Can't help the pain, only sympathize. I had some really big cysts in the first few years post pouch and they hurt like a son of a gun.
But I can offer some positive thoughts - two girlfriends who have PCOS are moms - one with three kids, the other with one and one on the way. As my husband always tells me don't borrow trouble. Deal with the pain and then handle fertility issues if and when they occur.