Fertility Decoded

Myo-inositol (PCOS)

Written by Fertility Decoded. Reviewed by D R, MS (OBG), FRM. Review date: 31 August 2026.

The verdict

Widely prescribed for PCOS, but Cochrane finds no high-quality evidence backing routine use.

An insulin-sensitizing compound widely prescribed to PCOS patients before IVF or ovulation induction.

What the evidence shows

Cochrane (13 trials, 1,472 subfertile women with PCOS): no high-quality evidence supports the now-common clinical practice of prescribing it, for live birth or adverse-effect outcomes.

Evidence tier

Cochrane review (weak)

🔵 A Cochrane systematic review exists; evidence is low/very-low certainty.

Frequently asked questions

Does myo-inositol help you get pregnant with PCOS?
It's widely prescribed for PCOS, but Cochrane (13 trials, 1,472 women) found no high-quality evidence backing routine use for live birth.
Is it safe?
No significant adverse-effect signal appeared in the trials, but 'no proven benefit' is the key point — discuss it as part of a PCOS plan.
Myo-inositol for PCOS specifically?
See our PCOS and fertility page for the wider picture.

Sources

Take this further

Sources last reviewed .