My PCOS is part of the reason I had RNY. My doctor told me I would probably only have children in the future if I had the surgery and lost the weight. I'm only 7 weeks out, but I see a huge difference. My hair stopped coming out(like in the shower) and thanks to bc pills my acne is under control and slowly fading. I used to have terrible stomach pains after certain meals and that is gone, which is fantastic. I won't know about fertility until I try, but I don't intend to try for another 5-10 years, so sorry I have no answer for that one.