Why am I unable to ovulate even after taking Metformin and Letrozole for PCOS?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I can understand that you are worked up about not ovulating despite being on multiple ovulation induction medicines. Please answer the following questions.

1. Have you got an ultrasound done?

2. Did the ultrasound show that the follicle is growing?

3. Since when are you taking these medicines?

Hope this helps.

Thank you and take care.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Have you been given HUCOG (human chorionic gonadotropin) injections when your follicle reaches the appropriate size?

1. Your high LH levels are suggestive that your PCOS (polycystic ovarian syndrome) is not under control. You could stop the ovulation induction for three months and try oral contraceptive pills to reduce the LH levels.

2. You could use ovulation induction with injections instead of tablets. This depends on how many cycles you have used the tablets for.

I think you should try oral contraceptive pills and then restart ovulation induction. However, please consult a physician, discuss with them and start taking the medications with their consent.

Hope this helps.

Thank you and take care.