I am a 23-year old female, and I am unable to ovulate and conceive. I have irregular periods, hormonal imbalance, and I am hard to keep weight under control. I am currently having spotting once or twice a week. I am trying to conceive for one and a half years now. Menstruation started at the age of 10 and was always irregular. Height is 5'3'' feet. I had a healthy weight for most of my life, and periods were always irregular, skipping two to six months without a period and sometimes regular. For the last five years, I have gained 70 pounds gradually, along with excessive hair growth on the chin and face and other parts of the body. Periods remained irregular and heavy with large clots. Depression and anxiety worsened and are still present. Occasional pains in the pelvic area on the sides, not one side specifically. I sometimes get positive ovulation tests. Recently I had bleeding for 10 days straight, and it was odd for a period, as it was light and orange or brown. I have also been diagnosed with Factor V Leiden (heterozygous), acquired hypothyroidism. In addition, I was diagnosed with PCOS. The endometrial stripe is 10 mm with small follicles on both ovaries. DHEA-S is 695.5 µg/dL, CT of the abdomen showed no tumor or mass on adrenal glands or other significant findings; Vitamin D is 19 ng/mL. I have attached the ultrasound report. I have tried birth control, but Progesterone made me feel more depressed, and I cannot take Estrogen due to Factor V Leiden diagnosis. Can you please give me a second opinion on pelvis ultrasound for fertility along with other laboratory work?Current medication details
Tablet Levothyroxine 100 mcg tablet for elevated TSH in the past of 4.2 mIU/mL.
Tablet Sertraline 200 mg for anxiety and depression.
Tablet Dextroamphetamine-amphetamine 20 mg for ADHD.
Tablet Folic acid 1 mg tablet (folate level 3.9 ng/mL).