There has been a lot of pregnancy speculation around Maci Bookout lately, from fans thinking they’ve spotted a baby bump to commenting on her “fuller face.” But is the Teen Mom OG star silently dealing with exactly the opposite? She teased that she might be struggling with fertility on Twitter on Aug. 15.

Maci has been open about her polycystic ovary syndrome on the show, and several fans thought the condition may have had a tragic, but common, side effect. “Like @MaciBookout I have PCOS,” said a fan on Twitter. “For the media to keep saying she is pregnant while she could potentially be struggling with fertility etc. is disgusting imo.” Maci retweeted the post, which makes it seem like she related to the problem.

This isn’t the first time she expressed frustration with fans speculating that she’s pregnant. When a fan tweeted, “So today I found out @TM2LeahDawn and @MaciBookout are pregnant … like I did last week… And last month… If the day comes Congratulations!!!!!” Maci responded, “love this!” 

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It’s not a far-fetched theory, as PCOS often results in irregular periods, infertility, hair growth or thinning hair, acne, cysts, and dramatic mood swings. Maci talked about this on the show, saying that when the cysts rupture, “It’s the worst pain ever. It’s terrible.” She also said sometimes she goes six months without having a menstrual cycle. On top of that, she and husband Taylor McKinney opened up about having a miscarriage last year. Now, they’re considering adoption.

There aren’t many good options to treating the problem, besides healthy diet and side-effect-heavy medications. “It is somewhat manageable with medicine, but it is lose-lose,” she said. “There’s never a win with the medication. You’re trading a symptom for a side effect which sucks. Plus I’m not really into taking medicine every day and the surgery seems absurd. I don’t feel like that would ever really be an option.” We wish her and her family the best!

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