I have PCOD and have been trying to conceive for 5 months — is PCOD the reason I'm not getting pregnant, and what should I do next? - #10455
Hello Doctor, I was diagnosed with PCOD, and I have been trying to conceive for the past 5 months without success. In 2020, I had an ovarian cyst that was surgically removed, and after follow-up checks in 2023, I was told everything looked normal—no cysts or other issues. My periods are [regular/irregular—please specify], and I’m not currently on any fertility medications. Could PCOD still be affecting my ability to conceive, even if everything else seems normal? What further tests or steps would you recommend to improve my chances of getting pregnant? Thank you
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Doctors’ responses
Yes. Even without visible cysts on ultrasound, PCOD is a hormonal disorder that can affect ovulation. Women with PCOD may have:
Irregular or absent ovulation
Poor egg quality
Higher LH:FSH ratio
Subtle insulin resistance (even if blood sugar is normal)
This can delay conception despite regular periods and normal imaging.
For Your Partner (Male): Semen Analysis – check count, motility, morphology
When to escalate to fertility support: If no pregnancy after 12 months (or 6 months if >30 years) of regular unprotected intercourse, consult a fertility specialist for:
HSG (tubal patency test)
Advanced ovulation support or IUI/IVF if needed
Hello dear Please be aware Yes there can be chances of pcos affecting your periods Besides medications please follow below schedule Intermediate fasting Meditation must Strict diet following Avoid hormonal therapy Get your self evaluated with gynacolologist after 2-3 months for confirmation Regards
Yes it can affect your ability to conceive Hormone Profile (Day 2–5 of cycle):
FSH, LH, Estradiol Prolactin TSH Testosterone (total and free) AMH (Anti-Müllerian Hormone) — gives ovarian reserve estimate Insulin and fasting glucose — checks for insulin resistance Pelvic USG Male semen analysis HSG if you are trying for more than 1 year
Follow up with these and take Myo-inositol + D-chiro-inositol (helps PCOD-related ovulation) Folic acid (400–800 mcg/day)
Yes, PCOD can still affect ovulation and fertility even if cysts are not currently visible. Hormonal imbalances and irregular ovulation often persist with PCOD, impacting conception. Consult a gynecologist or fertility specialist for ovulation tracking, hormonal evaluation, and possible fertility treatments to improve your chances.
Yes, PCOD can still affect fertility even if ultrasounds look normal, as it can cause irregular ovulation or hormonal imbalance. I recommend consulting a fertility specialist who may suggest tests like AMH levels, thyroid profile, insulin resistance check, and follicular monitoring to track ovulation. Based on results, treatments like ovulation induction, lifestyle changes, or metformin may improve your chances of conceiving.
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