Polycystic Ovarian Syndrome

Scenario

A 28 year old nulliparous woman with a 2 year history of primary infertility is referred by her GP to the Gynaecology Out-Patient Clinic. The GP has performed some investigations, a scan, which shows classic appearances of PCO, progesterone 2.1 nmol/l, LH 10.2 IU/l and FSH 4.1 IU/l. Her partner’s semen analysis showed a volume of 3ml, sperm density of 26 million/ml, 30%