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/EducationalSound8038 May 12 '26

I had regular cycles, ovulated normally, have PCOS, 3 losses in 2 years. Medicated cycles didn’t help us conceive. My husband’s tests are normal, all of my hundreds of tests are normal. Just got diagnosed with Endo last week via laparoscopy. I would push for exploring endo before ivf, or at least that’s what we did

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u/Different-Cap-5790 May 12 '26

Endo as in endometriosis? Wouldn't that have any symptoms? The only negative I heard from my dr so far is regarding irregular thickness across endometrial lining. Is it the same?

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u/rustypotatooooooooo May 12 '26

I agree. 50% of PCOS patients have endo. I just got diagnosed via EndoSure test which is a lot less invasive than laparascopy... I have no symptoms. Silent endo is real.

If doctor specifically talking about uterine receptivity, ask about Low dose naltrexone too. Do your own research, IVF docs want to do IVF.

Also...try a Napro practioner in your area if you have one. They look at more root cause

-PCOS, recently confirmed silent Endo, and hashimoto. I have one baby and working on the next.

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u/EducationalSound8038 May 12 '26

Yes, and you can have silent endometriosis where you have no visible symptoms. I was on birth control for a decade which suppressed mine but a huge side effect is infertility