Can You Get Pregnant with PCOS? Here’s What You Need to Know
Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders affecting women of reproductive age. For many, a PCOS diagnosis comes with an urgent question: “Can I still get pregnant?” The answer is encouraging—yes, pregnancy is absolutely possible with PCOS, especially when supported by the right medical team and tailored fertility care.
At Safe Fertility Group PCL, we specialize in helping women with PCOS navigate their path to parenthood with confidence, safety, and science-backed solutions.
What is PCOS?
PCOS, or Polycystic Ovary Syndrome, is a condition where a hormonal imbalance affects ovulation. Women with PCOS often experience irregular menstrual cycles, excess androgen levels (male hormones), and multiple small cysts in the ovaries. This can interfere with natural conception, but with proper management, many women successfully become pregnant.
Common Symptoms of PCOS
- Irregular or absent periods
- Weight gain or difficulty losing weight
- Acne or oily skin
- Excess facial or body hair
- Difficulty ovulating
- Insulin resistance
Can Women with PCOS Still Get Pregnant?
Absolutely—but it requires proper planning and support. Many women with PCOS conceive naturally, while others may benefit from fertility assistance such as IUI, IVF, or ICSI/IVF for PCOS. Early diagnosis and individualized treatment plans can make a significant difference.
Boosting Pregnancy Chances with PCOS
At SAFE Fertility Group PCL, we combine personalized care and cutting-edge reproductive technologies to help women with PCOS conceive safely and successfully. Here are several effective approaches.
1. Lifestyle Modifications
Weight management plays a critical role in restoring ovulation. Losing as little as 5–10% of body weight can significantly improve fertility outcomes. Recommended lifestyle changes include:
- Eating a low-glycemic diet (reducing refined sugars and processed carbs)
- Regular moderate exercise (walking, swimming, cycling)
- Stress management through yoga or mindfulness
2. Hormonal Evaluation and Ovulation Induction
Fertility specialists will assess key hormone levels such as LH, FSH, AMH, and insulin to tailor your treatment. Medications like Clomiphene Citrate or Letrozole may be prescribed to stimulate ovulation in women with PCOS.
3. Assisted Reproductive Technology (ART)
If lifestyle and medication are not enough, ART provides additional pathways to pregnancy:
- IUI (Intrauterine Insemination)
Sperm is placed directly into the uterus around ovulation. Suitable for patients who ovulate but have mild male factors or cervical mucus issues.
- IVF (In Vitro Fertilization) / ICSI (Intracytoplasmic Sperm Injection)
ICSI/IVF for PCOS is particularly recommended for women who experience chronic anovulation, poor response to ovulation induction medications, blocked fallopian tubes, or have had unsuccessful IUI attempts. In this treatment, the ovaries are first stimulated to produce multiple mature eggs. These eggs are then retrieved through a minor surgical procedure and fertilized in the laboratory. To enhance fertilization outcomes, Intracytoplasmic Sperm Injection (ICSI) is often used—where a single healthy sperm is directly injected into each mature egg. Once fertilization occurs, the highest-quality embryos are carefully selected and transferred into the uterus during the optimal implantation window. This approach allows for a highly controlled and personalized fertility plan, especially beneficial for patients with PCOS whose ovulatory patterns are irregular or unpredictable.
Note: Women with PCOS are at a higher risk for Ovarian Hyperstimulation Syndrome (OHSS) during fertility treatments. At SAFE, all stimulation protocols are carefully managed by certified specialists to ensure your safety.
Self-Care Tips for Women with PCOS
Living with PCOS requires mindful daily habits to support hormonal balance and improve fertility outcomes. Here are practical tips to help you take charge of your well-being:
- Prioritize Quality Sleep: Aim for 7–8 hours of restful sleep each night to support hormonal regulation.
- Manage Stress Naturally: Incorporate yoga, meditation, or deep-breathing exercises to reduce cortisol levels and promote emotional balance.
- Stay Hydrated: Drink plenty of water throughout the day and avoid sugary or high-calorie drinks that may worsen insulin resistance.
- Routine Health Check-ups: Regular visits to a fertility specialist or gynecologist help monitor your condition and adjust treatment plans proactively.
Article by Nujaree Leelasuwattanakul, M.D. (Dr.Kung)
Obstetrician and Gynecologist Subspecialty in Reproductive Medicine, SAFE Fertility Group Khon Kaen Branch

Why Choose SAFE Fertility Group PCL?
At Safe Fertility Group PCL, we understand the emotional and physical challenges that come with PCOS and infertility. That’s why we provide:
- Internationally accredited care (RTAC certified)
- Multilingual personal assistants for seamless support
- Expert medical team with over 18 years of experience and a high IVF success rate
- State-of-the-art fertility technology including in-house genetic labs
With five convenient locations across Thailand—including Bangkok, Phuket, and Khon Kaen—we are proud to serve both Thai and international patients seeking world-class fertility care.
Not ready to start a family just yet? Women with PCOS often have a unique advantage when it comes to preserving fertility. Learn more about how PCOS affects egg quantity and egg freezing results to plan your future timeline
Reference
- King Chulalongkorn Memorial Hospital, Thai Red Cross society.PCOS.
https://kcmh.chulalongkornhospital.go.th/line/polycystic-ovary-syndrome-pcos-a-dangerous-condition-that-should-not-be-overlooked/ - American College of Obstetricians and Gynecologists (ACOG). PCOS and fertility.
https://www.acog.org/womens-health/faqs/polycystic-ovary-syndrome-pcos - National Institutes of Health (NIH). PCOS and reproductive health.
https://www.nichd.nih.gov/health/topics/pcos