Polycystic ovary syndrome (PCOS) is one of the most common hormonal disorders among women of childbearing age. It can cause longer cycles, irregular ovulation, or even a temporary absence of ovulation. Nevertheless, pregnancy is often possible—with realistic expectations, proper diagnosis, and the right strategy, you can conceive even with PCOS. get pregnant.
Irregular cycles, lack of ovulation, difficulty conceiving—many Women with PCOS are familiar with this situation. Many women with PCOS still ovulate – more often than previously thought. In our studies, natural pregnancy was possible in more than a third of cases. Find out here how modern cycle tracking can help you understand your PCOS and get a clearer picture of your fertility. This can significantly increase your chances of getting pregnant.
Background information: Menstrual Cycle Type: PCOS
With PCOS, ovulation occurs less frequently. At the same time, studies indicate that spontaneous ovulation can occur in a significant proportion of those affected. The key factor is, to know if and when they will take place – This increases the chances of taking advantage of the fertile window.
Cervical mucus & Menstrual cycle tracking: Low-threshold, but also subjective.
Urine LH tests (ovulation tests): In practice, however, PCOS can lead to false-positive results due to elevated baseline LH levels.
Basal body temperature (measured in the morning): Confirms ovulation after the fact; requires discipline.
Continuous temperature measurement (core body temperature): Can help you identify cyclical patterns more clearly; also suitable for long or irregular cycles. Learn more here: Menstrual Cycle Monitoring for PCOS
Ultrasound and Hormone Monitoring in Clinical Practice: The gold standard under medical supervision.
A PCOS-friendly lifestyle can help regulate irregular cycles and increase your chances of getting pregnant:
Read more: Relieve PCOS Symptoms Naturally · Thyroid gland & Desire to have children
There are four types of PCOS. Our self-test can help you with orientational classification; however, determining the cause and making a definitive diagnosis should be left to medical professionals.
OvulaRing is the cycle tracker designed specifically for long and irregular cycles—making it ideal for PCOS.
✔ Money-back guarantee · ✔ Top ratings · ✔ Developed by gynecologists · ✔ Award-winning
Many health insurance plans cover the cost of OvulaRing. Use the health insurance checker to see if you’re eligible: Regarding coverage of costs
Many women with PCOS conceive naturally—especially if ovulation occurs and intercourse is timed to coincide with their fertile window. Lifestyle changes, understanding your cycle, and, if necessary, medical treatment can all help.
See also: Wanting to Have a Baby Despite PCOS – What Really Helps
Testimonial: Getting pregnant with the OvulaRing despite a PCOS diagnosis
“I have PCOS and Hashimoto’s, and for years I was told it would be difficult. I tracked my cycle using OvulaRing, and the very next cycle I got pregnant—on the first try.”
“Because of PCOS, my cycle length varied a lot, and I never knew when I was ovulating. Thanks to the temperature sensor, I was able to pinpoint it, and I got pregnant in no time.”
More testimonials about PCOS & Desire to have children
Yes—many women still ovulate, though less frequently or at a different time in the cycle. Ovulation can occur significantly later in the cycle. This can only be reliably determined through objective observation, such as tracking temperature patterns (basal or core body temperature), hormone measurements (urine/blood), and, if necessary, ultrasound monitoring of follicles under medical supervision.
It makes sense to combine these methods: observe cervical mucus, track temperature patterns, and (if necessary) check hormone levels. The 1–2 days before ovulation and the day of ovulation are considered particularly fertile. For irregular cycles, longer-term monitoring over several cycles and medical checkups can help identify typical patterns.
The Rotterdam criteria are commonly used: the diagnosis is made based on two out of three findings (oligo-/anovulation, clinical/biochemical hyperandrogenism, polycystic ovaries on ultrasound)—other causes must be ruled out. These include medical history, physical examination, laboratory tests (e.g., androgens, thyroid, prolactin), and ultrasound.
“PCO” refers to an ultrasound pattern seen in the ovaries. “PCOS,” or “PCO syndrome,” involves additional criteria (e.g., irregular menstrual cycles and/or elevated androgen levels).
AMH provides an indication of ovarian follicular reserve, but is not, on its own, diagnostic for PCOS. Elevated androgen levels (e.g., testosterone) support the diagnosis. Signs of insulin resistance are often present. Your doctor will determine which test results are relevant.
Exercise, a balanced diet, consistent sleep, and stress management can have a positive impact on hormone levels and increase the likelihood of ovulation. Quitting smoking and drinking alcohol in moderation are also recommended. Lifestyle changes are often the first step in managing fertility—regardless of other treatments.
As a general guideline: after 6–12 months of trying to conceive without success (depending on age). Earlier if your cycles regularly last longer than 35 days, if you haven’t had a period for months, if you have additional symptoms, or if you have known risk factors. Early basic diagnostic testing may also be advisable.
In addition to lifestyle changes, options may include—following a medical evaluation—ovulation induction (e.g., with certain medications), metformin if indicated, and assisted reproductive technologies. The choice depends on medical findings, age, and how long the couple has been trying to conceive.
No. Many women with PCOS do ovulate—it just happens less frequently or at irregular intervals. Studies show that natural pregnancy is generally possible for more than a third of those affected.
Reliable only through objective monitoring: continuous temperature measurement (basal or core body temperature), hormone testing if necessary, and medical follicle monitoring. LH ovulation tests often yield false positives in cases of PCOS.
Often, yes—especially when ovulation occurs and intercourse is timed to coincide with the fertile window. Understanding your cycle, adopting a healthy lifestyle, and seeking medical assistance if needed can increase your chances.
Yes. OvulaRing measures automatically around the clock—long intervals between periods do not affect measurement accuracy. It has been validated outside the standard cycle.
Many health insurance plans cover the costs. You can find the personal checkup at Coverage of costs.
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