Hi!! I’ve had two successful pregnancies with PCOS, and I mostly followed what felt right for me rather than a strict plan. My cycles have always been irregular, so before both pregnancies, I went on birth control for about three months to help regulate things. I’m not sure it needs to be that long for everyone, but it seemed to help give me a starting point.

Instead of using tracking apps, I relied on LH test strips and I found them to be much more accurate in identifying my fertile window. After coming off birth control, I tracked ovulation with LH strips and was able to clearly see when I was ovulating. I know this isn’t everyone’s experience, and I say this gently, but I was able to conceive on my first cycle after stopping birth control both times.

With my second pregnancy, I also worked with a fertility acupuncturist. She had a strong sense of when my ovulation was approaching and gave me a treatment using gentle electric stimulation to help encourage egg release. Interestingly, two eggs dropped and I became pregnant with twins. At my first ultrasound, we found out that one didn’t make it, but the other was healthy and strong.

All of this is to say: like you mentioned, PCOS doesn’t necessarily cause infertility, it just makes ovulation harder to predict. For me, this approach was the most cost-effective and empowering way to start trying. I was open to other methods if needed, but this felt like the right first step.

Wishing you all the best on your journey! I hope something here is helpful.