Specialist fertility care for women with PCOS who are trying to conceive
Trying to conceive with PCOS can feel like a waiting game with no rulebook — irregular cycles, conflicting advice, and the nagging worry that time isn’t on your side. You deserve more than guesswork.
Our fertility specialists assess your ovulation, ovarian function and any other factors first, then build a plan around what we actually find — with you informed and involved at every step, not left waiting for a phone call.
You don’t have to carry this uncertainty alone — a specialist assessment can bring real clarity.
We start by checking whether — and how regularly — you’re ovulating, using cycle-timed blood tests and, where useful, ultrasound follicle tracking. Ovarian reserve (AMH) is assessed alongside any other relevant factors, such as a partner’s semen analysis or tubal patency. Insulin resistance and weight both influence ovulation in PCOS, so these are folded into the same assessment rather than treated as a separate conversation.
Where ovulation isn’t happening regularly, treatment may include ultrasound-monitored ovulation induction: medication to encourage regular egg release, with cycles tracked by ultrasound. International PCOS guidance increasingly favours letrozole as the first medication to try, having shown better outcomes than clomiphene citrate — the option traditionally used — in recent research, though the right choice is discussed at consultation. You’ll be monitored closely throughout, so you’re never left wondering what’s happening or why. If induction alone isn’t successful, or isn’t the right next step for you, we’ll talk through assisted conception through LUNA Fertility.
Insulin resistance can affect ovulation and fertility in PCOS
For IVF and assisted conception if ovulation induction alone isn’t the right next step
Many do, sometimes with support to trigger more regular ovulation. PCOS affects ovulation, but that doesn’t rule out natural pregnancy.
Medication used to encourage regular release of an egg, with your cycle monitored by ultrasound to track follicle development and time things appropriately.
Recent evidence and international guidance increasingly favour letrozole as the first option to try for ovulation induction in PCOS, though this is discussed with you directly, based on your own situation.
Generally 12 months, or 6 months if you’re 36 or older — but if your cycles are very irregular or absent, it’s worth being assessed sooner.
We reassess and discuss further options, including assisted conception such as IVF through LUNA Fertility, so you’re not starting again from scratch elsewhere.
Book your PCOS Fertility assessment and get a clear, honest plan — built around you, not a standard protocol.
