Patients with polycystic ovarian syndrome can be treated with oral ovulation induction drugs along with insulin sensitizers as required. If ovulation fails to occur with oral drugs, injections of gonadotropins can be used, the doses of which are adjusted according to the patient response. Since patients with pcos can be hyperresponders, close monitoring is essential. On the other hand patients with poor ovarian reserve may respond very poorly to ovulation induction drugs even with high doses.