Background: Polycystic ovary syndrome (PCOS) is the most common endocrine condition in women of reproductive age. As a result, the purpose of this study was to assess the outcomes for infertile women with PCOS who wish to conceive in Sudan.

Methodology: This was a prospective descriptive study done in El-Obeid, North Kordofan state, Sudan, between November 2023 and June 2024. The sample consisted of all women with PCOS who visited the High-Care clinic in search of a pregnancy. Women with other causes of infertility were excluded.

Results: This study included 109 women, the majority of whom were between the ages of 26 and 35 (49.5%), followed by those aged 15 to 25 (47.7%). Of the 109 patients, 57% suffered primary infertility, whereas 43% experienced secondary infertility. Of the 109 women, 70% were nulliparous, and the remaining 30% were multiparous. The majority of participants (68%) had irregular menarche, and a large portion, 65%, suffered from primary infertility.

Conclusion: Ovarian drilling is the most effective treatment for polycystic ovary syndrome. Patients should be counselled about lifestyle changes before undergoing ovarian drilling, followed by medical therapy, and then ovarian drilling.