Hello, Polycystic ovary syndrome(PCOS) is the most common cause of infertility in women. It should considered in any adolescent girl presenting with a chief complain of irregular menstrual periods, cysts on the ovaries, infertility, weight gain, acne, excessive face and body hair, thinning or balding head hair, insulin resistance, obesity. What kind of symptom do you have? Why did you go to see your doctor? If you think you might have PCOS, it is important you see your doctor to find the cause of your symptoms. With early diagnosis, the symptoms of PCOS can be treated early. This reduces the risk of complications if you decide to become pregnant. your doctor will do follow by test level of testosterone (for hyperandrogenism: male hormone). If you have PCOS, you might struggle to get pregnant. This is because of the high levels of male hormenes prevent the release of an egg (ovulation). You can increase your chance of pregnant by: Being a healthy weight- even a 5-10% loss in weight has been shown to significantly increase the chance of becoming pregnant, healthy eating (no fast food), exercise after you get married you should monitoring ovulation and timing sexual intercourse around ovulation. If you obesity and you have elevated blood sugar (diabetes), your doctor will prescribe you medicine for diabetes like metformine. If you have made some changes and that still hasn t helped, your doctor might order fertility tests and prescribe fertility medications to help you ovulate. If medication doesn t work, your doctor might suggest surgery to remove a tiny amount of tissue that produces excess, male hormones in the ovaries. Another option is in vitro fertilization (IVF), which offers the best chance of conception. However, this can be expensive and is usually only considered when all other options have been unsuccessful. Fortunately, with lifestyle changes or fertility treatment, the majority of women with PCOS do become pregnancy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Heang Chan Raksmey, General & Family Physician