One of the hardest realities women with polycystic ovary syndrome (PCOS) face is miscarriage. As difficult as it may be to face the reality at hand, it is important to talk about it so as to know how to drive around it. Miscarriage, hypertensive disorders of pregnancy, premature delivery, and birth of small for gestational age infant are all linked to polycystic ovarian syndrome. Despite the fact that statistics suggest women with PCOS have a higher chance of miscarriage, it is still possible to avoid miscarriage and have a safe pregnancy. This begs the question, what is the relationship between PCOS and recurrent early miscarriage? Can women with PCOS still avoid miscarriage?