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PCOS Philippines

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Trying-to-conceive roadmap for PCOS (now called PMOS)

Answer five quick questions. See where you may be on the 2023 Guideline fertility ladder, when to see a fertility specialist, what each step costs in pesos, and print a one-page sheet to bring to your consult.

Editorially reviewed on October 29, 2026. [TODO: medical reviewer] How we review

Quick answer

Most people with PCOS who want a baby can be helped. The 2023 Guideline ladder starts with preconception checks, then letrozole as the first-line medicine (Rec 5.3.1), then clomiphene, then gonadotrophins or ovarian drilling, then IVF.

See a fertility specialist now if you are not ovulating, sooner if you are 35 or older, and after 12 months of trying if you are under 35 with regular cycles. A fertility specialist consult at Kindred costs ₱1,400 per consult.

Your trying-to-conceive roadmap

Your cycles (when not on hormonal birth control)
Partner's semen analysis
Fertility treatments tried before (tick all that apply)

Educational only. Not a diagnosis. Talk to a doctor about your results.

How it works

The roadmap follows the fertility algorithm in the 2023 International Evidence-based Guideline for PCOS. It has five rungs. Preconception checks come first for everyone: folic acid, a 75 g OGTT for blood sugar, blood pressure, healthy eating and movement at any weight, your partner's semen analysis, and confirming whether you ovulate. Letrozole is the first-line medicine for ovulation induction when there are no other fertility factors (Rec 5.3.1). Clomiphene, with or without metformin, is an alternative (Rec 5.4). Gonadotrophins or laparoscopic ovarian drilling are second line, and IVF is third line.

Your answers place you on the ladder. If your cycles are irregular or absent, you are probably not ovulating regularly, so the roadmap points to ovulation induction and to seeing a specialist now, not after a year. If you have already tried a treatment, it shows the next rung up. Rungs you skipped are shown as “not tried”, because doctors sometimes move straight to a later step for good reasons.

For timing, the roadmap uses the rule set out in our research: under 35 with regular cycles, see a fertility specialist after 12 months of trying; sooner if you are 35 or older; and now if you are not ovulating, if your partner's semen analysis was not normal, or if you have already tried fertility treatment.

Costs come from our price file, with sources and dates. Letrozole and clomiphene are shown per tablet, because the number of tablets in a cycle depends on the dose your doctor sets. IUI, gonadotrophin and semen analysis prices are not yet verified, so they show as a to-do rather than a guess. IVF is shown per basic cycle, with medicines extra, and is not covered by PhilHealth.

The roadmap does not choose a treatment for you or tell you what dose to take. It helps you walk into a consult knowing the options and the right questions. Your answers stay on this page and are never sent anywhere; we count only that the roadmap was completed. Read the full fertility guide or the Taglish Pwede bang mabuntis? guide.

This guide is for information. Talk to a doctor before starting or changing any treatment.

Frequently asked questions

When should I see a fertility specialist if I have PCOS?

Now if you are not ovulating (irregular or absent periods), if your partner's semen analysis was not normal, or if a treatment has not worked. Sooner if you are 35 or older. Otherwise, under 35 with regular cycles, after 12 months of trying.

Pwede bang mag-letrozole agad?

Letrozole is the first-line medicine for ovulation induction in PCOS when there are no other fertility factors. It needs a prescription and monitoring, so ask your OB-GYN.

Why does the roadmap not show a per-cycle letrozole cost?

Because the number of tablets per cycle depends on the dose your doctor sets. We show the per-tablet price so you can multiply once you know your plan.

Is my information saved?

No. Your answers stay on this page while it is open. Printing creates a PDF on your own device only.

Is PMOS the same as PCOS?

Yes. PMOS (polyendocrine metabolic ovarian syndrome) is the new name for PCOS, announced in The Lancet on 12 May 2026. It is the same condition with the same diagnosis and the same treatments. Both names will be used until the 2028 International Guideline update.

Sources

  1. Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Teede HJ et al., Fertility and Sterility (co-publication), 2023.
  2. Summary of the International Evidence-based Guideline for PCOS 2023. Monash University / Monash IVF, 2023.
  3. Polyendocrine metabolic ovarian syndrome (PMOS). NHS, 2026.
  4. IVF cost in the Philippines. ClinicFinderPH, 2026.
  5. Kindred services and prices. Parlon, 29 October 2026.