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PCOS and Fertility: Signs It’s Time to Talk to a Specialist

For many hoping to start or grow their family, polycystic ovarian syndrome (PCOS) can make the path to parenthood feel uncertain. While PCOS is common, its impact on fertility can vary widely, leaving some struggling to understand why conception is difficult. By learning how PCOS may affect your fertility, you can take proactive steps toward the right care and support. And this PCOS Awareness Month, it’s worth remembering: you are not alone—many have faced these same challenges and gone on to build the families they dreamed of.

Signs that PCOS May Be Impacting Fertility

PCOS infertility signs can range significantly in type and severity, making identifying them challenging. Here are some specific symptoms that may suggest that PCOS is affecting your fertility:

• Irregular or absent periods: Problems with your menstrual cycle can signify irregular ovulation or a complete lack of ovulation, which significantly affects the ability to conceive.

• High androgen levels: Excessive amounts of hormones like testosterone can interfere with the normal ovulation process, preventing eggs from developing and being released. This can also lead to symptoms such as persistent acne and excessive hair growth. 

• Polycystic ovaries: An ultrasound may reveal ovaries containing numerous small follicles (cysts) where eggs are trapped in their early developmental stage and are not maturing for release.

• Insulin resistance: Individuals with PCOS often experience insulin resistance, leading to elevated androgen production that disrupts ovulation.

• Difficulty conceiving: The most direct sign that PCOS is impacting your fertility is the inability to conceive after having consistent intercourse 

When to Consult a Fertility Specialist

If you have PCOS and wish to start a family, it's beneficial to seek fertility care as soon as possible. Fertility specialists can help restore ovulation and regulate your menstrual cycles, which can increase your chances of conception when you're ready. Early intervention can also help identify and address any underlying issues that may impact fertility more quickly. Just as importantly, meeting with a specialist can ease the emotional weight of navigating PCOS on your own—providing reassurance, guidance, and a clear plan forward.

PCOS Fertility Care Is Personal

While PCOS affects an estimated 6–13% of reproductive-aged women, not everyone will have the same types of symptoms or levels of severity. This variability makes personalized treatment essential for women with PCOS who are looking to conceive.

During your first visit with a fertility specialist, they’ll carefully review your medical history and gain a comprehensive understanding of your specific symptoms. Based on this information, they'll develop a customized treatment plan that addresses your unique needs and family-building goals.

Schedule an Appointment with a Fertility Specialist

No matter where you are on your PCOS fertility journey, the right fertility specialist can make all the difference. At the Center for Reproductive Medicine, our fertility physicians can assess your PCOS and create a custom treatment plan to help you conceive. Contact us for more information or to schedule an appointment in Winter Park, Lake Nona, or Celebration. 

Reach out today to schedule a consultation at our Winter Park, Lake Nona, or Celebration fertility clinics—we’re here to support your family-building journey.

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