There is supposed to be a timeline from what I have researched that kind of goes:
Bloods/ scans
Metformin
Clomid (or a combo of both)
Lap- diagnostic (sometimes before clomid to ensure no blockages)
Iui
Ivf
There is a forth step for chronic pco That many Drs don't recommend due to the risk of lesions.
My dr however skipped bloods, skipped clomid and when metformin didn't work didn't tell me but during a lap did ovarian drilling.
This is where they in lamens terms..... Burn small holes in the ovaries/cysts to help them to work again. It's To encourage ovulation and with ovulation and removal of cysts the ovaries get a chance to start producing hormones again.
It worked for me in that I got my periods back after 2 years. The Dr now thinks my ovaries may have gone into hyperstimulation though because I since developed a 4cm complex cyst...... But I'm still in diagnostics of this. It could be an oversized leutal cyst from my last o. Will find out in a week.
Point is........
Ask about it.
Are you not ovulating at all??
If you are o-ing you can go on progesterone to support a sticky egg.
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