How does PCOS affect pregnancy and what are the associated risks?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Polycystic ovary syndrome (PCOS) can make it harder to get pregnant because it often disrupts ovulation. Women with PCOS also face a higher risk of pregnancy complications, including gestational diabetes, high blood pressure, preeclampsia, and preterm birth.

If you're experiencing irregular periods, difficulty conceiving, or other symptoms that concern you, understanding the cause is the critical first step toward effective treatment and a healthy pregnancy. Take a free, instant, online symptom check to get personalized insights into what may be going on and clear guidance on your next steps.

Reviewed for medical accuracy: 07/14/2026

Important Next Steps

Discover if PCOS affects pregnancy health See if PCOS raises pregnancy risks Learn what PCOS symptoms mean now Find OTC options for PCOS symptoms Find a doctor for PCOS care Discover medically valid PCOS home remedies Find out if PCOS needs care

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Explanation

Polycystic Ovary Syndrome (PCOS) can affect pregnancy in several ways. Women with PCOS may have a harder time getting pregnant due to irregular ovulation. Once pregnant, they may face a higher risk of complications.

Risks Associated with PCOS in Pregnancy:

Gestational Diabetes: Women with PCOS are more likely to develop diabetes during pregnancy.
High Blood Pressure: There is a higher chance of developing high blood pressure
Preterm Birth: Babies may be born earlier than expected.
Miscarriage: The risk of miscarriage is higher in women with PCOS.

Managing these risks often involves working closely with healthcare providers to monitor health and manage symptoms. If you're experiencing symptoms or want to better understand your health concerns, try our free AI symptom checker to help guide your next steps. This may include lifestyle changes, medications, and regular check-ups to ensure a healthy pregnancy.

(References)

Boomsma CM, Fauser BC, & Macklon NS. (2008). Pregnancy complications in women with polycystic ovary .... Seminars in reproductive medicine, 18181085.
Bahri Khomami M, Shorakae S, Hashemi S, Harrison CL, Piltonen TT, Romualdi D, et al. (2024). Systematic review and meta-analysis of pregnancy .... Nature communications, 38965226.
Boomsma CM, Eijkemans MJ, Hughes EG, Visser GH, Fauser BC, & Macklon NS. (2006). A meta-analysis of pregnancy outcomes in women with .... Human reproduction update, 16891296.

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