PCOS and Ovulation


Dear Midwife,
I was just wondering if you have to have a period every month to conceive and or ovulate?

I was diagnosed with PCOS years ago and so my periods are very irregular. I don't even know for sure if I am even ovulating. How can I find out if I am ovulating when I do have my period?

Thank you,


Most women ovulate about 14 days before their period, no matter when the period comes. The only ways I know of to tell if you are ovulating are taking your basal body temperature/checking cervical mucus and using an ovulation predictor kit. But if you have PCOS and want to conceive, you might do better to consult someone who knows how to manage such situations, as there are medications that might help you.

-- Cynthia, CNM. PhD.

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Misty I totally know

Misty I totally know how you feel. I just found out three weeks ago that I had PCOS.

And Im trying to get pregnant and not knowing when you are ovulating is hard. So don't feel alone I know just how you feel.


Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.