormones), and progesterone that get affected. This imbalance can cause changes in menstruation, anovulation (absence of ovulation), and cysts on the ovaries, all affecting fertility. 

Effects of PCOS on fertility: 

  • Improper ovulation or no ovulation: In the absence of ovulation, no egg would be released for fertilization.
  • Hormonal imbalance: An excess of androgens can interfere with the menstrual cycle and prevent follicle maturation.
  • Insulin resistance: Could predispose one to miscarriage and other forms of complication in pregnancy.

Becoming pregnant still remains an option, despite the hindrances that PCOS poses. Many women find their way into pregnancy naturally with lifestyle changes and natural treatment forms, alongside constant monitoring.

Best Ways to Conceive With PCOS Naturally

asian doctor with face mask explaining patient about pcos pregnancy naturally

Here's a list of tried and tested natural methods of increasing fertility for PCOS patients:

1. Track Your Cycle and Understand PCOS Ovulation Symptoms

Since ovulation may not occur regularly with PCOS, identifying ovulation signs becomes essential. Common PCOS ovulation symptoms include:

  • Light cramping or pain in the lower abdomen 
  • There may be more cervical mucus present. 
  • Slight elevation of the basal body temperature.
  • Tenderness of the breasts. 
  • Heightened libido or sense of smell.

Some common methods of tracking ovulation include basal body temperature, ovulation predictor kits, or apps that track menstrual cycles. The results of ovulation predictor kits can sometimes be unreliable for women with PCOS, with higher LH levels, but tracking with different methods in combination could yield better results. 

2. Keep a PCOS-friendly Diet

There is a direct relationship between food and its effect on hormonal status. A low-glycemic, anti-inflammatory, and balanced diet should greatly help in increasing insulin sensitivity and regulating hormones. 

Key dietary pointers are: 

  • Whole foods stressed: vegetables, fruits, lean proteins, legumes, and whole grains. 
  • Refined carbohydrates and sugars should be avoided. 
  • Healthy fats should be included: these come from avocados, nuts, olive oil, and fatty fish. 
  • Cinnamon, turmeric, and other spices that are alleged to be PCOS-friendly may assist in blood sugar regulation. 

3. Regular Exercise

Moderate exercise can improve insulin sensitivity and enhance hormonal balance. No need to push yourself — even 30 to 45 minutes of walking, yoga, swimming, or resistance training 4 to 5 days a week can make a big difference. 

4. Maintain an Ideal Weight

A weight reduction of at least 5-10% can normalize the monthly cycle and subsequently revive ovulation. Weight reduction will drastically help your natural conception with PCOS by re-establishing the hormonal equilibrium and easing insulin resistance.

Essential Reading: Things To Consider Before You Plan Your Pregnancy

Natural Supplements to Boost Fertility With PCOS

Some women have reported success with these supplements when combined with lifestyle changes. Any new regimen requires a doctor's consultation. Common ones include: 

1. Inositols (Myo-Inositol & D-Chiro-Inositol): 

These supplements help with insulin regulation and support ovulation. By mimicking insulin in the body, they also have been suggested for improving egg quality and frequency of ovulation. 

2. Vitamin D: 

Deficiencies in Vitamin D are very common in women with PCOS. Supplementation can induce a regular menstrual cycle and promote fertility. 

3. Omega-3 Fatty Acids

These may also help reduce inflammation and perhaps help with hormone balancing and regulating cycles. 

4. NAC (N-acetylcysteine)

As an antioxidant, it can support ovulation and improve egg quality in women with PCOS.

Tips to Increase Fertility With PCOS

Alongside dietary measures and supplements, these are some lifestyle tips that can boost your fertility:

1. Stress Management

Excessive production of cortisol inhibits hormone production and ovulation. Seek meditation, journaling, therapy, or gentle yoga to effectively relieve stress.

2. Get Enough Sleep

Insulin sensitivity and reproductive hormones are a function of sleep. Sleep should be about 7-8 hours of good quality every night.

3. Endocrine Disruptor Avoidance 

Minimize exposure to plastics, synthetic fragrance, and parabens as these disrupt hormones and may worsen the PCOS symptoms.

4. Limit Caffeine and Alcohol 

Both are known to influence hormone levels and ovulation. Limit coffee intake to only a cup daily and alcohol consumption. 

How long does it take to get pregnant with PCOS? 

There is no common answer, since it all depends on the individual's factors, such as age, lifestyle, and the severity of her PCOS. A woman who makes lifestyle changes may conceive in a few months; but for some, it could take a year or even longer.

On average:

  • Women with regular cycles could become pregnant in 6–12 months. 
  • In the case of irregular cycles or anovulation, pregnancy may take longer — perhaps 12–24 months — or may require assistance. 

Acting and waiting are skills that assist. Track progress and be sure to maintain healthy habits, visiting a fertility specialist if you have not conceived within much time (or 6 months if over 35 years old).

When to Seek Medical Help

While a good number of women with PCOS are able to conceive naturally, some may do so with the assistance of medical help. If any of the following occurs, please see your gynecologist or reproductive endocrinologist:

  • For 3 or more months, you have not had a period
  • For 6-12 months, you have not conceived while actively trying
  • If you are over 35, and trying for more than 6 months
  • If you are having debilitating pain and extremely irregular cycles with heavy bleeding.

Clomid, Letrozole, and Metformin are some of the medical options that may be used to enhance ovulation. However, in case you are comfortable with going the natural route for a while-that could be a good approach, especially if your cycles are somewhat regular, and you are doing some ovulation tracking.

Emotional Health During TTC With PCOS

TTC with PCOS can be emotionally draining due to the uncertainty of irregular cycles. Ways to nourish your emotional well-being include:

  • Joining support circles for PCOS or infertility.
  • Stay connected with your partner without the pressure of intimacy.
  • Mindfulness on days when hope feels low.
  • Celebrate the small things like spotting ovulation signs or having your cycle come on regularly.

You, too, are not alone in this journey-women like you face this hurdle, and many of them go on to have a happy and healthy pregnancy.

You may also like: What Causes Spotting During Pregnancy?

Final Thoughts: Yes, You Can Get Pregnant With PCOS Naturally

Although PCOS can complicate conception, it doesn’t make it impossible. With the right approach — tracking ovulation, adjusting your diet, moving your body, and managing stress — you can optimize your fertility and increase your chances of conceiving naturally.

If you're wondering how to get pregnant with PCOS, remember: consistency is more powerful than perfection. Give your body the support it needs, trust the process, and know that progress (even if slow) is still progress.

This content was created by AI