Our expert says:
To base the diagnosis of PCOS purely on ultrasound alone without any clinical or biochemical supporting evidence would be somewhat premature. Furthermore, the fact that you have spontaneously conceived on two occasions mitigates against the diagnosis of PCOS as a cause for your fertility. The primary effect of PCOS is ovulatory dysfunction and in turn, this will lead to menstrual irregularity. I would recommend a more thorough evaluation of the fertility problem but certainly an IUI may be warranted in your case before attempting IVF.
Answered by: Dr M.I. Cassim
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