FAQ - PCOS

Frequently Asked Questions (FAQ)

PCOS

Can I get pregnant naturally if I have PCOS?

Yes, many women with PCOS do conceive naturally, particularly if their primary issue is irregular ovulation. However, if you have been trying to conceive for 12 months without success (or 6 months if you are over 35), you should seek a fertility evaluation. Treatment options range from ovulation induction with medication to IVF, depending on your individual situation.

Does IVF work for women with PCOS?

Yes, IVF is highly effective for women with PCOS. In fact, because PCOS often means a higher number of follicles, many PCOS patients respond strongly to ovarian stimulation and produce a good number of eggs. The main consideration is monitoring carefully to avoid Ovarian Hyperstimulation Syndrome (OHSS), which PCOS patients are at higher risk for. A freeze-all strategy — freezing all embryos and transferring in a later cycle — is often used to minimize this risk.

What is Ovarian Hyperstimulation Syndrome (OHSS) and how is it prevented?

OHSS is a complication where the ovaries over-respond to fertility medications, becoming enlarged and causing fluid accumulation in the abdomen. Symptoms range from mild bloating to, in severe cases, significant abdominal pain and breathing difficulty. At Best Life Fertility Centre, we use individualized stimulation protocols, careful monitoring, and a freeze-all approach when needed to minimize the risk of OHSS in susceptible patients.

Does losing weight improve IVF success with PCOS?

Yes. Research shows that losing even 5–10% of body weight in overweight women with PCOS can significantly improve hormonal balance, restore more regular ovulation, and improve response to fertility medications. Your specialist will discuss whether a pre-treatment weight management plan is recommended for your situation.

What is the difference between PCOS and Polycystic Ovaries?

Polycystic ovaries (PCO) refers to the ultrasound appearance of multiple small follicles on the ovaries. PCOS (Polycystic Ovary Syndrome) is a clinical diagnosis requiring at least two of three criteria: irregular periods, elevated androgen levels (or symptoms like excess hair growth), and polycystic ovaries on ultrasound. You can have polycystic-appearing ovaries without having PCOS as a syndrome.