What exactly do we mean by adrenal PCOS?

When we talk about adrenal PCOS, we’re referring to a form of PCOS where the adrenal glands (the glands linked to our stress response) are the main source of excess androgens, not the ovaries.

Which signs can point towards adrenal PCOS?

It often shows up as fatigue, acne, irregular cycles, anxiety or feeling “wired but tired.” A blood test showing higher levels of DHEA-S is usually what helps identify it.

How is adrenal PCOS usually diagnosed?

A doctor will look at hormone levels. If testosterone is normal but DHEA-S is clearly elevated, it’s often a clue that the adrenals are more involved than the ovaries.

Are there natural ways to support adrenal PCOS?

Yes, and they often start with stress management. Working on sleep, nutrition, gentle movement, and calming routines can all make a real difference. Some women also find targeted supplements helpful, ideally chosen with professional guidance.

PCOS and fertility: understanding and improving your chances

PCOS and Fertility – What’s the Link?

If you’ve just been diagnosed with Polycystic Ovary Syndrome (PCOS), it’s normal to have a flood of questions running through your head:
“Will I be able to get pregnant?”
“Does PCOS mean I’m infertile?”
“What exactly is the connection between PCOS and fertility?”

These questions are valid, and you’re far from alone in asking them. The good news? Having PCOS doesn’t mean you can’t have children. In this article, we’ll break things down clearly, explain how PCOS can impact fertility, and share both medical and natural options to support your journey.

Understanding PCOS

Around 1 in 10 women in the UK are affected by PCOS, a hormonal condition that can make menstrual cycles unpredictable. It’s linked to higher levels of androgens (male hormones) and the presence of multiple immature follicles on the ovaries.

These follicles are sometimes referred to as “cysts,” but that’s not accurate – the real issue is the hormonal imbalance that disrupts ovulation and can lead to irregular or absent periods.

Common signs of PCOS include:

Irregular or absent periods
Acne, excess hair growth, or hair loss
Weight gain or difficulty losing weight
Insulin resistance and increased risk of type 2 diabetes
Fatigue and headaches

How does PCOS affect fertility?

First things first: having PCOS does not mean you’re infertile – and definitely not sterile. Infertility simply means having more difficulty conceiving, but it doesn’t mean it’s impossible.

Here’s why PCOS can sometimes affect fertility:

Ovulation issues

In women with PCOS, follicles often don’t mature properly, meaning ovulation may not occur regularly. Without ovulation, it becomes harder to conceive.

Insulin resistance

Up to 70% of women with PCOS experience insulin resistance, which can worsen hormonal imbalances and disrupt ovulation further.

Endometrial receptivity

Some studies suggest PCOS may affect how well the lining of the womb (endometrium) prepares for embryo implantation, making conception trickier.

💛 The positive news? With the right support, PCOS-related infertility is far from permanent – and many women with PCOS go on to have healthy pregnancies.

Can you get pregnant naturally with PCOS?

Yes – many women with PCOS conceive naturally, even with irregular cycles. Research has shown that around 74% of women with PCOS do eventually get pregnant without assisted treatments.

Lifestyle adjustments and targeted supplements can make a big difference by supporting ovulation and improving egg quality.

👉 Read our article on PCOS and missing periods for more on cycle regulation.

Medical Options for Fertility with PCOS

When lifestyle and supplements aren’t enough, doctors may suggest:

Ovulation induction with medication
IVF (in vitro fertilisation) – PCOS women often have similar or even higher success rates compared to women without PCOS
Ovarian drilling (a surgical procedure used in specific cases)

But assisted reproduction isn’t always necessary – many women conceive with more gentle approaches first.

Natural ways to support fertility with PCOS

If you’re starting to plan for pregnancy, here are key lifestyle and nutrition strategies that can help:

Balanced nutrition

A Mediterranean-style diet (rich in vegetables, fruits, whole grains, legumes, oily fish, and olive oil) can help reduce inflammation and stabilise blood sugar.

👉 Check out our article on PCOS and diet

Exercise

Regular movement reduces insulin resistance and helps regulate hormones. Choose an activity you enjoy, whether it’s yoga, running, or dancing.

👉 Read our article dedicated to sport and PCOS

Stress management

Chronic stress impacts hormones like progesterone and can worsen PCOS symptoms. Mindfulness, journaling, or gentle exercise can help break the cycle.

👉 Discover our guide to managing stress with PCOS

Reducing endocrine disruptors

Switching to glass food containers, natural cleaning products, and organic skincare can reduce exposure to hormone-disrupting chemicals.

Supplements to support fertility

Certain micronutrients and active ingredients are particularly helpful for women with PCOS trying to conceive:

Inositol (Myo-inositol & D-Chiro-inositol) – supports insulin sensitivity, promotes ovulation, and helps regulate cycles.
Vitamin D – important for hormonal balance, egg quality, and implantation.
B vitamins (especially B6 and methylated folate/B9) – support hormone regulation and early pregnancy.
Omega-3 fatty acids – support egg quality and reduce inflammation.

🌿 At SOVA, our Ovastart supplement combines inositol, zinc, and B-vitamins to support cycle regulation, ovulation, and energy – specifically designed for women with PCOS.
And if you’re looking for extra hormonal balance, our Balance Bundle pairs Ovastart with Sugar Balance, which contains berberine to support insulin sensitivity.

👉 Not sure what’s right for you? Take our PCOS product quiz for a personalised recommendation.

Final Thoughts

The relationship between PCOS and fertility can feel overwhelming at first, but here’s the key takeaway: PCOS does not mean you can’t get pregnant.

With lifestyle changes, the right supplements, and medical support if needed, many women with PCOS go on to conceive naturally and healthily.

It’s a journey that requires patience, self-compassion, and support – and you don’t have to walk it alone. At SOVA, we’re here to help you every step of the way. 💛