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December 5, 2025 Fertility

PCOS and Fertility: What You Need to Know

Written by: Beverly Hills Fertility

What is PCOS?

Polycystic Ovary Syndrome (PCOS) is the most common hormonal disorder affecting people of reproductive age worldwide. PCOS is characterized by a combination of features, which can include irregular or absent menstrual cycles, elevated androgen levels, and changes in the appearance and function of the ovaries.

PCOS is a clinical syndrome that reflects hormonal and metabolic imbalance, not just the presence of multiple ovarian follicles. The exact cause of PCOS remains unknown, but research suggests it arises from a complex mix of genetic, environmental, hormonal, and metabolic factors.

Common Signs, Symptoms, and Associated Issues 

PCOS Syndromes

PCOS may first become apparent during adolescence, but signs and symptoms can evolve over time. Due to a wide variation in symptoms, many individuals with PCOS remain undiagnosed. Some of the most common features and associated symptoms include:

  • Irregular or absent menstrual cycles: periods may be infrequent, irregular, prolonged, or sometimes absent altogether (anovulation).
  • Ovulation problems: because egg release may not occur regularly or at all, this can interfere with fertility.
  • Signs of androgen excess: such as excessive hair growth (on face, chest, or body), acne, sometimes thinning hair on the scalp.
  • Metabolic and hormonal issues: many individuals have insulin resistance, weight gain, increased risk of diabetes, abnormal cholesterol, and long-term cardiovascular risk.
  • Psychological and quality of life concerns: Many of the symptoms PCOS cause can contribute to stress, anxiety, emotional distress, and decreased quality of life.

PCOS ranges from person to person, and not every affected individual will experience all these features.

PCOS and Fertility 

One of the most common reasons individuals with PCOS seek care is trouble conceiving. Since PCOS often involves irregular ovulation or anovulation, this can reduce the chance of pregnancy. Like other conditions we discuss at Beverly Hills Fertility, every case is unique.

When trying to conceive, individuals with PCOS may benefit from:

  • Close monitoring of ovulation and menstrual cycles
  • Lifestyle support (weight management, nutrition, metabolic health)
  • Fertility treatments if needed (medication to stimulate ovulation, assisted reproductive technologies, as appropriate)

Final Thoughts: Personalized Based PCOS Care at BHF

At Beverly Hills Fertility, we understand that PCOS is not a one-size-fits-all condition. With early recognition and the right care, many individuals with PCOS go on to achieve their fertility goals and maintain lifelong health. Because symptoms, fertility goals, and health risks vary widely, personalized, evidence-based care is critical.

If you suspect you may have PCOS, are dealing with irregular cycles, or are considering family-building, don’t hesitate to reach out to us at Beverly Hills Fertility. We are here to guide you with compassion, expertise, and personal care for your journey ahead.

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