Having PCOS doesn't mean you can't have a baby, but it can make it harder

PCOS affects up to 13% of women of reproductive age but a significant proportion remain undiagnosed. Once it is detected, some doctors may focus only on managing the most visible symptoms but neglect the risk to fertility. Dr Elle Robson has extensive training in both gynaecology and fertility, taking a holistic approach to managing all your PCOS symptoms and complications.

How PCOS affects your fertility

Polycystic ovary syndrome is a hormonal disorder caused by elevated androgens, a hormone normally found at higher levels in men. This hormonal imbalance interferes with the development and release of eggs from your ovaries, potentially making it difficult to conceive.

The symptoms of PCOS can differ from woman to woman. Some common signs and symptoms include:

  • The presence of cysts on the ovaries
  • Irregular or absent menstrual periods
  • Abnormal hair growth, particularly on the face
  • Weight gain and obesity

PCOS is also associated with anxiety and depression, as well as insulin resistance and diabetes.

Fertility treatments if you have PCOS

A gynaecologist can make a PCOS diagnosis through taking your medical history, ordering a blood test, or detecting cysts on your ovaries with an ultrasound scan.

Many women with PCOS are still able to fall pregnant naturally. If you are taking some time to conceive, you can naturally improve your chances by:

  • Maintaining a healthy body weight through a balanced diet and regular physical activity, which can help to regulate ovulation
  • Tracking your ovulation to ensure you’re timing intercourse during your fertile window

Learn more about preconception health

If natural methods of increasing your fertility are unsuccessful, there are a number of PCOS fertility treatments available.

  • Ovulation induction stimulates your ovaries to promote the growth and release of eggs, which may then be fertilised during intercourse or with intrauterine insemination (IUI)
  • In vitro fertilisation (IVF)

Learn more about IVF and other assisted reproductive technologies

FAQs

I have been told I have PCOS, does that mean I need IVF?

Not necessarily. Some women with PCOS will end up having IVF. However, the vast majority will respond very well to lifestyle modification or simple oral medications to help regulate ovulation.

What long term monitoring do I need to have if I have PCOS?

PCOS has impacts on fertility, but it also can have impacts on overall health. It is important that your GP is doing an annual screen and checking things like your blood pressure, cholesterol, and glucose levels.

I came off the oral contraceptive pill and never got a period, is this normal?

This can be quite common in women with an underlying ovulatory problem or PCOS. It is important to see a specialist in this circumstance and have a series of tests to determine the underlying cause. We can commonly help initiate and sustain a menstrual cycle.

Book an appointment

Dr Danielle Robson, fertility specialist, consults at three locations across Sydney: the CBD, Chatswood, and Manly. A referral from a general practitioner is required for all initial appointments.

Book today by calling 1300 330 279 or click the button below.