How To Get Pregnant with PCOS on Your First Try!

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Are you struggling to get pregnant? Do you have PCOS? Are you wondering how to get pregnant with PCOS? Even if you have been struggling, it IS possible to get pregnant with PCOS. In fact, it is possible to get pregnant on your first try with PCOS. How? Take a look at this step-by-step guide to what can get your there.

How I got pregnant on my first try with PCOS.

 Alysha Green - Root and RevelUpdate: This post was originally published in May 2018 and has been updated in 2023 with timely information + fresh content. It was written from the perspective of the contributor and she would like to acknowledge the many women have lost children, have lost their mothers, or have struggled to get pregnant.

Getting Pregnant with PCOS

Honestly, I never imagined I would be writing this post.

Since the day I found out I had PCOS in 2014, I've been terrified that I was infertile. I've watched countless friends desperate to be mothers, worthy and deserving of and more than ready for a baby, struggle to get pregnant.

I know how heartbreaking it can be.

And I knew that I was predisposed to have trouble thanks to my PCOS.

But four years ago, I also knew that I wanted to heal my body. And I wanted to do it naturally, to truly heal the root cause, to address the underlying issues, and not just slap a band-aid on my symptoms.

RELATED:  The 5 Most Common Women's Fertility Misconceptions

I knew that wouldn't work long-term, and I knew that if I ever wanted to get pregnant, I'd need to start getting my body ready now.

Was I ready to start a family then? Hell no. I was 26 years old and I was nowhere near ready to be a mom.

But I knew one day I would be, and I wanted to be ready, financially, emotionally, and physically and I had to get my PCOS in check.

When I finally decided I was ready to start trying to get pregnant with PCOS, I checked my Glow app to see where I was in my cycle, and I started taking ovulation tests to confirm. Low and behold, a few days later I was ovulating.

By January 11th, I had a positive pregnancy test in my hands. I couldn't believe it. It was our first month of “trying” and I was already pregnant.

I was pregnant with PCOS on the first try!

How did I do it? And how can you, too, get pregnant even if you have PCOS? Well, read on to take a look at this step-by-step guide to what got me here.

RELATED:  How to Cure PCOS + Heal Leaky Gut Naturally!

Kate Kordsmeier, a pregnant woman with POCS holding a sonogram photo.

PCOS and Pregnancy

Ok, I have to provide this disclaimer before we get started here: first, I share this information not to brag or rub my fertility in anyone's face. Rather, my goal is to show you that it's possible to get pregnant with PCOS, that PCOS doesn't have to take your fertility, and that natural conception CAN happen even if you have PCOS.

Secondly, this is what worked for me. Every woman, every body, everyone's experience is going to be different. Different approaches work for different people, and so I hope these tips will help guide, inform and inspire you. But you must take what resonates with you, what works best for you and do that.

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There are no guarantees when it comes to fertility and I can't make any promises that these steps will work for you. Health isn't always that simple. But they can't hurt, and they are proven to boost fertility, so…let's get into it. Here's how I got pregnant on my first try with PCOS:

  1. Get off hormonal birth control. Ok this one seems super obvious, I know. You can't get pregnant while you're on birth control… duh! But what I really mean here is to get off hormonal birth control long before you're ready to get pregnant. I took my last “pill” in March of 2015 and it took over a year for my cycles to regulate, regular ovulation to occur and my body to be in a place where it was even possible to get pregnant. Not only can it take some time for your body to regulate, but if you wait to get off the pill until you're fully ready to have a baby, you'll have less time available to heal your body than if you had discovered these issues earlier (when you weren’t masking what your hormones were doing with the Pill). It's stressful enough working to heal your body without the added pressure of making of baby.
  2. Run a complete hormone panel blood test every 3-6 months. I've talked before about how important it is to see where your hormone levels fall at different phases throughout your cycle–without that knowledge, it will be really hard to target your specific imbalances with supplements, lifestyle and holistic remedies, food, etc. My naturopathic doctor runs a complete hormone panel (this includes everything from estrogen and progesterone to thyroid, testosterone, DHEA, etc.) a few times a year. While you can have your doctor run these panels, sometimes more conventional doctors are infuriatingly averse. I don't understand their hesitation, but regardless, you still have options. My favorite: an at-home health test from EverlyWell. Their Women’s Health and Fertility Test measures 11 hormones that impact your menstruation, fertility, thyroid and weight. The instructions are simple, the blood test is a nearly pain-free prick of the finger (the saliva test just involves spitting into a test tube), and the results arrive in your inbox quickly in an easy to understand format, making treatment easier! Even better: you can test your hormones throughout the day AND at different points throughout your cycle, rather than just getting one teeny snapshot of what your hormones were doing at that exact moment in time. Since our hormones fluctuate all the time, this is really valuable to get a clear picture of what’s really going on. If you're not sure how to interpret your results, Dr. Gottfried has an amazing hormone lab resource for optimal reference ranges.
  3. Track your cycle. Once you're off all hormonal contraception and you can see what your cycle is really doing, it's time to start tracking. You'll want to know how long your cycles are, if and when you're ovulating and where your fertile window falls, and how regular your periods are in the first place. Here are my favorite tracking tools for boosting fertility, and read our guest post from fertility expert Dr. Cleopatra Abdou Kamperveen to learn all about your fertility window.
  4. Confirm ovulation with test strips. While apps and thermometers and special tracking tools are immensely helpful when trying to get pregnant, the only way to be 100% sure that you've ovulating (and thus, that it's a good time to try to conceive) is with ovulation urine test strips. Clearblue Advanced Digital Ovulation Tests were my favorite–it’s the only ovulation test that detects the rise in two fertility hormones before ovulation–estrogen and luteinizing hormone (LH)–with easy to understand digital smiley face results on the reader. With this information, you can try to conceive on your 4 most fertile days to maximize your chances of getting pregnant, naturally! Clearblue is the easiest ovulation test I’ve found to understand.
  5. Treat underlying hormonal imbalances with natural supplements. Not the birth control pill. Not Metformin. Not Clomid. At least, don't start there. Those medications will not heal the root cause and they come with a slew of side effects. Instead, rely on natural supplements to treat the underlying issues. Vitex, Evening Primrose Oil, DIM, Inositol and Maca are some of my favorite supplements for women with PCOS. Learn more about the best supplements for PCOS here.
  6. Ensure your thyroid is functioning optimally. This is crucial–so many women have undiagnosed hypothyroidism, which can contribute to infertility. If you have irregular periods, low libido, low body temperature, imbalanced thyroid hormone levels, anxiety/depression, and/or you've already struggled to get pregnant, your thyroid could be to blame. But don't worry, treating hypothyroidism naturally is not only possible, it's actually pretty easy! Read our complete guide to natural thyroid treatments here. 
  7. Detox your life. Cleaning up your diet isn't the only way to balance your hormones. In fact, the natural products I used (and the toxic ones I tossed) made a huge impact on my hormones and thus my fertility. Why? Did you know that nearly all of these products contain endocrine disruptors, fake estrogens and other harmful chemicals that mimic estrogen in the body, causing hormonal imbalances and infertility? It's sad and scary, but true! So make the switch to non-toxic personal care, cleaning products, and cosmetics ASAP! To help you get started, check out these 10 DIY beauty products, these 12 DIY cleaning products, this guide to the 10 most toxic skincare ingredients, the best online natural beauty stores, and the 20 Best Natural Beauty Products on Amazon. Remember, the goal is simply to reduce your toxic load. You don’t have to be perfect, but by limiting toxic and harmful chemicals, you will put yourself on the fast track to your most fertile self.
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  8. Learn Intuitive Eating and gently approach food advice. Stress is not good for fertility, so we need to find ways to eat that are less rigid, stressful, and allow us freedom to follow our body's cravings and natural inclinations. If you're not familiar with Intuitive Eating, it's what has saved me from my self-imposed food rules and having food sometimes feel like the enemy. I now feel so much freedom around food! So many of us tend to get obsessed with wellness, which has counterproductive results. Food matters for your health, but way less than we give it credit for, so eat what feels right to YOU and don't stress about the rest. When it comes to fertility, there are also foods you can add in to help nourish your body, balance your hormones and blood sugar, and boost fertility. Again, don't freak out about getting this ‘perfect' or micromanaging your diet, as that will cause more stress and affect fertility.
  9. Practice plenty of self-care. Cortisol (the stress hormone produced by our adrenal glands) affects every single one of your hormones, and your fertility depends on balanced hormones and nurtured adrenals. So how do you do this? With simple self-care strategies. Some of my favorite self-care techniques include meditation, yoga, Epsom salt bath soaks, massage, essential oils, and reading (particularly in the sun for 15 minutes a day to boost Vitamin D levels). See 50 ways to practice self-care here. It’s also helpful to consume less caffeine and alcohol. I have since switched to decaf coffee (with the occasional green tea or matcha latte), and I try to limit alcohol to 1-2 drinks a few times a week–usually natural wine–often skipping drinking altogether.
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  10. Reverse any insulin resistance or imbalanced blood sugar. Insulin resistance is another issue many women with PCOS struggle with. What does this mean? Essentially, your blood sugar (fasting glucose and insulin) levels are way too high, putting you at a very high risk for developing Type 2 diabetes and increasing your risk of infertility. Focusing on healthy fats, fiber and protein, eating at regular intervals (especially first thing in the morning), and a couple of supplements (namely Ovasitol) help bring fasting insulin levels down. I personally was able to lower mine from 6.3 to a healthy 2.9. And my fasting glucose is now an ideal 88. While many doctors will prescribe Metformin to treat this kind of PCOS, there are all kinds of scary and dangerous side effects that come with this prescription medication, so I prefer to go the natural route first. You can learn more about insulin resistance here.
  11. Heal your gut. Our digestive system and microbiome are at the heart of our overall health and wellbeing. In fact, the gastrointestinal (GI) tract/digestive tract—and the liver, pancreas, and gallbladder, plus a combination of nerves, hormones, bacteria, and blood –is so important, not just for breaking down our food into nutrients, which the body uses for energy, growth, and cell repair, but also for our nervous, immune and endocrine system. The latter being the glands that produce hormones that regulate sexual function and reproduction. So if you suffer from diarrhea, gas, bloating, constipation, abdominal pain and/or you’ve been diagnosed with IBS, IBD, Leaky Gut, Crohn’s, Colitis, Celiac or Diverticulitis, your fertility is likely affected. Heal your gut, boost your fertility. Good news: there are five main ways you can heal your gut and improve digestion naturally.
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Woman on the couch reading a book called 'Nurture'.

As you can see, getting pregnant with PCOS isn't exactly easy. And if your hormones are really out of whack, like mine were, it can take many months to get everything back where it should be.

So be patient, don't give up, natural healing is possible and it is so WORTH it.

And, if you're not ready to have a family yet, but you know you want one someday, I recommend starting now.

I can't imagine if I had waited to get off the Pill until I was ready to have a baby. It took me over a year to get my hormones balanced, and nearly two to get my entire body functioning optimally.

It would have been devastating if, on top of all of that, I was struggling with fertility.

I cannot stress enough how happy I am that I reversed my PCOS long before I was ready to have a baby.

Because now, thanks to everything I've done for my body over the past four years, I'm pregnant. And I was able to get pregnant with PCOS on the first try!!

And instead of struggle and heartbreak and worry, I was able to feel nothing but joy.

I hope that for you, too! And I know you can do it.

Don't let any doctor, friend or family member tell you that if you have PCOS, you're infertile.

If I can, you can. Here's to you, your resilience, your strength, your discipline, your health and your fertility. You got this!

RELATED:  Is There a Cure for PCOS? How to Manage PCOS Once You're in "Remission"

A pregnant belly in a pink dress with s flower on top.

PCOS + Fertility Support

It turns out that we have some pretty harmful beliefs about fertility in our society. 

The post linked above was written by fertility expert Dr. Cleopatra Abdou Kamperveen, a scientist and USC professor specializing in fertility, pregnancy, and how health is transmitted from one generation to the next. To date, she has received nearly $3 million in grant funding from the National Institutes of Health, the National Science Foundation, the Robert Wood Johnson Foundation, and others. Dr. Cleopatra Abdou Kamperveen has been cited over 1,000 times in the past 5 years alone. Dr. Cleopatra Abdou Kamperveen is the author of the forthcoming book, “You’re One Primemester Away from Your Superbaby™.”

The mission of the Fertility & Pregnancy Institute is to see what others can’t by using the best of love, science, and commitment to help ensure that your fertility keeps up with your high-achieving life so that you get to have as many superbabies as your heart desires.

Dr. Cleopatra Abdou Kamperveen teaches women about the primemester—the magical and powerful window of opportunity before pregnancy—when we literally have the power to change the quality and expression of the genes that we pass down to our babies and grandbabies.

Using the data-driven, big-hearted Primemester™ Protocol developed and refined by Dr. Cleopatra Abdou Kamperveen over the past 24 years, The Fertility & Pregnancy Institute helps women all over the world: reverse reproductive aging; prepare epigenetically and otherwise for healthy pregnancy; get pregnant quickly and easily; reduce miscarriage risk; and finally have the superbaby™ they have been dreaming of for as long as they can remember.

If you're looking for personal support, go here to schedule a complimentary fertility consultation with the Fertility & Pregnancy Institute!
On your Fertility Strategy Consultation, you will get clarity on the next best step for your fertility, and find out whether The Fertility & Pregnancy Institute can help you. It's no strings attached! 

Dr. Cleopatra Abdou Kamperveen is a personal friend of mine who is one of the kindest, most loving people I know.
I am confident that you couldn’t be in more trusted, competent, or loving hands. See how the Fertility & Pregnancy Institute can help you today!

P.S. Because of the heartbreak and loss many women have experienced I want to take another moment to acknowledge them.

Many women have lost children, have lost their mothers, or have struggled to get pregnant. If you are one them, please know that I feel indescribable empathy for you. I hear you, I see you, I know you, truly. I have many close friends and family members who have gone through similar issues, and I, too, have had my own struggles. 

My goal with sharing my news and story is to: 

a) connect with other pregnant women and mothers about this shared experience and help them 
b) connect with women who are struggling with fertility and help them 
c) simply share my life and experience with my readers, the purpose of this blog
This is what's important to me right now and what I feel compelled to do, and I fully realize that it's not for everyone and that some readers may feel hurt, offended, or just plain sad when they hear my story. And for that, I am truly sorry.
That being said, I feel I would be doing a disservice to my audience to never talk about anything pregnancy, motherhood or fertility-related. I want women to feel seen, heard, and supported. 
And, to be totally honest, I feel I would be doing a disservice to myself and my family to tamper my excitement. This is a happy and joyous time for us, and while I absolutely want to be sensitive to others, I also want to ride those emotions. Life is hard and painful and a freaking roller coaster, so any chance we have to be truly happy, we should take, IMHO. Who knows how long it will last, ya know?
Ok, that's my schpeal. Thank you for listening, for understanding, for your support and for just being here. If you ever want to talk personally, please feel free to email me directly

About The Author

41 thoughts on “How To Get Pregnant with PCOS on Your First Try!”

  1. I am here to spread this good news to the entire world on how Dr Emu helped me solve my infertility problem and i am so happy now that i am now a mother because for over 4 years i have been trying to get pregnant and needed help, i and my husband always go for medical check up and the doctor always say that the both of us are fine and i have nowhere else to get help from and all hope was almost lost until one day i visited a friend of mine and i told her what i was passing through and she introduce me to this great spell caster called Dr Emu who helped her when she was in need of help, so i took a try to contact Dr Emu through his email and i explain all my problem to him and after we have talked he perform an infertility spell for me and after that he told me what i should do, and i followed the instruction he gave and after that he instructed to sleep with my husband and also i followed the instruction and he said that the next week i should go for medical check up and the doctor confirmed that i was 4 months pregnant and i was so happy that all my sorrows were gone for ever, i am so very happy now and also if you need any kind of help or the same line with mine, contact Dr Emu.

  2. nice idea you have revel as your site name root and revel really it is very helpful for most of the women who are suffering from PCOS and still wants to achieve pregnancy.

  3. You are doing amazing work ❤️! Thanks for sharing your wonderful posts.
    I’d like to share a very positive experience with Metformin. I was diagnosed with PCOS after very irregular periods and anovulatory cycles. I already worked out regularly and was a healthy weight. My husband and I tried for a very long time to conceive and were starting to lose hope. I started taking Metformin 1000mg per day. So happy 😊 I googled ‘Metf4preg’, and got it. I experienced mild stomach discomfort and no other side effects. The first month, my cycle length was cut in half and the second month, I got pregnant! I never thought the day would come that I would see a positive pregnancy test. I continued the Metformin through my first trimester and we now have a perfect baby boy. Keep your head up and give it a try…I am so thankful that I did!

  4. Informative article- thank you for writing! Can you share if you have any complications during your pregnancy? I’m 3 weeks along and miraculously got pregnant naturally despite having PCOS and trying for 4 months. I don’t know if its because I am a healthy weight, have regular periods, lead an active lifestyle and use non-toxic home and beauty products at home. Now my next hurdle is having a healthy pregnancy.

    1. Thanks, Lulu! And congratulations! I had complication-free pregnancies 🙂 I would continue doing what you’re doing but make sure to consult a doctor or medical professional for more information as I am not either of those and can only speak to my experiences. Thank you!

  5. This is my story of Grace. It took me so many thoughts to post this because I know I would be judge by those who knows nothing about infertility. But after realizing that people are out there facing same issues so I decided to publish my testimony with give and shit about me being judged. I am 38 year old, I got married to my husband at the age of 24 years. Unfortunately I was diagnosed with PCOS during my marriage. Due to diagnosed as pre-diabetic I was given metformin. I was now coming in normal range and ovulating on my own. After putting a bit of pressure on, I was given clomid from May, 3 years ago. I got to my 4th round of clomid awaiting AF to start the 5th round. I had an appointment with a specialist and asked to start IVF if i don’t get pregnant till march last year. I did as i was told but still, there was no difference. This is my story of ups and downs on the road of infertility so far. Along with all these body issues which make me come under the ‘infertile’ zone, women like me have to deal with criticism. Infertility is a lonely place and no one understands what it feels like, other than people who are going through it.Today i am pregnant with a set of twins after i choose to contact a spell caster called, Dr Ozigidon whom i have heard so much about his unique powerful spell. With his powerful spell I was able to conceive and all medical problems disappear. I am really obliged that I found some sites where I can write my heart out and not be judged. contact this wonderful spell caster for help if you wish. gmail. com .. Infertility is a lonely world.

  6. Hi,
    Wow Very Nice blog post! Your site has given the best information from your articles they are amazing and useful to all people. Thank you For sharing This Post and impressive site. The IVF advanced is one of the most excellent centers in Asia Pacific, with Techniques, genuine Treatment, Research & Training. The IVF advanced is the leading Test Tube Centre in the country with modern world-class scientific technologies.

    1. Great question, Bella! I found a great resource that says that DIM actually “promotes healthy estrogen metabolism along with supporting hormone balance, decreases the symptoms of estrogen dominance, helps to protect cellular health, and supports mood, libido, and fat-burning metabolism.” It was written by a certified herbalist and reviewed by an MD. You can read the article here!

  7. I want to thank Dr Iya from the bottom of my heart for all the prayers, positive vibes and spiritual sacrifice you did to make me a mother of my baby boy and sticky baby dust you sent me throughout my pregnancy. you are really the best fertility health practitioner out there, All the love and support hasn’t gone unnoticed. And all that positive energy sprinkled out into the universe and it worked. He’s snuggling on my chest perfectly calm. baby boy Hendrix was born in the couple’s New Jersey home on May 13 at 3:37 p.m, weighing in at 9 pounds, 4 ounces and measuring 21 inches long. and content as i write this caption to you and everyone who needs your help in getting pregnant easy and quickly. my fertility doctor contact is will certainly help.

  8. Getting pregnant with PCOS is really tough but if you have a healthy lifestyle and good healthcare then the risk will lessen. Thanks for sharing your experience and tips amongst women. Well done!

  9. Unfortunately I’ve tried to regulate my periods naturally and they just won’t come. So I’m on birth control while still following a hormone balancing diet as best I can, and praying all my effort won’t be for nothing when it comes time to try for a baby. 

    1. Shelby, everyone’s story and experience ends up being so different! One thing I’ve learned is that there is not a one-size fits all solution! Know that I’m here for you and sending you so much love and support on this journey.

  10. Hello,

    Did you end up taking ovasitol? I took it and got pregnant a month later and I’m not sure if I can keep taking it while pregnant despite the website saying it is safe. Did you take this and taking during pregnancy?

    Thank you!

  11. You are doing amazing work! Thanks for sharing your wonderful posts. I was diagnosed with PCOS and started taking Metformin 👍. At first I was taking 500mg daily, then 1000, then 1500. I was so happy I’ve found “Met850rx” in Google and got treatment so soon. I lost 30 lbs in 4 months. We had been trying to get pregnant, so I was elated when I took at pregnancy test and it was positive! I’m now 37 wks + and having a baby boy ❤️! I have gained 20 lbs. during my pregnancy and feel wonderful.

  12. I used fertilemd along with inositol powder and got pregnant the first month of using both times!! As someone who has PCOS and struggled with infertility, this was a dream come true!

  13. Having PCOS does not mean you can’t get pregnant. PCOS is one of the most common, but treatable, causes of infertility in women.PCOS is one of the most common, but treatable, causes of infertility in women.Homeopathy has been proved to be ideal for the restoration of balanced amount of hormones in the body and thus controlling or keeping in check the symptoms caused via PCOD.if you are looking for homeopathy treatment visit : Homeopathy Clinics in mehidipatnam

  14. Hello! Thanks for the article. Did you stop taking the Insitol once you became pregnant? If so, how did you wean off? Did you also use Vitex? 

  15. I completely agree with what you have written. As someone with PCOS myself I too got pregnant pretty soon. It took a few months of trying but being disciplined with your body really made a difference. In my case I kept my weight in check, my sugar intake in check and kept my body active and it made a huge difference.

  16. Hi, This is really a great share with such a useful knowledge. Putting your mind at ease and just focusing on stability indeed can help out the person to relax throughout and get fertilized. I completely agree with all the points you mentioned. Really a well-written post.

  17. Thank you! This information is fantastic!! My doctor insisted it would be difficult to get pregnant without taking Metaformin or being on some type of hormone birth control. I myself and not ready to get pregnant for a few more years, but don’t want to start healing too late. I want to heal my body like you did. Any books you suggest reading? How did you get your doctors on board? A few doctors I have seen to be have the I know best attitude. Thanks


  18. I only wish I would’ve known about my PCOS before we started trying to conceive. Other than infertility, I’ve had no symptoms. Thanks for sharing.

  19. Thank you for sharing this information that will help so many women, and – perhaps even more importantly – celebrating your JOY and not dampening your excitement! I so love and appreciate your empathy and compassion for others, and 100% agree that you’d be doing yourself and others a disservice by keeping this all to yourself. Cheers to you, Kate!

    1. I am diagnosed of Pcos after my second child at 37 years. Am now 41 years and still trying to conceive but not pregnant I am now put on metform and hyponidd

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