We can offer no simple answer to this question as it depends on some factors. If you have PCOD and are hoping to become pregnant, you must speak with your doctor about your best course of action. In some cases, fertility treatments may be necessary in order to conceive, while in others, lifestyle changes may be all that is needed. PCOD can make becoming pregnant more difficult, but it is not necessarily a barrier to pregnancy. With the right treatment and support, many women with PCOD can have healthy pregnancies and babies.