Hello, I have gone through your query and understood the concern. Right now, with this sonographic picture, your chances of conception are very poor, I am sorry to say. Yet, PCOD is a condition which responds very well to treatment. Firstly, you should be evaluated completely with a complete hormone profile, serum DHEAS levels, AMH titres and Antral follicular count. Any associated hormone deficiency must be corrected. Weight maintenance, regular exercise and a healthy diet are to be practised. Insulin resistance, if present, may be managed with Metformin administration. Endometrial thickness should be improved with hormone treatment and induction of ovulation is done with proper monitoring. Hope you find this information helpful. Take care.