Polycystic ovarian syndrome results in stimulation of follicle growth without ovulation and generally leads to:

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Ovulatory dysfunction drives this scenario. In polycystic ovarian syndrome, the ovaries keep stimulating follicles so they grow, but they often fail to mature and release an egg. Without ovulation, fertilization can’t occur, so fertility is impaired. The cycle usually ends up irregular or completely anovulatory, preventing the regular hormonal sequence needed for conception.

This is why infertility is the most likely outcome. Ovarian cancer is not a known direct consequence of PCOS. Regular ovulation does not occur in PCOS, so describing regular ovulation would be incorrect. Hypogonadism implies reduced gonadal function, whereas PCOS involves excess or imbalanced ovarian activity with hyperandrogenism and a relatively normal or elevated estrogen milieu, not a true hypogonadal state.