Pregnant with PCOS: My Personal Journey of Fear, Trust, and Unexpected Joy

I spend a lot of time helping women with PCOS navigate their health and fertility. But this time, I was the one sitting with the fear. The what-ifs. The wondering. Despite all I knew, I still worried — what if I couldn’t fall pregnant with PCOS when I was finally ready?

And then… it happened. Sooner than expected. Naturally. Easily. The very opposite of the story I’d feared for so long.

My fear started early — before I was even officially diagnosed. At 19, I saw an endocrinologist. I wasn’t told I had PCOS — just prescribed medication and reassured that “there’s something we can give you when you’re ready for kids.” I left feeling dismissed. That lack of clarity planted a seed of fear I carried for years, that my fertility would be a struggle.

By 2020, I hit a health crisis. I had weight gain, fatigue, and a formal PCOS diagnosis. That’s when I truly took control of my health. Over the following years I trained for a marathon. I improved my nutrition. I worked with my body, not against it. Still, when my husband and I talked about trying later in the year, I wondered if that long-held fear would play out.

But then, a surprise. I found out I was pregnant the same day his Nan passed away. It felt deeply symbolic. A life ending, and a new one beginning.

Even with a healthy pregnancy, the fears didn’t disappear. I feared miscarriage. I worried I wasn’t healthy enough. That I hadn’t done “everything right.” I feared interventions solely because of my diagnosis. I didn’t expect how triggering body changes would be. After all the work I’d done to feel strong and in control, pregnancy brought changes that felt like a reversal. I had to remind myself again and again: my body is doing something incredible. Let it.

I’ve trusted my intuition the whole way. I knew something felt different, even before I tested. I knew I needed more support, so I tested my mineral levels with HTMA and made gentle tweaks to give my baby the best start possible. I’ve chosen to do early glucose testing, not out of fear, but out of power, because knowing gives me options.

And the biggest lesson I’ve learned? You don’t have to wait until you’re trying to get pregnant to start working on your health. Everything I did before this moment, the nutrition, the movement, the emotional healing made this pregnancy not just possible, but strong.

To the women who are still in the waiting please hear this: Pregnancy with PCOS is possible. Your body is not broken. And this journey doesn’t have to be ruled by fear.

Trust your body. Trust the process. Trust yourself.