Hi, Thanks for posting in HCM. I understand your concern. Treatment for polycystic ovary syndrome (PCOS) focuses on management infertility caused due to irregular periods and ovulation. The following things needs to be done to overcome most of your problems. 1. Lifestyle changes by weight loss through a low-calorie diet combined with moderate exercise. 2. Regulation of menstrual cycle by use of estrogen and progestin combined birth control pills. 3. Regulation of ovulation and menstrual cycle by taking oral hypoglycemic drug metformin. 4. Induction of ovulation by administration of clomiphene, if necessary. 5. Reduce excessive hair growth by birth control pills to decrease androgen production or by another medication called spironolactone. MSF indicates multiple small follicles and endometrial thickness of 6mm is under the process of progression. With these medications, it should help you to improve the chances of conception. Kindly consult infertility specialist in this regard for appropriate management. Hope the information provided would helpful. All the best.