{"componentChunkName":"component---src-components-article-page-article-page-gatsby-container-tsx","path":"/articles/cycle-a-z/pcos-and-pregnancy","result":{"data":{"articleNode":{"id":"2PwIEAWmS4Yg6c4iwmEsKM","title":"PCOS and pregnancy","subtitle":null,"seoMetaTitle":"PCOS and Pregnancy","seoMetaDescription":"People with polycystic ovary syndrome (PCOS) may not ovulate regularly. PCOS can cause infertility. Treatments can help regulate periods and induce ovulation. ","openGraphTitle":"PCOS and Pregnancy","openGraphDescription":"People with polycystic ovary syndrome (PCOS) may ovulate less frequently or predictably, which is why PCOS is a common cause of infertility. ","slug":"cycle-a-z/pcos-and-pregnancy","artCredits":"Illustration by Marta Pucci","publishDate":"2018-08-23T00:00-04:00","updatedAt":"2026-02-27T09:29:42.155Z","createdAt":"2018-08-23T15:25:02.634Z","locale":"en","authors":[{"id":"3Iyv4eECg0QEAakqKCoKQC","name":"Laurie Ray, DNP","headline":"Science Writer at Clue","slug":"laurie-ray","twitter":null,"locale":"en","profileImage":{"id":"1pX0hDtDeo0CiA2KY02kqS","description":"Laurie Ray","file":{"contentType":"image/jpeg","url":"//images.ctfassets.net/juauvlea4rbf/1pX0hDtDeo0CiA2KY02kqS/073adc748e3e40cff4c0977227196128/author_Laurie_2x-80.jpg"},"gatsbyImageData":{"images":{"sources":[{"srcSet":"https://images.ctfassets.net/juauvlea4rbf/1pX0hDtDeo0CiA2KY02kqS/073adc748e3e40cff4c0977227196128/author_Laurie_2x-80.jpg?w=300&h=300&q=50&fm=webp 300w,\nhttps://images.ctfassets.net/juauvlea4rbf/1pX0hDtDeo0CiA2KY02kqS/073adc748e3e40cff4c0977227196128/author_Laurie_2x-80.jpg?w=600&h=600&q=50&fm=webp 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Conditions","slug":"issues-and-conditions"},"locale":"en"},"body":null,"bodyRichText":{"raw":"{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Top things to know\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Ovulation may not happen regularly each month for people with PCOS, making it a common reason for infertility\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"People with PCOS can become pregnant without the use of fertility treatment, so using birth control is important if you don’t want to become pregnant\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Treatments are available that can help regulate periods and \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"YpmPzqRWuWWMAMK2qKwui\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"induce ovulation\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"2lpGDQ6wvVoI0tXPBcqCYY\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"How PCOS affects fertility\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"It’s common for people diagnosed with \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1lEAb6QfDuqI6kUiuA4Uu6\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"polycystic ovary syndrome\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" (PCOS) to worry about their ability to become pregnant, even if they don’t want to be pregnant any time soon (1-4). Knowing that there are options available to become pregnant can help reduce anxiety.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"YpmPzqRWuWWMAMK2qKwui\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"Ovulation\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" (the release of an egg from the ovary) typically happens about once a month. People with PCOS may ovulate less frequently or predictably, and \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"may\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" be more prone to miscarriages, which is why PCOS is a common cause of infertility. For people trying to become pregnant, PCOS can make it harder to time sex to the fertile days of their menstrual cycle, when ovulation happens. It can also take longer to become pregnant if ovulation is only occurring every few months. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"People with PCOS are more likely to seek out and require fertility treatments than people who don’t have it. But research shows that over their lifetimes, both people with and without PCOS have a similar number of pregnancies and children (5,6). In fact, the majority of people with PCOS who are trying to conceive will become pregnant and give birth without any fertility treatment at least once in their life (6). \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"However, people with PCOS use birth control at lower rates than people without PCOS. This is true even when those people don’t want to become pregnant and are having sex that could lead to pregnancy (penis-vagina sex) (5). Some people with PCOS think they’re unable to become pregnant, but this isn’t true. Ovulation can still happen even if it’s not on a predictable schedule. It’s important for people who have PCOS to use some form of birth control if they don’t want to be pregnant and are having \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1v62in71QoqG8yYiSgyo0m\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"sex that could lead to a pregnancy\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\".\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Body weight, PCOS, and fertility\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Obesity and PCOS are connected. Obesity can make the symptoms of PCOS worse and make it harder to become pregnant (7). Weight loss is usually recommended as a first step for people with PCOS who are overweight or obese and trying to conceive. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Weight loss can increase the chance of ovulation and of having regular periods (8-10). Weight loss alone is sometimes enough to restart ovulation, but also increases the chance of ovulation and giving birth when combined with fertility medications compared to using fertility medications alone (11,12). Being a healthy weight is recommended for anyone trying to become pregnant to decrease the risk of complications like gestational diabetes, pregnancy-induced hypertension, and preeclampsia.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Weight loss can be difficult—especially for someone with PCOS—and there’s no single best way to do it. Often weight loss is encouraged through increasing exercise and decreasing the amount of calories consumed each day. Nutritionists, healthcare providers, and personal trainers can be great resources in achieving weight loss that is safe and effective. Losing weight takes time, but even small changes can make a difference. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Medications and treatments for PCOS\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"After other reasons for infertility—such as blocked fallopian tubes, \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"Z68Iy0AswMuO2M4U6OS2K\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"fibroids\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\", or low sperm count—have been ruled out, a healthcare provider may prescribe medications to induce ovulation in someone with PCOS who is trying to conceive. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"5gHfCYetXqaYeMEoiYq2k4\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Insulin resistance\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" is common in people with PCOS. Insulin is a hormone that is released from the body to regulate the amount of glucose (sugar) in the bloodstream. Insulin resistance occurs when the body’s cells don’t respond normally to insulin, resulting in too much of it in the body (7). The excess insulin disrupts the hormones produced by the ovaries and pituitary gland, and this interferes with ovulation (7). \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"Metformin\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" is a medication that makes it easier for the body to use the insulin it makes, decreasing the amount of insulin in the bloodstream. Metformin is used for people with PCOS to stimulate ovulation (7,13). Metformin has the added benefit of sometimes helping people lose weight, but can also cause abdominal pain and diarrhea (7). \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"Clomiphene\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" and \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"letrozole\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" are medications that induce ovulation (13). Clomiphene blocks the body’s response to estrogen and letrozole suppresses the production of estrogen. The low levels of estrogen or lack of response to it cause the pituitary gland to produce more \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"follicle stimulating hormone\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" (FSH), which promotes the growth of the follicles containing eggs within the ovary. Both medications can cause hot flushes as a side effect, and generally they should not be used for more than six cycles (13).  \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Metformin and clomiphene used together result in higher rates of ovulation, pregnancy, and birth than either medication used alone (13). Letrozole results in higher rates of ovulation, pregnancy, and birth compared to clomiphene (14).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"If you’re trying to become pregnant, It’s important to time sex to ovulation when using these medications. Ovulation is likely to occur 13-15 days before the start of the next period (15). \",\"nodeType\":\"text\"},{\"data\":{\"uri\":\"https://app.adjust.com/om0vzuf\"},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Tracking your cycle\",\"nodeType\":\"text\"}],\"nodeType\":\"hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\", your \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"57knWmzisMgEKEGIGMww64\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"basal body temperature\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" daily, and taking at-home ovulation tests that measure \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"luteinizing hormone\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" (LH) can help you determine your fertile window and ovulation. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"If weight loss and ovulation stimulation with medications are not successful, there are other options. Surgery performed on the ovaries called \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"laparoscopic ovarian drilling\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" involves a surgeon making small holes in the ovary with heat or a laser (16). This surgery is as effective as medication at increasing the rates of ovulation and pregnancy, and is sometimes used as an option when medication alone hasn’t worked (16). Another option is \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"6CmD8nZhgin7Hqo8uKVU2I\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"in vitro fertilization (IVF)\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" where eggs are retrieved from the ovaries surgically, combined with sperm in a laboratory to create an embryo that is then transferred to the uterus (13).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Herbs and supplements\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-3\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Some herbs and dietary supplements have been studied in people with PCOS and have been shown to help with fertility. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"There is some evidence that the use of the herb \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"Cimicifuga racemosa\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" (black cohosh) may help increase pregnancy rates when used alone or in combination with clomiphene (17,18). More research is needed on this and other herbs that may help people with PCOS who are trying to conceive. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Inositol is a non-prescription dietary supplement that has been shown to increase the likelihood of ovulation as well as menstrual regularity in people with PCOS, but it may cause mild abdominal discomfort (19). Vitamin D supplements can help increase the chance of ovulation on their own and can make menstrual cycles more regular when combined with metformin (20). More research is needed here. \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Healthy pregnancy considerations\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Some studies show an increase in the chance for miscarriage in people with PCOS, while others attribute the increase to other factors like being overweight or obese, increased age, or use of fertility treatments (5,6,21,22,23). \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"People with PCOS who are pregnant are at an increased risk for gestational diabetes, pregnancy-induced hypertension, preeclampsia, and preterm delivery (21,23). Being a healthy weight before becoming pregnant and limiting the amount of weight gain during pregnancy can help avoid these complications (22). \",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"},{\"data\":{\"uri\":\"https://app.adjust.com/om0vzuf\"},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"If you’re trying to become pregnant, track sex, cervical fluid, and ovulation test results in Clue.\",\"nodeType\":\"text\"}],\"nodeType\":\"hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"5FzJsm5n8dmDvSQkri33DC\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"document\"}","references":[{"__typename":"ContentfulArticle","contentful_id":"YpmPzqRWuWWMAMK2qKwui","title":"What is ovulation? Signs, symptoms, and science.","slug":"cycle-a-z/ovulation-101-what-is-it-how-does-it-work","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulAppDownloadWidget","contentful_id":"2lpGDQ6wvVoI0tXPBcqCYY","message":"Download Clue to use Clue Pregnancy mode.","secondaryMessage":null,"showSecondaryMessage":null,"showStarRating":true,"colour":"peach","iosUrl":null,"iosMessage":null,"iosSecondaryMessage":null,"androidMessage":null,"androidSecondaryMessage":null,"image":{"description":"","file":{"contentType":"image/png","url":"//images.ctfassets.net/juauvlea4rbf/1TsFVEFXTyPj7EEugbOlZL/2de7eaaaf17abd96e2e387dfb0d31b8d/14.png"},"gatsbyImageData":{"images":{"sources":[{"srcSet":"https://images.ctfassets.net/juauvlea4rbf/1TsFVEFXTyPj7EEugbOlZL/2de7eaaaf17abd96e2e387dfb0d31b8d/14.png?w=123&h=215&q=50&fm=webp 123w,\nhttps://images.ctfassets.net/juauvlea4rbf/1TsFVEFXTyPj7EEugbOlZL/2de7eaaaf17abd96e2e387dfb0d31b8d/14.png?w=246&h=430&q=50&fm=webp 246w,\nhttps://images.ctfassets.net/juauvlea4rbf/1TsFVEFXTyPj7EEugbOlZL/2de7eaaaf17abd96e2e387dfb0d31b8d/14.png?w=492&h=860&q=50&fm=webp 492w","sizes":"(min-width: 492px) 492px, 100vw","type":"image/webp"}]},"layout":"constrained","backgroundColor":"#f8f8f8","width":492,"height":860.0000000000001}},"iosImage":null,"androidImage":null,"sys":{"contentType":{"sys":{"type":"Link","linkType":"ContentType","id":"appDownloadWidget"}}}},{"__typename":"ContentfulArticle","contentful_id":"1lEAb6QfDuqI6kUiuA4Uu6","title":"Polycystic Ovary Syndrome (PCOS) 101","slug":"cycle-a-z/polycystic-ovary-syndrome-pcos-101","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulArticle","contentful_id":"1v62in71QoqG8yYiSgyo0m","title":"Can I get pregnant from that? ","slug":"sex/can-you-get-pregnant-from-that","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulArticle","contentful_id":"Z68Iy0AswMuO2M4U6OS2K","title":"Uterine fibroids: Symptoms, causes and treatment ","slug":"cycle-a-z/uterine-fibroids-common-reason-for-irregular-bleeding-pain","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulArticle","contentful_id":"5gHfCYetXqaYeMEoiYq2k4","title":"The link between PCOS and insulin resistance","slug":"cycle-a-z/the-link-between-pcos-and-insulin-resistance","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulArticle","contentful_id":"57knWmzisMgEKEGIGMww64","title":"Basal Body Temperature (BBT): how is it used to estimate ovulation?","slug":"cycle-a-z/basal-body-temperature-bbt-what-is-it-how-is-it-used-to-estimate-ovulation","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulArticle","contentful_id":"6CmD8nZhgin7Hqo8uKVU2I","title":"Your ultimate guide to IVF","slug":"trying-to-conceive/your-ultimate-guide-to-ivf","sys":{"contentType":{"sys":{"type":"Link","id":"featuredImage","linkType":"ContentType"}},"type":"Entry"}},{"__typename":"ContentfulCustomBlock","contentful_id":"5FzJsm5n8dmDvSQkri33DC","name":"NewsletterPage","microcopies":[{"key":"CustomBlock.NewsletterPage.seoTitle","value":{"value":"Clue: Sign up for Our Menstrual Health Newsletter"}},{"key":"CustomBlock.NewsletterPage.seoDescription","value":{"value":"helloclue.com is here to help close the female health knowledge gap—with accessible, serious, scientific, and empathetic information about the menstrual cycle. Keep up with us by subscribing to our monthly menstrual health newsletter."}}],"assets":null}]},"references":{"references":"1. Gibson-Helm M, Teede H, Dunaif A, Dokras A. Delayed diagnosis and a lack of information associated with dissatisfaction in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2017 Feb;102(2):604-12.\n2.  Sills ES, Perloe M, Tucker MJ, Kaplan CR, Genton MG, Schattman GL. Diagnostic and treatment characteristics of polycystic ovary syndrome: descriptive measurements of patient perception and awareness from 657 confidential self reports. BMC Womens Health.2001 Aug 22;1(3). \n3.  Trent ME, Rich M, Austin B, Gordon CM. Fertility concerns and sexual behavior in adolescent girls with polycystic ovary syndrome: implications for quality of life. J Pediatr Adolesc Gynecol. 2003;16:33-37.\n4.  Tan S, Hahn S, Benson S, Janssen OE, Dietz T, Kimmig R, et al. Psychological implications of infertility in women with polycystic ovary syndrome. Hum Reprod. 2008;23(9):2064-71.\n5.  Joham AE, Boyle JA, Ranasinha S, Zoungas S, Teede HJ. Contraception use and pregnancy outcome in women with polycystic ovary syndrome: data from the Australian Longitudinal Study on Women’s Health. Hum Reprod. 2014;29(4):802-8.\n6.  Hudecova M, Olovsson JH, Poromaa IS. Long-term follow-up of patients with polycystic ovary syndrome: reproductive outcome and ovarian reserve. Hum Reprod. 2009;24(5):1176-83.\n7.  Legro RS. Obesity and PCOS: implications for diagnosis and treatment. Semin Reprod Med. 2012;30:496-506.\n8.  Kiddy DS, Hamilton-Fairley D, Bush A, Short F, Anyaoku V, Reed MJ, et al. Improvement in endocrine and ovarian function during dietary treatment of obese women with polycystic ovary syndrome. Clin Endocrinol. 1992;36(1):105-11.\n9.  Huber-Bucholz MM, Carey DG, Norman RJ. Restoration of reproductive potential by lifestyle modification in obese polycystic ovary syndrome: role of insulin sensitivity and luteinizing hormone. 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Eur J Obstet Gynecol Reprod Biol. 2013;168(1):60-3.\n19.  Pundir J, Psaroudakis D, Savnur P, Bhide P, Sabatini L, Teede H, et al. Inositol treatment of anovulation in women with polycystic ovary syndrome: a meta-analysis of randomised trials. BJOG. 2018;125:299-308. \n20.  Fang F, Ni K, Cai Y, Shang J, Zhang X, Xiong C. Effect of vitamin D supplementation on polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2017;26:53-60.\n21.  McDonnell R, Hart RJ. Pregnancy-related outcomes for women with polycystic ovary syndrome. Women’s Health. 2017;13(3):89-97.\n22.  Palomba S, de Wilde MA, Falbo A, Koster MP, Battista La Sala B, Fauser BC. Pregnancy complications in women with polycystic ovary syndrome. Hum Reprod Update. 2015;21(5):575-92.\n23.  Rees DA, Jenkins-Jones S, Morgan CL. Contemporary reproductive outcomes for patients with polycystic ovary syndrome: a retrospective observational study. 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