Excellent link to the MetS article; completely coincides with the personal experience of Mrs. GB - high BMI, and PCOS that proved to be largely unresponsive to traditional infertility treatments.
3 children later, we have found the “secret cure” to infertility: serious CHO restriction. Since puberty, she was fortunate to be fertile once per year at best. Within two weeks of severe CHO restriction, normal fertility ‘appeared’. Month after month.
Now the issue is how many children are too many to have? Its a much better problem to have, trust me.
Thanks for the feedback! Go forth and multiply.