Depo provera shots can also derange cycles but cycles that deranged are almost always PCOS,.
Your question has answers in it. If you need a baby, treat PCOS.
Lifestyle modifications will be a good start and are considered first-line treatment for women with PCOS. Such changes include the following
Diet(A diet patterned after the type 2 diabetes diet has been recommended for PCOS patients) increase fiber; decrease refined carbohydrates, trans fats, and saturated fats; and increase omega-3 and omega-9 fatty acids.
Exercise regularly and minimum 45 minutes a day.
Take vitamin D as 75 % cases of PCOS resulting infertility are corrected once low Vitamin D levels are corrected.
Weight loss is the most important thing you need.
Use following medications
agents (eg, ethinyl estradiol
Antiandrogens (eg, spironolactone
, leuprolide, finasteride)
Hypoglycemic agents (eg, metformin, insulin)
Selective estrogen receptor modulators (eg, clomiphene citrate)
Topical hair-removal agents (eg, eflornithine)
Topical acne agents (eg, benzoyl peroxide
, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin
clindamycin topical 1%, sodium sulfacetamide
See a fertility consultant you will need assistance in fertility. Try some clomiphene citrate and follow calendar methods and utilize active days of cycles for conception.
If my tips didnt work after you followed them to every single bit of them, then come and grab me from my collar.
Cheers & regards
Dr S Khan