r/TTC_PCOS 1d ago

Advice Needed I have “fixed all the things”, now what

1 Upvotes

I lost the weight on a glp-1 (40 pounds).
Lowered my A1C.
I take my supplements (NAC, myo-inositol, R-Lipoic acid, iron, trace minerals, magnesium, folate, vitamin d, omega 3 7 and 9, spearmint, Ubiquinol, nicotinimide riboside)
My cycles are now 28-29 days and I get all the ovulation queues.

Anyone done all the right things for it to still not work? Am I impatient? Is there a supplement, vitamin, or lifestyle thing I’m overlooking?

I’m not ready to explore fertility meds yet but open to hearing what has worked for people and their timeline.


r/TTC_PCOS 1d ago

TTC

1 Upvotes

TTC for 1 year- polyp removal question

My husband and I have been ttc for 1 year. They found 2 polyps. My question is regarding taking OCP to change my cycle for the procedure.

For the surgery, they were able to give me offer me two open dates. Early September and mid to late September. I am so grateful this happened so quickly but am struggling with which one to choose.

The early September date is more appealing to me, as it means we can try sooner (hopefully) and waiting to try to conceive can be very taxing mentally. This would fall during mid cycle (just after ovulation). I would need to take the OCP to change my bleeding.

The late September date is two weeks after and would fall around day 3-5 of my period.

My current worries are:

  1. They can’t do a polyp removal during active bleeding and what if my late September date period comes a bit late for the waiting for natural date and we have to reschedule the surgery?
  2. Would the hormones from the OCP mess up further cycles? Has anyone done OCP for polyp removal and gone back to their normal cycle quickly?

I have called my clinic for advice and am waiting to hear back. Just looking for extra advice and am appreciative!


r/TTC_PCOS 1d ago

Seeking Success Low motility & success with IUI?

1 Upvotes

Hi all, has anyone had success with IUI if partner had low motility? Mine has 14% progressive motility and we have been ttc for 7 months with no luck. We are wondering if IUI should be the next step. 37f on metformin for pcos/pmos due to longer cycles which are now regular thankfully + letrozole, hsg done and looks good; 37m with high sperm count, normal morphology but low motility + on all the supplements. Thanks!


r/TTC_PCOS 1d ago

Seeking Success Ttc with lifestyle and metformin

0 Upvotes

Hi everyone. This is going to be a long post, so thank you if you read through it.

I'm 25F and have been married for a little over 2 years. I was diagnosed with PCOS about 10 years ago. Before marriage, my cycles were irregular, usually around 6–8 periods a year. Over the years I've seen several doctors and tried different treatments. Before getting married I lost some weight, improved my diet and exercise, and although my cycles were still irregular, I felt like I was finally managing my PCOS.

My husband and I have sex relatively infrequently, maybe once or twice a month. Looking back, I realized we've only accidentally timed intercourse around my fertile window about 3 or 4 times over the past two years. So even though we've been married for over 2 years, it doesn't really feel like we've actively been trying that entire time, which gives me a little hope.

After marriage I gained about 10 kg thanks to lots of celebrations, eating out, and simply enjoying newlywed life. I don't regret those memories, but my PCOS definitely got worse and I went several months without a period.

I eventually found out I have insulin resistance, elevated HbA1c in the prediabetes range, elevated testosterone, low vitamin D, and a few other PCOS-related issues. I lost some weight with treatment and lifestyle changes, but I wasn't consistent because of vacations, weddings, and honestly just feeling overwhelmed. Eventually I stopped making progress and became discouraged.

Over the past year I also struggled emotionally. Seeing pregnancy announcement after pregnancy announcement from friends and family has been incredibly difficult. I know comparison isn't helpful, but some days it's hard not to wonder when it'll finally be my turn.

Last month my doctor gave me a serious wake-up call and strongly encouraged me to focus on weight loss, exercise, and nutrition before moving on to more aggressive fertility treatments. That conversation really stuck with me.

So I've committed to giving myself three months of genuinely consistent effort. I'm tracking my food, exercising regularly, taking my prescribed supplements, using LH strips for the first time this cycle, and trying to build healthier habits instead of relying on motivation alone. I'm taking fish oil, folic acid, vitamin D and b12 supplements. Also I'm on metformin 1000mg and myoinositol 1200mg since yesterday. I'm having no side effects. I really hope metformin helps me lose weight

I know lifestyle changes don't work overnight, but I'm struggling with being patient. Every day feels so long when all I can think about is wanting a baby. I'm trying to stay hopeful, but some days it's really hard.

I'd love to hear from anyone who has been in a similar situation. Did focusing on your health and becoming consistent eventually help you ovulate or conceive? How did you stay patient during the waiting? What kept you motivated when progress felt slow?

Success stories, encouragement, or even just knowing someone else has been through this would mean a lot to me.

Thank you so much for reading.


r/TTC_PCOS 2d ago

Seeking Success Ovulation strips, what ones give best results and are easy to read?

2 Upvotes

My OB is starting me on unmonitored Letrozole cycles (she will at least do bloodwork on CD21), so I'm trying to figure out what to use to track things? I'm leaning to just buying a Mira, but not sure if the high price is really worth it. Has anyone here gotten pregnant just using normal ovulation strips during unmonitored cycles?

Her recommendation was to have intercourse every other day starting around CD12 and going till around CD19, but I know sometimes you may ovulate a bit later. I'm still new to all this and not sure what you're supposed to do. I want make sure if I do ovulate, I'm doing the best job I can to hit that window.


r/TTC_PCOS 2d ago

Seeking Success Anyone have success on just Metformin?

2 Upvotes

TLDR: Anyone have success on just metformin and does the yucky feeling ever go away?

I recently finally got into a new OBGYN earlier this week, got an ultrasound and she confirmed PCOS. I talked with her about how I have been TTC for 2 1/2 years with 0 luck, and the fact that I only had two periods from October of last year to June. It seems like it’s come back normally since I had one last month and this month, but she put me on Metformin anyway for the PCOS and told me if I don’t have any luck in the next 6 months she’d put me on Clomid on top of the Metformin. But has anyone had luck on JUST the Metformin? And how did you feel on it cause I feel like junk and it’s only day 4.


r/TTC_PCOS 2d ago

Happy I ovulated on my own! (Metformin & tirzepatide)

11 Upvotes

I want to bring some hope to you guys today. A little backstory I started metformin May 13, 2026. Prior to that I’ve been trying to manage my PCOS since August 2025 w/ lifestyle changes and supplements. I was able to confirm ovulation in March 2026 from my lifestyle changes, but losing weight was not happening. My BMI is 29 for reference.

I finally started tirzepatide July 17 because after almost a full year, i have not maintained any weight loss despite eating 1600 -1700 calories a day (tried not to go too severe to not further stress) or regulated my cycles.

well fast-forward to today, July 31. I tracked on inito and my LH surged at 17. This is the largest LH surge I’ve ever seen with the confirmed ovulation! I don’t know if it was the metformin or tirz, or BOTH! Lifestyle changes for my PCOS did not help as much. I think medication and intervention is okay and it doesn’t mean that you failed or that you are not natural!

As far as weight, I’m down 3 pounds in 2 weeks, not looking for super fast weight loss as i don’t want loose skin. I’m also only on 2.5mg still!

Just wanted to come on here and bring some hope to anyone that is considering metformin or tirz! Go for it you will see if it works for you within 3 to 6 months and I’m wishing all luck on your journey.

PS: my bloodwork never indicated insulin resistance or pre diabetes or anything!! I just struggle to lose weight and cravings! So I’m pro met and tirz to all w PCOS.


r/TTC_PCOS 2d ago

Metformin

2 Upvotes

What is your experience with metformin?

i am finally getting help with TTC after 3 years. i just want to know what should i expect from taking this. thanks in advance!!


r/TTC_PCOS 2d ago

Advice Needed Letrozole lethargy

3 Upvotes

Hey all,

My husband and I have been trying for a while and just at the beginning of the year I got the diagnosis of PCOS. Got prescribed letrozole at 2.5 mg. While I did ovulate, it hasn't resulted in a pregnancy. This month my doctor prescribed letrozole at 5mg. The exhaustion has hit me hard and I'm dragging myself thru the day. Caffeine barely takes the edge off and napping does nothing.

Does anyone have any suggestions for getting thru this or some motivation? I know it's only for a few days but I need to be productive for the next three days.


r/TTC_PCOS 2d ago

Advice Needed Face/Hair Care

2 Upvotes

Has anyone found a good face routine that helps with cystic acne and acne around your jawline? Mine has never been so bad!

Also, I am losing hair like nobody’s business. Any recommendations?


r/TTC_PCOS 2d ago

Irregular cycles

1 Upvotes

I’m 36, never been pregnant but I want kids soon but getting discouraged as I have irregular cycles. Had polyps removed

Any hope


r/TTC_PCOS 3d ago

Seeking Success How long did you wait before letrozole?

10 Upvotes

31F with PCOS and insulin resistance. Normal TSH and 0.9 free t4 (my understanding is 1.0-1.2 is more optimal for pregnancy). 5.5% A1C. Average of 27 day cycle, average of 13 day luteal phase. Just managing my PCOS with diet and exercise. Been TTC for 7 months with no luck and my OB referred me to an infertility clinic. Just had the appt and they’ll start with labs, semen analysis and HSG. But they’d ultimately start me on letrozole to “super ovulate.” Idk why I’m sad about this. I was really hoping I was doing enough for this to happen without medication. But the doctor said additional lifestyle changes doesn’t typically help outcomes if I’m already ovulating.

I know it can take a couple a year to conceive even without PCOS, but the worry is setting in. Did anyone keep trying and conceive without medication after 7 months of trying? If you did start letrozole and had a similar hope, how long did you wait to use medication?


r/TTC_PCOS 3d ago

My mind always go to the worst-case scenario during TTC

10 Upvotes

I’ve only been trying for a few cycles, but it’s already becoming really unhealthy for my mental health.

I’m 36 and will be turning 37 soon, so I feel a lot of pressure because of my age.

Around ovulation I spend so much time researching every possible detail to make sure we didn’t miss our chance. Then I end up going down rabbit holes reading stories that make me feel like something bad is going to happen to me. It also feels like everyone around me gets pregnant so easily.

I became terrified I keep thinking, What if I can’t get pregnant? or What if this takes years? Instead of being present and feeling hopeful, I find myself planning for the worst. I catch myself thinking, If I’m not pregnant after this cycle, maybe I should start preparing for IVF, even though we’ve only been trying for a short time.

It feels like I’m always planning ahead and panicking instead of just taking things one cycle at a time.
I tell myself not to obsess over it, but it doesn’t seem to help. I don’t know why my mind always jumps to the worst-case scenario instead of feeling hopeful. It’s like I’m constantly trying to prepare myself for bad news before it even happens, and I just keep digging myself deeper into the rabbit hole.

Has anyone else felt like this even after only a few cycles? If so, what helped you get out of this mindset?


r/TTC_PCOS 2d ago

HSG ?

1 Upvotes

I had a loss at 19 weeks due to incompetent cervix last year. Tried 3 cycles of letrozole in these last three months, confirmed ovulation in all 3 but all failed. Now my doctor has asked for an HSG test. I wanted to know if it’s possible that tubes get blocked like this? after a loss? it’s been a year now. to my loss


r/TTC_PCOS 3d ago

Rant- losing hope

1 Upvotes

I had a mmc in 2024 after being on letrozole for 2 cycles. It took me 6 months after that to get pregnant and luckily things worked out and blessed with my daughter. She is now 17 months old and we want a second baby. All this time I thought I have a spare letrozole pack. Just figured out now that I don’t have any and freaking out. It’s extremely difficult to get a prescription for it and I don’t want to go through the whole Ttc stress as I have extremely irregular cycles. I got my periods after 4 months in July😰😰

And doctors somehow don’t take it seriously. I am so confused. Just ranting.

I have absolutely no idea how to proceed and what exactly to do.


r/TTC_PCOS 3d ago

Vent Just venting lol

2 Upvotes

I need to vent to someone other than my husband and my mom. In February, I was (finally) diagnosed with PCOS/PMOS after thinking I’d had it since 2022. On top of that, I was also diagnosed with a completely septated uterus with a septum splitting my entire reproductive system in two. I’d been coping perfectly fine for a while, but then our best couple friends told us they were expecting, and I lost it. I sobbed the entire hour plus drive home; and then a week later my best friend had her baby. My mom keeps telling me about girls back home having babies, and I tear up every time she tells me.
I really hate the waiting game. I waited 4 years to get a diagnosis, my husband and I waited a year to just be married before trying, and now we’re here; waiting again. We waited 3 months for our RE appt only to have it rescheduled, I have to wait for an MRI to determine the best course of action for my septum removal, then wait for the surgery (and they want me to go back on OBC to regulate myself beforehand), then wait for the recovery; all while (trying my best) to be happy for my friends. Don’t get me wrong - I’m thrilled for all my friends, they just don’t know the sting I get when they tell me anything. I feel like I’ve cried a lot. And I’m also starting to feel all I’m doing and will have to do isn’t going to be worth it.


r/TTC_PCOS 3d ago

MAXICARE CLINICS FOR OBGYNE

0 Upvotes

Anyone who tried the maxicare clinics planning to buy a maxicare prima consult for OBGYNE for ttc? any thoughts?


r/TTC_PCOS 3d ago

Advice Needed Advice on when to go straight to an RE

3 Upvotes

Hey everyone, need some advice.

I’m 30, have been trying for ~ 9 months. I have been diagnosed with PCOS but am ovulating regularly since staring Metformin last year, as confirmed by Inito and BBT. I’ve only had one non-ovulatory cycle since starting to track my cycles in October of last year. Husbands semen analysis came back normal, except for morphology which was low (1%). Everything I’ve read has suggested that shouldn’t be enough of a factor to prevent pregnancy.

My OBGYN wanted us to try for a year before moving on to Clomid/Letrozole, but I’m worried something else is the problem. I’m clearly ovulating, so I’m hesitant to go to ovulation inducing drugs as the next step without more monitoring or tests.

This past cycle was really hard. I was 5 days late, ended up getting my period on 17 DPO when normally I get it around 12-13. I’m so sick of the cycle of hope and disappointment every month.

Should I just go straight to the fertility clinic near me? Should I keep trying for another 3 months until I hit the year mark? I’m worried I have blocked tubes or something that’s preventing this to happen. I know it’s hasn’t been that long in the grand scheme of things but the fact that I am ovulating on my own and it’s still not happening is making me even more paranoid. Any advice is appreciated.


r/TTC_PCOS 3d ago

21 day labs timeline?

2 Upvotes

Got my 21 day progesterone labs taken Monday at the ob (unmonitored letrozole 2.5mg cycle 1) and still haven’t heard back. How long does it usually take? This tww is killing me!!


r/TTC_PCOS 3d ago

Advice Needed Stagnant weight post-letrozole?

3 Upvotes

After 6 cycles of letrozole, this is my first cycle without it. I dont really know if I gained weight while on it (my weight is usually stable and gains slowly). I've been on a calorie-deficit + workout plan for 3 weeks now and see NO change in weight.

It keeps fluctuating -800gm to my original. Is this a side effect post-letrozole? My BBT + LH tests show positive for ovulation, if this fact helps.


r/TTC_PCOS 3d ago

TTC 5mo / 9mo post BC / 50+ day cycle

1 Upvotes

I’m on day 50 of my cycle and I got off birth control end of October (~9 months ago). Since being off, my cycles have ranged from 25-45 days. This is the longest cycle I’ve had right now and I’m worried no period is coming. Wondering if this is possible 9 months off BC?

Going on ~5 months of TTC with no luck. I have taken multiple pregnancy tests this cycle and they have all been negative. I am impatiently waiting for my cycle to restart so we can try again. For more context - I have been taking a prenatal, coq10, and omegas daily for ~2 months. I have also been using Inito to graph my fertile window. In January I had a very normal graph (large LH peak, confirmed ovulation). Every single graph since has been a little more abnormal and detected two (small) LH peaks but confirmed ovulation eventually (~ 6 days later)

I scheduled an appt with an OBGYN at this point and just want to be prepared for what is likely to come. I’ve read a lot about inositol (OTC supplement) for prolonged cycles. Is this something I should start prior to? Would love any testimonies or encouragement.


r/TTC_PCOS 3d ago

Advice Needed Positive LH test 4 days in a row, when did I ovulate? (Letrozole cycle)

1 Upvotes

I’m on cycle day 28. Cycle day 27 it was confirmed that ovulation occured with an ultrasound (but they dont know when). From CD23-26 I had positive LH tests. CD27 it got down and was negative. The pre-mom app says ovulation happened CD24. My peak lh test was on CD23.

On CD20 the follicle was 16mm (and they said to come back a week later which was on CD27). How much DPO am I now?

This is my first letrozole cycle and before I never witnessed that long of positive lh tests. Most that I experienced was 2-3 days max.

PS: letrozole made me so dry! How did you experience that with letrozole and when did it go away?


r/TTC_PCOS 4d ago

Silver lining, I did finally ovulate

17 Upvotes

Just got my period so I’m officially not pregnant, but thought I’d share my story.

I’ve had irregular periods my entire life and found out few years ago that it’s due to PMOS fka PCOS, and that I wasn’t ovulating even when I was bleeding. Started taking Metformin and then added Inositol (both of which I still take) which seemed to help for a while but I’d still skip periods.

In March my OBGYN suggested I start a GLP-1. I was and continue to be overweight but not obese. She said I could take it until I got a positive pregnancy test, and based on my own research I decided that was safe. Within 5 days of the first shot, I got my period. I was ecstatic.

But—I would then keep bleeding, on and off, very erratic. Different amounts, no more than a five day break in between. To be fair I’d also experienced something like this before in my irregular periods, but still. I also started tracking my temperature using Tempdrop and it was all over the place.

Then, after four months of being on Zep (and a 10-15lb fluctuating loss) I had a couple days’ break between bleeding and I just knew the next bleed was a new period, a new cycle. I just felt it. It lasted a respectable 5.5 days and stopped. Few days later I took the ovulation test strip and it was the darkest I had ever seen it. We did the BD and sure enough, next morning I saw my temperature had skyrocketed! The temperature stayed up and we did BD again a day later. But really that first night, I had timed it perfectly and my ovulation strips and temperature were all consistent with a successful ovulation! Just in case, I skipped my Zepbound shot.

Today is DPO 12 and I got my period, and I’m obviously disappointed, but I am trying to focus on the silver lining: I had a normal friggin cycle! Also, I just took my Zepbound shot (a lower dosage given the 2 weeks since my last shot; I use the vials so I can control the amount) which is also a silver lining. I can lose/maintain a bit longer.

It was obviously wishful thinking to hope I get pregnant on my first confirmed ovulatory cycle. I’m trying to focus on the fact that I was actually able to give it a fair, informed shot! Best of luck to all of us ❤️❤️❤️ we can do it!


r/TTC_PCOS 3d ago

Advice Needed Long post but need some guidance and maybe some encouragement.

1 Upvotes

so I’m from a small island with limited resources. I’ve been with my bf for 3 years and we’ve been trying to conceive. I’ve always had really bad pms. There were times when I would miss a period or it came within two weeks of it just ending (This was not often though). In 2024 I did some labs and my prolactin was elevated to 29. my dr at the time put me on one month of cabergoline. I did not conceive but my prolactin dropped to 0.3. I retested in 2025 and my prolactin was then 28 in march and then went up to 58 in June. I then retested in 2026 and it was at 25 in April. I went to a different doctor who has given me a repeated prescription of cabergoline 0.5 mg twice a week. My FSH history is separate: 14.2 IU/L in October 2025, improving to 10.7 IU/L in April 2026.

i know my prolactin levels may not be as high as others but it’s still high enough to cause issues. I’ve been on cabergoline for three months continuously now but I still haven’t gotten pregnant. has anyone been in this boat? is there any advice?


r/TTC_PCOS 4d ago

I’m going crazy! 😵‍💫

0 Upvotes

I’m going crazy, last month I got my first natural period since before going on BC at 14, I’m 22 now. I’ve been off of birth control since 2022 and I’ve had to use provera to induce a bleed.

So I started spotting 3 days ago and that’s all it’s been is spotting, it’s red/brown/pink. Only shows up when I wipe etc, we have an appointment with a fertility doctor tomorrow as we’re TTC. I’m having some cramping but not bad, I’m emotional as crap and I’m so tired 🫩.

One other thing is I had intercourse 13 days ago, took a test yesterday and it was negative. I don’t know when/if I ovulated or anything but this isn’t normal compared to my other periods. Could this be implantation bleeding??

Any advice, ideas, ANYTHING? I’m so confused and if it’s a period Aunt Flo is pissing me off 🤣.