Our expert says:
The information that you have given is highly suggestive of an ovulatory dysfunction, which is probably hormonally based. The most likely cause indeed is PCOS and I would believe that you may require a stronger form of ovulation induction with closer monitoring in order to achieve a successful pregnancy. I also presume that your tubes are patent and that you had the necessary investigations for tubal status. In certain cases of extreme PCOS it may be necessary to switch to in-vitro fertilization if ovulation induction cannot be achieved safely by other means.
Answered by: Dr M.I. Cassim
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