Polycystic ovary syndrome (PCOS) is associated with irregular ovulation which can contribute to infertility, it is a common cause of infertility with symptoms including increased hair growth, acne, and obesity. Women who wish to achieve pregnancy should aim to lose weight through exercise and a change of diet. There are medications that can help to increase the chances of conception.
You can check whether you are ovulating through BBT(Basal body temperature), changes in the cervical mucus, ovulation prediction kits, and vaginal ultrasound tracking of the follicle.
A woman with irregular menses can conceive if she is ovulatory, i.e. producing eggs and she has intercourse at the appropriate time. The difficulty lies in timing the intercourse to catch the ovulation.
A special X-Ray called Hysterosalpingogram or an Ultrasound Saline Sonogramcsn be used to assess Fallopian tube patency.
There are many causes of low sperm quantity and quality. You can seek help from a urologist interested in male reproduction (andrologist). Ultrasound tests and hormonal screening may be necessary to determine if there are possible ways to help correct this. It is difficult to predict the length of treatment before you can see the result.
It is possible for women with uterine fibroid to get pregnant, but it is wise to consult your gynaecologist as fibroids can cause pregnancy complications and increase the risk of heavy bleeding after delivery. The most important consideration is the site and size of the fibroid, any that protrudes into the cavity will negatively impact the fertility potential. If the fibroid is treated, fertility may be restored.