What is PCOS? This means Polycystic ovarian syndrome where the ovaries are bulky and enlarged, the ovaries contain multiple eggs or follicles. Most patients have irregular cycles, some also have hirsutism. Several patients are obese but some patients are also lean. Cyclical ovulation every month is a problem which is due to high LH and FSH ratio. Treatment involves lifestyle modifications exercise and ovulation induction drugs. If conception fails to occur naturally, Assisted reproductive techniques like IUI can help.