Yes, presence of ovarian cysts can reduce your chances of conceiving. You need to consult a gynecologist or an infertility specialist to bring the PCOS under control. There are various approaches to treat a polycystic ovary. First of all insulin resistance has to be checked and corrected by a dose of metformin. You will also have to undergo complete hormonal profile including FSH, LH, estrogen, progesterone, prolactin, and thyroid hormones. Then regular check ups have to be scheduled and you put on low dose birth control pills to regularize the cycles first. Once this is corrected, regular ultrasounds will be done to assess the status of the ovum and accordingly drugs prescribed. At times laparoscopy is done and cysts punctured. Diet and weight control are also important part of therapy and you need to be under a good nutrition expert. Take care!
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