Patients with PCOS, commonly present with irregular ovulation and menstruation. Elevated testosterone levels, which can lead to an overabundance of body hair. And multiple small cysts within the ovaries. Women with PCOS are generally successful at achieving pregnancy. Either naturally or through assisted reproduction such as ovulation induction and in IVF. Overall, pregnancy and live birth rates are similar for women with PCOS and women without fertility issues. Women with PCOS tend to have an increased number of eggs preparing to be released from the ovary. As well as increased levels of anti-Müllerian hormone. Which is produced by growing eggs and is thought to reflect ovarian reserve, or the number of eggs a woman has remaining. Therefore, it has been hypothesized that PCOS is associated with an increase in ovarian reserve. As fertility declines after the age of 40 in all women. A larger ovarian reserve may be associated with a longer fertile period in women with PCOS. The current study examined whether women with PCOS experienced similar age-related declines in pregnancy and birth rates following IVF compared to women with normal ovulatory cycles.