Women with polycystic ovaries usually come to the clinic for menstrual disorders or infertility. After the doctor’s interview, blood test for the six basic reproductive hormones and gynecological ultrasound, it is basically clear whether the condition is polycystic ovary syndrome. The main cause of female infertility due to polycystic ovaries or polycystic ovary syndrome is ovulation disorder. For the treatment of ovulation disorder, firstly, the metabolic and endocrine status should be improved through lifestyle adjustment, including less sugar and oil, exercise, weight reduction, and oral medication; then, ovulation promotion therapy should be used to achieve normal ovulation. Most women with polycystic can conceive successfully after the above treatments. If there is a dominant follicle and normal ovulation every time after 4-6 months of ovulation promotion, and the male partner’s semen routine is normal but still infertile, it is recommended to check whether the fallopian tubes are open. However, there are some women with polycystic ovulation who do not do so well. In one case, the follicles do not grow to maturity despite the use of oral ovulation stimulants and urotropic hormones. In other cases, multiple follicles mature and expel at the same time with very small doses of ovulation stimulating drugs, increasing the risk of multiple pregnancy and ovarian hyperstimulation syndrome. If these conditions occur after 4-6 cycles of repeated ovulation, then women with polycystic disease may consider IVF treatment. In vitro fertilization often uses high efficiency and high purity ovulatory drugs to avoid the absence of follicle growth; choosing the appropriate ovulation protocol and controlling the dose of ovulatory drugs can reduce the occurrence of ovarian hyperstimulation syndrome; and through puncture egg retrieval, the risk of multiple pregnancies is reduced. A few people also ask again if ovarian perforation can be done directly. The results of ovarian perforation vary from person to person; some may be able to return to normal after surgery, some may still have polycystic ovaries, and some may experience premature ovarian failure. Therefore, we do not usually consider ovarian perforation as the preferred option. The possibility of IVF or the need for IVF also needs to be considered in the context of the patient’s medical history, other test indicators, and the male partner’s condition.