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PCOS-related anovulatory infertility — DRCOG MCQ

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ModerateSubfertilityPCOS-related anovulatory infertilityDRCOG

A 30-year-old woman with PCOS has oligomenorrhoea and has tried to conceive for 18 months. BMI is 34 kg/m². Her partner's semen analysis is normal. When should this patient be referred?

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Correct answer: B — Refer for specialist ovulation induction advice with lifestyle support

PCOS-related anovulation can be treated, but ovulation induction should be specialist-led with monitoring and lifestyle support where appropriate. PCOS does not make pregnancy impossible. Unmonitored clomifene increases risks such as multiple pregnancy. Hysterectomy and emergency contraception are unrelated to fertility treatment.

Reference: NICE CG156; International PCOS guideline