Can I get pregnant with PCOS?
Last updated September 3, 2026.
Yes - most women with PCOS can get pregnant, and the Office on Women's Health calls PCOS a common and treatable cause of infertility. The problem is ovulation: it often does not happen every month. Weight management can restart regular ovulation in women who are overweight, and ovulation-inducing medications like letrozole or clomiphene are the standard first step when that is not enough.
What to do
- See a doctor early. Tell your OB-GYN you are trying; the ovulation conversation starts there, and a specialist referral follows if needed.
- Start with lifestyle if overweight. Modest weight loss can restore ovulation without medication.
- Expect medication to be step one. Letrozole or clomiphene are first-line; injectables and IVF come later only if needed.
- Do not treat PCOS as birth control. Ovulation is unpredictable, not absent - surprise pregnancies happen.
Related questions
- What is PCOS and how is it treated?
- Can I get pregnant during perimenopause?
- Why is my period irregular?
- What is endometriosis and how is it diagnosed?