If you have conceived with PCOS, what helped in your case? If you are still trying, what is hardest right now: the timing, the waiting, or not knowing whether you ovulated?
I am sharing this because, when I was trying, most PCOS fertility advice either frightened me or made promises it should not make.
I have PCOS myself, and I now have three children. Getting there did need help, but not the heaviest end of fertility treatment. Under my doctor, I used letrozole to help ovulation and Ferti-C injections to help the egg mature and make ovulation more predictable. I know that will not be the right path for everyone, and some women need more help. But my experience taught me the thing I most needed to hear: PCOS had made pregnancy badly timed, not impossible.
The main problem is irregular ovulation. The eggs and the womb are usually not the issue. The egg may come late, or not at all in a particular cycle, which makes the fertile window very easy to miss.
Before taking any medicine, these are the basics worth trying first:
Regular sex every 2 to 3 days is often more reliable than chasing one predicted day, because sperm survive for several days and the fertile window moves with PCOS.
Ovulation test sticks can mislead. They measure LH, which can already be raised in PCOS, so repeated positive-looking results do not always mean an egg is coming.
Folic acid is 400 micrograms a day while trying and for the first 12 weeks of pregnancy, unless a doctor prescribes a higher dose for a specific risk.
Missing periods, or periods usually more than about 6 weeks apart, are a reason to see your GP earlier. You should not always have to wait the full 12 months.
Unpredictable ovulation also means pregnancy can happen unexpectedly. If a baby is not the plan, contraception still matters.
I am also a pharmacist, so I have written the full explanation on my own blog. I wrote it to clear up the myths that frightened me and to help other women understand the medical side in plain English:
https://medexplaineddotcodotuk.wordpress.com/2026/10/23/pcos-and-fertility-getting-pregnant-with-pcos-explained/
It is for information only, not medical advice, and treatment decisions belong with your own doctor.