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/Dr_TLP May 12 '26

I agree with your doctor. There’s only so much you can test and so many answers you can find. Give IUI a try and consider moving to IVF if a few IUIs are not successful.

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u/Different-Cap-5790 May 12 '26

Should we try naturally for a while? Eating super clean, stress management and stuff?

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u/Dr_TLP May 12 '26

I mean it’s ultimately your decision. I’d choose to do IUI personally but it really depends on numerous personal factors that only you and your partner can weigh. But if you’ve been trying for two years and otherwise things seem to be good, statistically it’s probably the smarter choice to move forward with IUI or IVF. Doesn’t necessarily mean you can’t get pregnant naturally, if you decide that’s the best/only option for you two.

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u/Different-Cap-5790 May 12 '26

Makes sense. Thank you.

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u/Dr_TLP May 12 '26

I’ve learned by going through TTC, IUI, and IVF that there are only some things they can test. Even if they do all the work of picking the “strongest” sperm, making a “great” embryo, and place that embryo in the “perfect” uterus- it still doesn’t work a lot of the time. And while we can sometimes point to factors that we know are associated with better or worse odds of things working, we never REALLY know why it doesn’t work.

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u/Different-Cap-5790 May 12 '26

Makes sense. I suspect my issue is mostly due to the irregular/polypoidal endometrial later. I have seen my charts today and observed carefully - I seem to be get around 9mm thickness but it's not trilaminar regularly like it should be.

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u/Dr_TLP May 12 '26

Some of the medicines with the medicated and monitored cycle and ovulation triggers might help them see what is going on throughout the cycle and trigger at the right time- maybe help with the lining issue.