How PCOS affects fertility There are three pathways that PCOS can impact your ability to become pregnant: anovulation, Insulin Resistance, and elevated androgen (male hormone) levels. Anovulation means that even though your ovaries still have eggs in them, the hormonal balance does not allow them to mature as needed to ovulate, which is the reason PCOS is the most common cause of anovulation. Insulin resistance… Continue reading PCOS and Fertility: Getting Pregnant with Polycystic Ovary Syndrome