PCOS is the most common cause of anovulatory infertility; but the prognosis is far better than many patients fear. For most women with PCOS, with the right support, getting pregnant with PCOS is very achievable. The key is working strategically, starting with evidence. Fertility in PCOS (or PMOS) is primarily disrupted by irregular or absent ovulation (oligo-ovulation or anovulation). The hormonal environment of PCOS – elevated LH, elevated androgens, inflammation, and often elevated insulin – disrupts the normal follicular recruitment process, preventing the dominant follicle from maturing and releasing an egg on a predictable cycle.1 The good news: the ovaries…