Cysts on the ovaries and fertility

Patient : Hi there, I have searched everywhere to find information on this but cant... I had a internal vaginal scan (forget what its called) and it appears I have 25 cysts on my left ovary and 43 on my right. What does this mean for my fertility. I have been diagnosed with PCOS and am insulin medication and the pill to help it but those cysts are only from 12 years of mentruating which equates to 5 years worth of eggs. Could this mean I may also be going through pre-menopause? Jade
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