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Pregnancy & PCOS: What I’ve Learned from the Inside

  • Writer: Madison Matthews
    Madison Matthews
  • May 29
  • 3 min read

My Lived Experience Has Changed Everything: Pregnancy and PCOS

As a practitioner, I’ve supported dozens of women navigating PCOS and fertility. But being pregnant myself, after years of working on my health has given me a whole new perspective. The fear, the uncertainty, it’s so real.


I used to intellectually understand the anxiety around trying to conceive with PCOS. Now, I feel it in my bones.


The truth is: women with PCOS are often told they'll struggle to fall pregnant. And that message sticks. It plants a seed of doubt that grows every month your period doesn’t arrive, every negative pregnancy test, every time someone says, “Just relax, it’ll happen.”


How PCOS Affects Fertility (And How It Doesn’t)

PCOS is one of the leading causes of infertility. But that doesn’t mean you can’t get pregnant—it just means it may take more intention and support.


PCOS can affect:

  • How often (or if) you ovulate

  • Hormonal balance (like high androgens or low progesterone)

  • Egg maturation and cycle regularity

  • Inflammation and insulin resistance, which can impair implantation

But it doesn’t mean:

  • You’ll never get pregnant

  • Your body is broken

  • You need IVF by default


Many women with PCOS do fall pregnant naturally—with the right support. And even if assistance is needed, understanding the root causes can improve your chances and your pregnancy outcomes.


Why “You’ll Struggle to Get Pregnant” Does More Harm Than Good

This is the message too many women hear from the moment they’re diagnosed. And while it may come from a place of wanting to prepare or protect, it often:

  • Creates unnecessary fear

  • Leads to a sense of hopelessness

  • Makes women disconnect from their body and doubt their ability


What women need is empowerment, not fear. Clear strategies, not vague warnings. And someone in their corner who believes in the possibility.


5 Things to Focus on Before Trying to Conceive with PCOS

If I could give every woman with PCOS a checklist to prepare for pregnancy, it would be this:

1. Know if You’re Ovulating

Cycle tracking is your superpower. Basal body temp, cervical mucus, and ovulation strips can give you insight—beyond “just wait and see.”

2. Support Blood Sugar & Insulin

Even without a diabetes diagnosis, insulin resistance can prevent ovulation. Stabilising your blood sugar is one of the most powerful fertility tools.

3. Reduce Inflammation

Chronic inflammation affects egg quality, implantation, and hormonal signalling. Focus on anti-inflammatory foods, sleep, gut health, and gentle movement.

4. Get Proper Testing

Functional bloodwork, thyroid antibodies, nutrient levels, androgen markers—these matter. Too many women are told “your labs are normal” when key drivers are missed.

5. Address Emotional Blocks

Fear of never falling pregnant. Pressure from family. Feeling broken. These stories live in the body. Tools like Emotional Release Technique (ERT) can help you let go—and soften into trust.


A Client Story: From No Periods to Pregnancy

One of my clients came to me after years of irregular cycles. At one point, she hadn’t had a period for months. She felt stuck, scared, and like her body was failing her.

We worked together for a full year. Slowly, her body started to respond:

  • Cycles returned

  • Ovulation signs became more regular

  • Her confidence grew

And one day, she emailed me those two magical words: “I’m pregnant.”Completely naturally. No IVF. Just consistent, tailored support.

That story stays with me. And now, being pregnant myself, it means even more.


You Deserve Support That Goes Deeper

If you’ve been told your PCOS means you’ll “struggle,” I want you to know: it’s not the whole story.


Yes, PCOS affects fertility. But it doesn’t define your destiny. You’re allowed to hope, to prepare, and to believe in your body again.


Let’s Take the First Step Together

Book your Naturopathic Assessment Call for PCOS to explore what’s going on in your body and how we can support your fertility naturally. Whether you’re just starting to think about pregnancy—or already trying—this call is for you.



Pregnant belly

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