PCOS is sometimes associated with fertility. In PCOS LH goes higher than FSH. Due to the low levels of FSH, many follicles will develop however it will not mature. These follicles which are present in ovaries form cysts once they become ataractic. Hence the ovaries seem to be polycystic. Follicles do not mature and that is the reason no eggs are released and subsequently there is no ovulation. Infertility is primarily caused by anovulation or lack of ovulation.
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