A young woman (23) walked into my clinic after missing her periods for nearly three months. She had earlier been diagnosed with polyendocrine metabolic ovarian syndrome (PMOS), so she was not alarmed about the delay. When I asked whether she was sexually active, she denied immediately. But gentle prodding later, when she felt she would not be judged, she admitted the truth. A positive pregnancy test and investigation revealed a nearly two-month pregnancy. What unsettled her most was not just the result, but her belief that had brought her there — that having PMOS meant spontaneous conception is difficult. In PMOS, ovulation may be irregular, but pregnancy can still occur.