What Is PCOS

What is PCOS and Why Does It Affect Fertility?

If you’ve been wondering what PCOS is and how it impacts your ability to conceive, you’re not alone. Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders among women of reproductive age, affecting nearly 1 in 10 women worldwide.

PCOS disrupts regular ovulation due to hormonal imbalance, leading to irregular menstrual cycles, excessive androgen levels, and sometimes cysts in the ovaries. These symptoms can make it difficult to get pregnant naturally — but with advances in fertility treatments like IVF, pregnancy is now very much possible.

What Is PCOS? Understanding the Condition

PCOS (Polycystic Ovary Syndrome) is a complex hormonal condition where the ovaries produce higher-than-normal levels of male hormones (androgens). This imbalance interferes with ovulation — the release of an egg each month — making conception difficult.

Common Symptoms of PCOS:

  • Irregular or absent menstrual cycles.
  • Excessive hair growth (hirsutism)
  • Acne and oily skin
  • Weight gain or difficulty losing weight
  • Multiple small cysts in the ovaries (seen on ultrasound) 

Causes of PCOS:

The exact cause isn’t fully understood, but several factors contribute, including:

  • Genetics (family history of PCOS)
  • Insulin resistance
  • Obesity
  • Hormonal imbalances (especially excess LH and testosterone) 

Knowing what PCOS is helps in understanding why many women face infertility and how targeted treatments like IVF can help.

How PCOS Affects Fertility

PCOS affects a woman’s fertility primarily by disrupting ovulation. Without regular ovulation, the egg isn’t released, which means fertilization can’t occur. Additionally, hormonal imbalances can impact egg quality and uterine lining development — further reducing the chance of natural conception.

That’s why many women with PCOS turn to fertility treatments such as IVF (In Vitro Fertilization) when natural methods and medications don’t work.

Can IVF Help Women with PCOS Get Pregnant?

Yes — IVF can significantly increase the chances of pregnancy for women with PCOS. IVF allows fertility specialists to control the ovulation process and select the healthiest eggs and embryos for implantation.

Why IVF Works Well for PCOS Patients:

  1. Controlled Ovulation: IVF medications help regulate and stimulate egg growth.
  2. Better Fertilization: Eggs are fertilized with sperm in a lab, ensuring the best-quality embryos.
  3. Higher Success Rates: PCOS patients often have a strong ovarian reserve, which can lead to more eggs and higher IVF success.
  4. Reduced OHSS Risk: Modern protocols like “freeze-all” minimize ovarian hyperstimulation risks. 

IVF Success Rates in Women with PCOS

Research shows that women with PCOS often respond well to IVF treatments.

  • Under 35 years old: 50–60% success rate per cycle
  • Over 35 years old: 35–45% success rate per cycle 

These numbers vary depending on the woman’s age, body mass index (BMI), hormone levels, and the fertility clinic’s expertise.

IVF Procedure for PCOS Patients: Step by Step

  1. Ovarian Stimulation – Fertility drugs encourage multiple eggs to mature.
  2. Egg Retrieval – Mature eggs are collected from the ovaries.
  3. Fertilization – The eggs are combined with sperm in the lab.
  4. Embryo Culture – Embryos develop for 3–5 days.
  5. Embryo Transfer – The best-quality embryo(s) are transferred to the uterus.
  6. Pregnancy Test – A blood test confirms success around two weeks later. 

Tips to Improve IVF Success in PCOS

  • Maintain a healthy weight before IVF.
  • Eat a low-glycemic, balanced diet to regulate insulin.
  • Take prescribed medications like Metformin if recommended.
  • Manage stress with yoga, meditation, or counseling.
  • Avoid smoking and limit caffeine. 

PCOS and IVF Cost in 2025

  • USA: $12,000–$18,000 per cycle.
  • India: ₹1.5–₹2.5 lakhs per cycle.
  • UK: £5,000–£7,000 per cycle. 

Many clinics, including those specialising in PCOS fertility treatment, offer packages covering medication, scans, and embryo freezing.

Vrinda Fertility: Helping Women with PCOS Achieve Motherhood

If you’re struggling with PCOS and infertility, Vrinda Fertility offers advanced, personalised IVF treatments explicitly designed for PCOS patients. Their team of experienced fertility experts combines cutting-edge technology with compassionate care — helping women with PCOS achieve safe and successful pregnancies.

Conclusion: IVF Brings Hope for Women with PCOS

Now that you know what PCOS is and how it affects fertility, it’s important to remember that infertility doesn’t mean impossibility. IVF treatment offers one of the best chances for women with PCOS to conceive and experience motherhood.

With expert guidance and advanced reproductive technology from trusted fertility centers like Vrinda Fertility, you can overcome PCOS-related challenges and take confident steps toward a successful pregnancy.

Frequently Asked Questions (FAQ)

1. What is PCOS, and how is it diagnosed?

PCOS (Polycystic Ovary Syndrome) is diagnosed through symptoms, hormonal tests, and ultrasound imaging that detects ovarian cysts.

2. Can women with PCOS get pregnant naturally?

Yes, but irregular ovulation often makes it more challenging. Lifestyle changes and medications can help before trying IVF.

3. Does PCOS lower IVF success?

Not necessarily — with proper management, PCOS patients often respond well to IVF stimulation and have excellent outcomes.

4. How many IVF cycles are needed for PCOS?

Many women conceive within 1–3 cycles, depending on age and overall health.

5. Is IVF safe for women with PCOS?

Yes, with modern protocols, IVF is safe and effective. Clinics take special precautions to prevent OHSS in PCOS patients.

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Dr Anushka Madan is an established is an IVF expert for reproductive medicine & technology with over 25+ years of experience.

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