The Physiological Role of the Ovary and Fertility Outcomes in Women with Polycystic Ovary Syndrome (PCOS): A Comparative Study

Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting reproductive-aged women, characterized by chronic anovulation, hyperandrogenism, and polycystic ovarian morphology.It is associated with infertility, irregular menstrual cycles, and adverse pregnancy outcomes.This study aimed to evaluate fertility parameters, the duration of sterility, and reproductive outcomes in women with PCOS compared to healthy controls.A total of 100 women were enrolled and divided into two groups: 50 with clinically diagnosed PCOS and 50 age-matched controls with normal reproductive profiles.Data were collected via structured physician-administered surveys and analyzed using t-tests and Chi-square tests, with statistical significance set at p < 0.05.The mean reproductive period was significantly shorter in the PCOS group (16.3 years) than in controls (21.7 years) (p < 0.001).Marital infertility was observed in 82% of PCOS patients versus 8% of controls (p < 0.001).Most PCOS patients experienced sterility lasting 2-3 years.Fertilization occurred in only 15 PCOS cases (11 live births), while the control group had 72 fertilizations (58 live births).Women with PCOS more frequently required ovulation stimulation or assisted reproductive techniques.Women with PCOS exhibit significantly higher infertility rates, shorter reproductive spans, and poorer fertility