The general treatment for patients with polycystic ovary syndrome has been described earlier, and for patients with polycystic requirements for fertility, several considerations should now be raised. First, repeated ovulation promotion but no follicle growth. If this happens 6 times, it is recommended to consider IVF treatment directly. Second, during ovulation promotion, more than 3 follicles appear to mature. At this time, the risk of ovarian hyperstimulation and the risk of multiple pregnancies is higher and we will usually inform you of the risk suggesting to cancel intercourse. Adjust the medication dose next time. It may be difficult to adjust to an appropriate amount; repeated occurrences of this situation may be considered to puncture the extra follicles, leaving 2 follicles to guide intercourse or directly change to IVF treatment. Thirdly, there are follicles that develop and can be expelled, but no pregnancy. In this case, besides looking at the male partner’s semen routine, we should also pay attention to the past medical history, whether there is any medical history that may cause the fallopian tubes to be incompetent, such as the history of pelvic and abdominal surgery, miscarriage, tuberculosis, pelvic inflammatory disease, endometriosis, etc. If there is, then a tubal imaging is recommended to clarify the fallopian tubes. Fourthly, there are possible risks of doing IVF. Patients with polycystic ovary syndrome have good ovarian reserve and are often prone to ovarian hyperstimulation syndrome during IVF ovulation promotion, which manifests as ascites, hydrothorax, oliguria, thrombosis, etc., or even life-threatening. During the ovulation promotion process, doctors will closely monitor and adjust the dosage of medication, and to avoid adverse consequences, they will explain to the patients that they are advised to freeze the whole embryo and cancel the transfer of fresh cycles, as well as advise them to have a high protein diet, etc. Fifth, ovarian perforation is the last treatment of choice. Ovarian perforation is actually the removal of some ovarian tissues or electrocautery of ovarian tissues. If the scale is not right, if more is cut, premature ovarian failure may occur, and if less is cut, polycystic ovaries will still occur. If patients with polycystic ovaries are found early, timely intervention and treatment, their chances of pregnancy are still relatively high. With these few articles, I hope they can help polycystic patients!