Blog
May 21, 2026
Being diagnosed with a medical condition while hoping to start a family can feel overwhelming. Polycystic ovary syndrome (PCOS) is one of the most common hormonal conditions affecting fertility, and it is estimated to affect around 10–15% of women of reproductive age.
If you have been diagnosed with Polycystic Ovary Syndrome (PCOS) or suspect you may have the condition, it is vital to understand that a diagnosis does not equate to infertility. While PCOS is a common cause of ovulatory dysfunction, it is a manageable condition rather than a permanent barrier to conception.
At Ovumia, we support women with PCOS every day and tailor treatment plans that respect each individual situation, combining medical expertise with a patient‑centred approach.
PCOS is a hormonal disorder that most commonly affects fertility through ovulation disorders (anovulation or irregular ovulation). In a normal menstrual cycle, the ovaries release one egg each month. In PCOS, hormonal imbalances can interfere with this process, causing ovulation to occur infrequently or not at all.
PCOS is diagnosed when at least two of the following three criteria are present:
Irregular, prolonged menstrual cycles or absent periods
Elevated levels of androgens (so‑called “male hormones”), which may cause symptoms such as increased facial or body hair, acne, or hair thinning
Polycystic ovaries visible on a gynecological ultrasound.
Lifestyle factors often play a role in managing PCOS, particularly when it comes to ovulation. Around half of women with PCOS are overweight, and excess weight can worsen insulin resistance and hormonal imbalance, making ovulation less regular.
Even so, extreme diets are neither necessary nor recommended. Research shows that a moderate weight reduction of around 5–10% can be enough to restore more regular menstrual cycles and improve natural ovulation in some women.
Ovumia recommends focusing on a balanced, sustainable diet, regular physical activity, and overall wellbeing rather than strict or restrictive approaches. Lifestyle guidance is always adapted to the individual and considered as one part of a broader fertility plan.
If pregnancy does not occur naturally, effective fertility treatments are available—and in most cases, treatment can begin with simple methods.
Ovulation induction (medical treatment): The first-line medical treatment for PCOS-related infertility is typically ovulation induction using tablet medication, most commonly letrozole. This treatment aims to stimulate the ovaries to release an egg. During ovulation induction, follicle development is carefully monitored with ultrasound to ensure safety and effectiveness. This approach is sometimes also referred to as follicle stimulation.
Injectable treatments and insemination: If tablet treatment does not produce sufficient response, injectable gonadotropins may be used to support egg maturation. When appropriate, treatment can also be combined with insemination (IUI).
In vitro fertilization (IVF): For some patients, or if earlier treatments are unsuccessful, in vitro fertilization (IVF) may be recommended. IVF is a well-established and effective treatment option for women with PCOS and is planned carefully to minimise risks such as ovarian hyperstimulation.
Yes. In the long term, the overall chance of having a child is similar for women with PCOS as for those without it. About half of women with PCOS conceive without medical treatment, although it may take longer.
Diagnosis is based on your medical history, menstrual cycle pattern, gynecological ultrasound findings, and hormone blood tests. Hormonal testing may include androgens and AMH (anti‑Müllerian hormone) to assess ovarian function and rule out other conditions.
A medical evaluation is recommended if your periods are absent, your cycle is consistently longer than 35 days for more than six months, or if you experience a rapid or pronounced increase in hair growth or acne.
If you are concerned about irregular cycles or possible PCOS, a fertility assessment is a good first step. At Ovumia, our doctors take the time to understand your situation, explain your options clearly and create an individual care plan.
You are not alone and with the right support, there are many paths forward.
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