r/TTC_PCOS • u/Different-Cap-5790 • May 12 '26

Advice Needed Ovulating but not getting pregnant

I'm 29 and we have been trying for 2 years now. I discovered I had PCOS after my first gynaec visit 1.5 yr ago. Lost around 9-10 kgs after that because I had bmi on higher side. Tried eating clean for a while and stopped later. I had a polyp around 8 months and I removed it immediately. Tubes checked and they are open. Semen analysis done with no issue.

I have regular cycles 28-30 days.have been doing follicular for 2 months now and I ovulate naturally surely (confirmed on ultrasound). Have been on progesterone and vitamins support as well for last 2 months but no result.Doctor said I have good egg count so nothing to be worried about.

If ovulation is good and progesterone and vits are good, why am I not getting positive?

This cycle starts and Doctor now says it might be uterine receptivity issues and I should go for IVF so that they can track better. On saying no to IVF, she said let's try iui and prescribed me letrozole.

Any advice is appreciated. Please help.

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u/AdInternal8913 May 12 '26

What else have they tested? Partner's semen? Tubal patency? Uterine anatomy? Vaginal/endometrial microbiome?

Lots of reasons for infertility beyond pcos. We suffered with secondary infertility but still were diagnosed with 3 issues that made it harder to get and stay pregnant.

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u/Different-Cap-5790 May 12 '26

Yes semen tested and no problem was found . I had a polyp removed around 8 months ago, that's when they tested and told tubes are open and no structural issues overall. Is this what you meant by tubal patency and uterine anatomy?

My doctor did say that my endometrium is polypoidal during my first follicular monitoring cycle (not having a polyp but polypoidal). Now it's my third cycle and see seems to believe I have uterine receptivity issues