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. Most patients are obese but some are also lean. Cyclical ovulation every month is a problem which is due to high LH and FSH ratio. Treatment involves lifestyle modifications, diet and exercises and ovulation induction drugs. If conception failsto occur naturally, Assisted reproductive techniques like IUI and IVF can help. Treatment in teenage girls early in life would be very helpful