Hi Fruity
My partner and I are both in our late 30's and started ttc for the first time in Jan last year. I had always had period / hormonal problems since a teenager, so went to get checked out. It was confirmed I had PCOS. We gave ourselves 6 months or so to fall pregnant naturally (given our age), before we would go back to the doctors and get the ball rolling, moving onto Clomid or other fertility treatments. Given my age, I didn't want to leave it too long. I also had blood tests to determine whether or not i was actually ovulating but, due to the doctor's clinic just being disorganised and not getting back to me, I never actually did find out the results.
However without waiting, I started using the ovulation sticks to get accurate information on when i might be ovulating and I read Zita West's book on becoming pregnant, to educate myself on working out my cycle (embarrassed to say some of it was news to me). I bought the sticks you wee on and that come up with a smiley face when you are at your most fertile. When the face appeared, for those couple of days, my partner and i then tried to go at it 'hammer and tongs' as they say! (Truth be told though, given long working hours, commuting, general busyness of day to day life), we weren't doing it as much as we should have done.
8 months or so went past, nothing happening. I then had a talk with my partner and stressed that time was running out before we would need to move onto drug treatment for ttc with PCOS. We both decided to REALLY go for it the following time we got a smiley face. So, that was what we did (still, we're only talking maybe 3-5 times over 2/3 days!) - but in honesty it was probably the first time in 9 months we'd given it proper effort.
Result was, I fell pregnant naturally. I'm now 6 months pregnant. So I guess i was ovulating after all...
Based merely on my own experience, I would recommend a woman with PCOS who is ttc, educate themselves about their menstrual cycle length and optimum fertility times; use ovulation kits to get precise information about when their time is that month; and then giving it all they've got! And it helped giving myself a set time when i would try naturally, knowing i would then demand from the docs that i was referred and got treatment. At least if i ended up going down that road, i could look back and know i tried.
Very best of luck to you and others also in this boat.
x