There is a two-year rule for the hormonal treatment of primary infertility. If it proves ineffective, the treatment plan should be revisited. Based on the givens (your prescription of BC and metformin), I assume your attending physician has diagnosed you with polycytic ovary syndrome. Putting the diagnoses or names aside, what happens, is that you may have hormonal disbalance, and probably luteotropin insufficiency. Some suggestions:

SCREENING

(1) Step number-one if checking the sperm count and motility in your partner/husband.

(2) Check for internal endometriosis (a slight curettage of the uterine cavity is required)

(3) Check for the thyroid hormones crucial in primary infertility (T3, T4 and TTH).

(4) Try to convince your doctor to perform pelvic ultrasound.

(5) As for the HPA axis, involving prolactin, GTH, oestrion (E1), oetradiol (E2), progesteron, follitropin, luteotropin, relaxin, it is a waste of time to episodically check those hormones, as the accurate diagnostic can be based only on the cohort exam on specific days of the menstrual cycle. If your doctor is willing to scrutinize your hormonal screening, like check the first phase hormones on the 9th day of the cycle, luteotropin on the 10-14th day, and second-phase hormones on the 21th day of the cycle, than this method would inform about the type of disbalance. Otherwise, one screening on a random day of the cycle, is a waste of time and money.

(6) You can check your hormonal patterns with the help of a simple, self-assessed method of basal thermometry, performed at home in your bed. Biphasic cycle suggests that you have ovulation. Forgive my European measures, as I am still uncomfortable with the Fahrenheit. In ovulating women, the first phase temperature usually ranges between 36.4 -36.9 C. During the second phase of the M cycle, when the thermoregulatory center of hypothalamus is freed form the suppressing influence of eostrogens, the body's basal temperature increases and the second-phase temperature ranges between 37.1 – 37.4 degrees C. Approximately on the 10-14th days of the cycle, you will record a sharp increase of the basal T on 0.3- 0.4 C. That moment indicates on ovulation; that is the best time to conceive.

(7) Billings Ovulation Method (BOM) is another simple, naturalistic, self-assessed method for checking the patterns of potential fertility. It has high accuracy (97%). In the days leading up to ovulation the cervix responds to oestrogens (mostly oestrion-E1) by producing mucus capable of sustaining sperm survival. The vaginal mucus changes during the cycle. Following the menstruation (3-5-day bleeding), there is a 3-day dry period when you have no discharge at all (if STD-negative). After the dry period, you will observe a discharge of the crystal, odorless, semi-transparent mucus. In the first phase (days 9-12), this mucus is thick and not elastic. It can extend up to 3-5 cm, but no more. The days before and after ovulation (nearly 10th-14th days of the cycle), the mucus is thin, very elastic, and can extend up to 10 cm. That is a 97% assurance that you are ovulating.

POSSIBLE SOLUTIONS:

(A) Nutrition: Try to consume a lot of carrots, carrot juice, walnuts, hazelnuts, beans, and do not take any vitamins if not medically justified. No vitamin is harmless, if taken without a reason.

(B) Although your BMI is fine, 23.5, loosing a few pounds would be helpful to increase the level of serum oestrogens (the fat tissue is the depot of the oestrogens)

(C) Consider finding a skillful acupuncturist, who would help rebalance your hormones to stimulate ovulation.

(D) If non-surgical and alternative means are ineffective, there is the last resort of a non-invasive laparoscopic surgery, when tiny cuts on the ovarian capsules help the ova be released to the tubes.

Good luck.

There are a couple of other medications including clomiphine and letrozole that can help you get pregnant. Unfortunately, birth control pills will regulate your cycle but will not help you get pregnant. I would suggest making an appointment with your OB/GYN to discuss further.

There are several ways to get pregnant other than the steps you tried. First, you should realize that the problem related to having irregular periods is that you are most likely not ovulating. Giving yourself a period with BC will not make you ovulate. Metformin might help IF you have insulin resistance. What you need is an evaluation by a doctor training in treating infertility so that you can find out why you're not ovulating and then treat that problem directly. If no specific problem is found then stimulating the ovaries to ovulate is needed. Clomid is most often used for this although Letrozole is being used more and more. There are other options as well but you should really be seen by the specialist. These are not things you can do on your own.

Yes. Clomid is effective.

This is a pill taken five

days of the month.

There are other ways to regulate your hormones. I suggest you consult with an Infertility specialist to determine why you are not able to conceive.

Yes,I have a different way for doing things to promote the likelihood for getting pregnant. Call me to discuss

954-290-3461.

Consider clomiphene or letrozole. Gyn can prescribe and follow if you are under 35. If 35 or older must see reproductive endocrinologist.