How to Get Pregnant with PCOS

By Dr. Alyssa McPeak, DC, CFMP

If you’ve been diagnosed with PCOS—or you suspect it might be the reason you’re struggling to get pregnant—you are not alone.

PCOS (Polycystic Ovary Syndrome) is one of the leading causes of infertility in women. But here’s what so many women are not told:

PCOS is not a life sentence.

And in many cases, it can be reversed when you identify and address the root cause.

The First Step: Ask Why

If you’re not getting pregnant, the most important question isn’t “What’s wrong with me?”

It’s: “What is causing my PCOS symptoms?”

PCOS is not just one condition—it’s a group of symptoms driven by underlying imbalances in the body.

Until you understand what’s driving your symptoms, it’s nearly impossible to fully support your body in ovulating regularly and sustaining a healthy pregnancy.

There Are 4 Types of PCOS

Not all PCOS is the same—and this is where many women get stuck.

Understanding your type of PCOS is key to healing it.

1. Insulin-Resistant PCOS

This is the most common type.

Driven by:

• Blood sugar imbalances

• High insulin levels

Common signs:

• Sugar cravings

• Weight gain (especially around the midsection)

• Fatigue after meals

2. Post-Pill PCOS

This can occur after using hormonal birth control.

Driven by:

• Suppressed ovulation

• Nutrient depletion

• Temporary hormone imbalance

Common signs:

• Missing or irregular periods after coming off the pill

• Acne

• Delayed return of ovulation

3. Inflammatory PCOS

Driven by chronic inflammation in the body.

Common triggers:

• Gut issues

• Food sensitivities

• Environmental toxins

Common signs:

• Constipation and Bloating

• Fatigue

• Skin issues

• Joint pain

4. Adrenal PCOS

Driven by stress and elevated adrenal hormones (like Cortisol and DHEA-S).

Common signs:

• High stress levels

• Anxiety

• Sleep issues

• Feeling “wired but tired”

Why This Matters for Fertility

PCOS impacts ovulation—which means your body may not be releasing an egg consistently (or at all).

But when you address the root cause:

• Hormones begin to balance

• Cycles regulate

• Ovulation can return

• Your chances of getting pregnant increase naturally

The Power of Functional Testing

If you don’t know your PCOS type, testing is one of the most powerful tools you have.

At Roots Wholistic Health, we look deeper to understand your body—not just your diagnosis.

We Assess:

• Hormones (estrogens, progesterone, testosterone)

• Adrenal function (cortisol patterns, DHEA-S)

• Thyroid health

• Blood sugar response & insulin levels

• Nutrient deficiencies

Because each of these plays a role in ovulation, hormone balance, and fertility.

You Can Reverse PCOS Symptoms

When you identify your type of PCOS and support your body accordingly, healing becomes possible.

This may include:

• Stabilizing blood sugar

• Reducing inflammation

• Supporting adrenal health

• Replenishing key nutrients

• Restoring hormone balance

And most importantly—working with your body, not against it.

You Are Not Broken

If you’ve been told:

• “Just go on birth control”

• “You’ll need medication to get pregnant”

• “PCOS is something you’ll always have”

We want you to know there is another way.

At Roots Wholistic Health, we don’t just manage PCOS—we help you understand it, address it, and reverse the symptoms so your body can do what it was designed to do.

Final Thoughts

Getting pregnant with PCOS is absolutely possible.

But it starts with:

• Understanding your body

• Identifying your root cause

• Taking a personalized approach to healing

We don’t guess—we test.

At Roots Wholistic Health, we use functional testing based on your symptoms to uncover what’s really going on—so you can move forward with clarity, confidence, and hope.

Because your fertility journey deserves answers… and a real plan. 🤍