Q. Is there no natural way of conceiving with PCOS?

Answered by
Dr. Poonguzhali Liston
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jul 09, 2020 and last reviewed on: Apr 26, 2021

Hi doctor,

I am 35 years old with a weight of 88 kilograms. I have PCOS. It really makes me hard to reduce my weight. Is there any natural way of conceiving after reducing my weight within three months? Do I need IVF or any other treatments? My local general practitioner told me that I can have abnormal cells during a smear test as I had bleeding thrice after sex last month. My periods are getting irregular and I want to control my excessive bleeding. My doctor advised me to continue taking Yasmin. I am using it for more than one and a half years. Please advise. Can I continue to have sex? Do I need to wait until I have the results of my smear test? I have tried many options like exercise, avoiding junk foods and outside foods to reduce my weight. But my weight gets increased. I am really depressed. Currently, I am taking Metformin 500 mg once daily, and Pregnacare once a day.



Welcome to

If you are having post-coital bleeding and going to do a PAP (Papanicolaou test) smear, then it is advisable to be abstinent from sex for atleast a week before the procedure. In the condition of PCOS (polycystic ovarian syndrome), it is difficult to lose weight and you have difficulty in conceiving. But it is not impossible. You are doing a good job.

Try to have weight reduction. Continue doing it to reduce your weight. Hormonal imbalance causes PCOS and it gets corrected by having weight loss. It increases your chances of getting pregnant. IVF (in-vitro fertilization) is not only an option for PCOS. It is the final option. You need to maintain your weight after weight loss.

By taking medication, you can expect a natural conception. If it is not possible or difficult, you can go for IVF. Even before undergoing IVF, you have to lose weight. Your periods will be irregular until your PCOS is not under control. If you want to have weight loss before conception, you can consider taking hormone pills.

Having pregnancy at an ideal weight helps to have safe pregnancy for both baby and mother. Weight loss with PCOS is very slow and so try to have an exercise regime including yoga, cardio, weight training, HIIT (high-intensity interval training) workout, and different exercises to have some weight control. Try to stick to home-cooked meals Try to take small meals at shorter intervals. You need to sacrifice junk foods.

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