PCOS and Fertility: How to Improve Chances of Conceiving

August 14, 2025 thepsycho wellness

One of the most prevalent hormonal conditions affecting women of reproductive age is polycystic ovarian syndrome (PCOS), yet little is known about it. For many women, the biggest challenge with PCOS is its effect on fertility. Understanding the condition, its causes, and treatment options can significantly improve your chances of conceiving. This guide explores PCOS in detail, the difference between polycystic ovaries and PCOS, and holistic strategies to manage symptoms while boosting fertility.

Table of Contents

Understanding Polycystic Ovary Syndrome Disease

Polycystic Ovary Syndrome is a hormonal imbalance in which the ovaries produce higher-than-normal levels of androgens (male hormones). This can interfere with ovulation and lead to irregular or absent menstrual cycles. The name “polycystic” refers to the presence of multiple small fluid-filled sacs (follicles) in the ovaries, which can be seen in ultrasound scans. However, not every woman with polycystic ovaries has PCOS.

Polycystic Ovarian Disease Symptoms

Polycystic Ovarian Disease Symptoms can vary, but often include:

Irregular or missed periods
Hirsutism, or excessive facial, chest, or back hair development
Acne and oily skin
Weight gain, especially around the abdomen
Thinning hair or hair loss from the scalp
Difficulty getting pregnant

These symptoms can also impact mental health, leading to anxiety, low self-esteem, and relationship stress — areas where online therapist sessions and relationship counselling can help.

Polycystic Ovary Disease Causes

PCOS’s precise aetiology is uncertain, although contributing variables include:

Insulin resistance: High insulin levels increase androgen production, disrupting ovulation.
Hormonal imbalance: Elevated levels of luteinizing hormone (LH) and androgens affect egg release.
Genetics: PCOS tends to run in families.
Inflammation: Low-grade inflammation in the body can worsen hormonal imbalances.

Difference Between Polycystic Ovaries and PCOS

It’s essential to distinguish between polycystic ovaries and Polycystic Ovarian Disease.

Polycystic ovaries: Ovaries with multiple follicles but without significant hormonal imbalance or symptoms.
PCOS: A syndrome that includes polycystic ovaries plus hormonal imbalances and symptoms like irregular cycles and infertility.

Simply put, having polycystic ovaries does not always mean you have PCOS.

Polycystic Ovarian Disease Pregnancy Challenges

Ovulation is frequently irregular or nonexistent in Polycystic Ovarian Disease, which can make conception challenging. Without the release of a mature egg each cycle, the chances of natural conception drop significantly. Even when ovulation occurs, hormonal imbalances can make it harder for the fertilized egg to implant successfully.

However, with early diagnosis, effective treatment, and lifestyle changes, many women with Polycystic Ovarian Disease go on to have healthy pregnancies.

Polycystic Ovarian Disease Treatment

Treatment for Polycystic Ovarian Disease aims to restore hormonal balance, regulate menstrual cycles, and improve fertility. Options include:

1. Lifestyle Modifications

Exercise and a balanced diet will help you maintain a healthy weight. Ovulation can be improved by losing even 5–10% of body weight.
Include foods that stabilize blood sugar, such as whole grains, lean protein, and vegetables.
Avoid processed sugar and refined carbs to reduce insulin resistance.

2. Medical Treatments

Clomiphene and letrozole are examples of ovulation-inducing drugs that promote the release of eggs.
Metformin to improve insulin sensitivity and regulate cycles.
Hormonal birth control (for non-conception cases) to regulate periods and reduce symptoms.

3. Surgical Options

Ovarian drilling in resistant cases to restore ovulation.

Boosting Fertility with PCOS

If you’re trying to conceive, consider these steps:

Track ovulation: prediction kits or basal body temperature monitoring to monitor ovulation.
Manage stress: High stress can disrupt hormones; online therapy can help.
Seek professional help early: Consulting a therapist in India or a top psychologist in India can address emotional challenges that often accompany infertility.
Get medical guidance: An online psychiatrist consultation can help manage PCOS-related mood disorders.

The Role of Mental Health in PCOS and Fertility

PCOS doesn’t just affect the body — it impacts mental health and relationships too. Many women struggle with anxiety, depression, or relationship issues due to body image concerns and fertility stress.

Counselling for relationships, marriage, or couples can assist spouses in overcoming the psychological effects of infertility.
Online therapist and online psychiatrist services can provide emotional coping strategies and treatment for mood disorders.

TalktoAngel – Accessible Online Counselling for PCOS-Related Challenges

TalktoAngel is a trusted platform offering professional online counselling services with expert psychologists, psychiatrists, and therapists. Women with PCOS can benefit from its accessible, confidential, and supportive environment. Whether you need relationship counselling, help managing anxiety, or guidance from a top psychologist in India, TalktoAngel ensures you get the right mental health support without leaving home.

Psychowellness Center – Best Mental Health Wellness Clinic in Delhi

Psychowellness Center is recognized as one of the best mental health wellness clinics in Delhi, offering comprehensive care for emotional and psychological well-being. With experienced therapists and psychiatrists, the center provides specialized care for women facing PCOS-related stress, infertility anxiety, and relationship challenges. Their patient-centric approach helps improve both mental health and overall quality of life.

Conclusion

Polycystic Ovary Syndrome can be challenging, but it’s not the end of your fertility journey. With early diagnosis, medical treatment, healthy lifestyle changes, and strong emotional support, many women with PCOS successfully conceive and have healthy pregnancies. If PCOS is affecting your emotional well-being or relationship, don’t hesitate to seek help from a qualified therapist in India or connect with a top psychologist in India through TalktoAngel or visit Psychowellness Center for expert in-person care. Your journey to motherhood may require patience and persistence, but with the right support — physically and mentally — your chances of success improve greatly.

References

Cunha, A., & Póvoa, A. M. (2021). Infertility management in women with polycystic ovary syndrome: A review. Porto Biomedical Journal. Retrieved from https://doi.org/10.1097/j.pbj.0000000000000116
Fertility Science & Research. (India). Good clinical practice recommendations on the management of infertility in patients from India with polycystic ovary syndrome. Retrieved from https://fertilityscienceresearch.org/good-clinical-practice-recommendations-on-management-of-infertility-in-patients-from-india-with-pol. May be accessed via the national guidelines database.
Health.com. (2024, October 24). PCOS and Pregnancy: What You Need to Know. Retrieved from https://www.health.com/can-you-get-pregnant-with-pcos-8724234