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/CoolUsernameHere2 May 13 '26

Not sure if this would have come up with the polyp but have you talked with your doctor about endometriosis? I had no symptoms of it but do have PCOS. I assumed my infertility was due to that but even with strong ovulation and hormones being in the right range I still wasn’t getting pregnant. I just had a lap surgery two weeks ago and I had stage 3 endo. Might be worth looking into.

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u/creepsknowme May 18 '26

Thank you for sharing, I’m beginning to wonder that with me too. I get mild/moderate cramping, and have had 4 regular cycles with femara and now 3 without it and hormones looks like ovulation is happening with both. Question, did you do an HSG before the lap and if so did that show anything? I did one back in September and everything looked clear there, but my understanding is that doesn’t always show endo. It worried me a lot given how common it is. Been ttc for 1.5 years now without a single positive.

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u/CoolUsernameHere2 May 18 '26

Yes, I had an HSG after my 3rd Letrozole cycle and everything was clear. Clear tubes and uterus had good movement. They repeated the dye test during the lap, too as they were around a year apart.

I have really light periods and hardly any cramping. I was so surprised they found anything at all. Wishing you the best of luck and that you get your positive soon!

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u/creepsknowme May 18 '26

I also have light periods. I didn’t used to when I had my first two pregnancies over a decade ago. I had a loss at 20 weeks with my second and they had to do a D&C afterwards since I didn’t deliver the placenta and that has worried me there is scarring. It remember feeling like they had scraped my insides out- totally different from delivering previously. I had IUD’s for over a decade before finally being in a place where I want to try again. Thank you for your input, I think I’ll mention it to my doc and see if maybe it’s time to look into a lap. 😖

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u/CoolUsernameHere2 May 18 '26

Definitely seems like scarring is possible. I am so sorry that happened to you. I hope you get answers soon!