Thanks for your query on health care magic.
PCOS is polycystic ovarian syndrome
. It is most common ovarian cause of infertility
Since you are 46 and nearing menopause
, I recommend you to get a ovarian reserve
volume(ORV) test done.
ORV detects the functioning ability of ovary.
Only if ORV is good you may proceed with advanced reproductive treatment and medical management of infertility.
Wish you good luck.
Hope this helps,