I have PCOS

I  am 24 and have recently been diagnosed with PCOS(poly cystic ovarian syndrome). Although I do not have the typical symptoms: body hair in unwanted places, irregular periods, etc. My only issues are hot flashes, weight gain/difficulty losing weight, and insulin resistance. I was told by my nurse that I may need assistance with conceiving ie:hormone therapy, when the time comes to have a child. Or I may not just depends. I was curious how common this is and were you able to conceive naturally?