"PCOS people once they get pregnant, maybe they would have got pregnant naturally, they have oligoovulation , that is once in a while they ovulate or they may have conceived with ovulation induction or with IVF or IUI but once they get pregnant we can’t relax. We have to know that they have insulin resistance and hormone imbalance the may lead to more of miscarriages and they are prone to insulin resistance and they may develop diabetes in pregnancy because they are obese and they have hyperlipidemia they have hypertension in pregnancy, because of all these problems they lead to IUGR or pregnancy and because of GDM they lead to macrosomias"