Pco is a disease occurred as a result of hormonal disturbance the body sometime its mild , moderate and sever the treatment depends on the grade and whether the patient is single or married metformin actos are drugs used to control the hormonal disturbance . If the aim is the pregnancy we give the patient pure injections for stimulate the ovaries to produce pure follicls. In sever cases we may have to do laparoscopic diathermy of both ovaries.