PCOS can be that way. I am sorry for her. Nice of you to look out for her. Yeah IVF is a good option indeed. I don’t have PCOS. But I had IVF for my first baby. I won’t bore you with the details of my disease and journey. But since you care so much about your friend, I’ll give you some headers. First thing to consider is a good fertility clinic. You’ll find many. Consider the one with the highest success rate. There are some clinics that offer some guarantee. So its worth looking into. Second, it’ll be great if the clinic has their own doctors etc. So they can test your friend and suggest the best option for her. Meanwhile, support your friend in every way possible. Stay emotionally available for her.