Women with PCOS commonly have problems with fertility, but this doesn’t mean that it is impossible to get pregnant if you have PCOS. Many women with PCOS may still ovulate intermittently. However, PCOS is associated with an increased risk of adverse pregnancy outcomes including gestational diabetes, preeclampsia, preterm delivery, and miscarriage.[1] Multiple therapies have been shown to improve ovulation and increase the chances of pregnancy in women with PCOS, including clomiphene citrate, gonadotropins, and laparoscopic ovarian drilling. For women who are not ovulating, assisted reproductive techniques can be an effective means to obtain pregnancy.[2]