S.,
I, myself, have pcos and have had obvious symptoms since middle school tho I was not officially diagnosed until I was in my late 20s. I, too, was told that I would need fertility meds if I ever wanted to get pregnant.
I've since learned a whole lot more about pcos and how it really works, sadly more than several of the doctors I've seen for it over the last 12 years or so.
PCOS doesn't mean you NEVER ovulate, as such, it just means that you don't ovulate always or well. For me, I did get pregnant on my own 5 times.
The first 2 times, I didn't even have a doctor to go to, no insurance and no one would see me. Then I had a doctor run all sorts of tests and we also discovered I had other issues, like a clotting factor & being diabetic that *may* have contributed to the losses. For the 3rd m/c I was visiting family in another state, so no doctor to see me right away again. The fourth was just after an obgyn & perinatalogist (high risk doc) cleared me to start clomid. After the 4th I saw an RE for the first time. The RE did additional testing and determined I also had a large septum (dividing tissue) in my uterus that may have been the cause for the previous losses so it was removed via surgery.
I ended up taking clomid (which never worked for me) and then femara, which worked to give me one or two follies each month but I didn't get pg with any of them. I also moved on to injectibles with IUI too and they didn't work.
We stopped trying to conceive on our own and moved on to adoption. Surprisingly, after all that, I ended up pg again a 5th time on my own and am now 37 weeks and will have this baby in the next 2 weeks sometime.
I know you specifically asked about femara, and not for other people's stories as such but I had to share. It is a HUGE pet peeve of mine when doctors only classify pcos in one or two ways and even make the situation worse with their own ignorance of the problem so I had to share. I have run an infertility group for several years as well and I can promise you I know of quite a few women who've had pcos and have gotten pregnant on their own or with meds like femara (clomid helps for some, but femara seems to work better).
Good luck girlie! I really hope your dreams of growing your family come true! Please feel free to send me a message if you'd like too!
Christi