Yes, patients with PCOS have a reduced chance of achieving pregnancy naturally. Oftentimes, it is required a supervision of their menstrual cycle, as well as administering ovulation induction medication, with the goal of helping them through the process.
The first option of these patients is timed intercourse, as long as there are no problems in the female reproductive tract or a diminished sperm quality. The OB/GYN can control follicle growth through ultrasound scan until the hCG administration day to induce ovulation. Afterwards, sexual intercourse is scheduled so that it takes place during the most fertile days of the woman.