hi, thank you for your query. PCOS is a multi symptom complex that has anovulation, resulting in irregular menstruation, amenorrhea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity. since there is anovulation and as a result hormonal imbalance ,our first aim is to correct it. treatment is bi-pronged approach of using medication and bringing lifestyle changes.it includes- -Regular exercise, healthy foods, and weight control are key treatments for PCOS. Eat a heart-healthy diet. In general, this diet has lots of vegetables, fruits, nuts, beans, and whole grains -Most women who have PCOS can benefit from losing weight. Even losing 4.5 kg may help get your hormones in balance and regulate your menstrual cycle. -Medicines to balance hormones may also be used but it is a long-term approach.medications include- *OCP to regularize the hormonal level.you can stop these when you are trying to conceive. * metformin. It can help restore regular menstrual cycles and fertility. *another drug called clomiphene citrate can be used for ovulation and promoting fertility. *letrozole-this drug transiently slows estrogen production and causes the body to make more follicle-stimulating hormone (FSH), a hormone needed for ovulation LOD or laproscopic ovarian drilling is done only in cases where all of the above fail. thank you, wishing you good health