I was told also I had PCOS after internal ultrasound but not cysts. But all the symptoms. Usually the next steps they will do is give you blood tests to see if you ovulate regularly on your own...if you already do and you have regular cycles your OB or GP may suggest a blood test of your insulin levels to find out if you have a problem in this area, if your insulin is high like mine they will put you on Metformin to help with your insulin and ask you to eat a LOW GI diet, this increases your changes of falling pregnant by fixing your insulin and progesterone to obtain a sustainable pregnancy. The OB may opt for you to take Clomid first like he did with me, and I fell pregnant first round, however due to insulin issues I couldnt sustain a long term pregnancy as my progesterone was not good enough due to PCOS. Goodluck I hope you go well. Please try everything first before opting for surgery..
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