PCOS does not always cause infertility, but it is one of the most common reasons women experience difficulty conceiving, since irregular or absent ovulation makes natural conception less predictable. Many women with PCOS conceive without intervention once ovulation is regulated, while others need medical support such as ovulation induction to achieve pregnancy. The outlook depends on the severity of hormonal imbalance, ovarian reserve, and how early the condition is diagnosed and managed, which is why Dr Vineetha Kiran evaluates each woman's fertility goals as part of her overall PCOS care at Kiran Speciality Hospital, Hassan.