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Published on: 7/14/2026

How does Polycystic Ovary Syndrome affect fertility, and what treatments are available?

Yoshinori Abe

Reviewed by Yoshinori Abe, MD

Internal Medicine

Polycystic Ovary Syndrome (PCOS) is one of the most common causes of infertility in women, primarily because it disrupts ovulation. The good news: PCOS-related infertility is often treatable. Key options include:

  • Lifestyle changes: Even modest weight loss, a balanced diet, and regular exercise can restore ovulation.
  • Medications: Drugs like letrozole, clomiphene, or metformin help stimulate ovulation and regulate hormones.
  • Assisted reproduction: IVF or gonadotropin injections may be recommended if oral medications don't work.
  • Surgery: Ovarian drilling is a less common option for select cases.

Because PCOS symptoms overlap with many other conditions, identifying it early is essential to protecting your fertility. If you're experiencing irregular periods, unexplained weight changes, or difficulty conceiving, don't guess — take a free, instant, online symptom check to better understand your body and get clear guidance on the next steps to take with your doctor.

Reviewed for medical accuracy: 07/14/2026

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Important Next Steps

Discover if PCOS may affect fertilityLearn likely causes of PCOS infertilitySee if your symptoms suggest PCOSFind OTC symptom relief optionsLocate a fertility doctor for PCOSExplore home remedies for PCOS symptomsUnderstand if PCOS could impact pregnancy

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Explanation

Polycystic Ovary Syndrome (PCOS) is a condition that affects a woman's hormone levels, making it harder for her to get pregnant. Women with PCOS may not ovulate regularly, which means their ovaries don't release eggs every month. This can lead to fertility problems. If you're experiencing symptoms that concern you, you can check them with Ubie's free AI symptom checker to better understand what might be happening with your body.

Treatments for PCOS-related infertility include:

  1. Lifestyle Changes: Eating healthy and exercising can help manage PCOS symptoms and improve fertility.

  2. Medications: Doctors may prescribe medications to help with ovulation. These medications can help the ovaries release eggs more regularly.

  3. Surgery: In some cases, a procedure called ovarian drilling might be recommended. This surgery can help improve ovulation.

Each treatment option has its benefits and risks, and what works for one person may not work for another. It's important for those affected to talk to their healthcare provider to find the best treatment plan for them.

(References)

  • Collée J, Mawet M, Tebache L, Nisolle M, & Brichant G. (2021). Polycystic ovarian syndrome and infertility. Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 34338572.

  • Melo AS, Ferriani RA, & Navarro PA. (2015). Treatment of infertility in women with polycystic ovary .... Clinics (Sao Paulo, Brazil), 26602525.

  • Homburg R. (2003). The management of infertility associated with polycystic .... Reproductive biology and endocrinology : RB&E, 14617367.

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