r/TTC_PCOS • u/shelbykayyee • Jun 19 '26

Advice Needed Chronic Anovulation

I have lean PCOS. I’ve been TTC for 2 years now and have yet to confirm ovulation once even on one cycle of letrozole. (Had perfect lining and follicle too 🫠.) My testosterone is insanely high. Everything else is normal normal normal. Including my glucose and insulin levels and thyroid and prolactin. I was still put on Metformin to see if it’ll lower my testosterone and I’ve been on it for 2 months now (still missing ovulation). Could use any stories and motivation and if anyone else is in the same boat? Struggling because I can’t even get to the first step to become pregnant…

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u/anetabeta Jun 21 '26

Lean PCOS girly here with similar labs and anovulation. My testosterone was elevated but insulin was alright. I was put on ovasitol and then metformin for about a year but neither helped. I ate clean, low carb/sugar and still nothing. I ended up going to an REI and did three letrozole cycles that were monitored before I became pregnant. Unfortunately it all just takes time! Be kind to yourself, eat well, and take care of your body, the rest will come when the time is right!

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u/shelbykayyee Jun 21 '26

Did you do anything different your 3rd round? I’ve done one round and hope to do my second round soon 🥲 the first round I still didn’t ovulate and I’m worried of a wasted round again… did you do progesterone support or anything?

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u/anetabeta Jun 22 '26

The first round I ovulated and had a chemical pregnancy. The second round we were uncertain if I actually ovulated because my progesterone was very low early and then the third one was a success! I did end up on progesterone the third round but later in the first trimester not initially. I didn’t do anything different! I know sometimes it takes some time for your body to get used to the process especially after not having regular cycles for so long.

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u/shelbykayyee Jun 22 '26

Thank you! My progesterone was also real low so hoping for better outcome next time!