Hi, I have gone through your question and understand your concerns. Irregular periods with enlarged cystic ovaries in ultrasound is suggestive of the fact that you are having polycystic ovarian disease. In this condition, there is irregular or no ovulation at all due to hormonal disturbances in the body, and hence chances of spontaneous conception is reduced. You can be given ovulation induction drug and IUI can be done, depending upon the investigation of you and your partner. I would suggest you both to consult an infertility specialist to get properly examined, investigated and treated accordingly. Hope you found the answer helpful.Please do get back for further queries. Wishing you good health. Regards, Dr Deepti verma