What should I do if Polycystic Ovary Syndrome (PCOS) causes infertility?

Patient's question:

Once in a while, sometimes half of it. Married for more than three years without getting pregnant. The fallopian tubes were checked and found to be unblocked. Later, it was suspected to be polycystic ovary syndrome after further examination. The doctor prescribed Dian 35 to be taken for three months, and also took Metformin and Regulation Pregnancy Pills simultaneously. After taking Dian 35 for three months, menstruation came on the fourth day. Then, on the fifth day of the next month, a color Doppler ultrasound was done, and another one on the eleventh day. It was found that the endometrium was 6mm and there were no dominant follicles. Taking the medicine every day, month after month, just for the results of these few days, but it was disappointing. I really want to get pregnant and become a mother. On the three-year journey of trying to have a child, I visited many hospitals and even folk healers to take herbal remedies, but nothing worked. Can anyone help me?
History of treatment and effectiveness: Dian 35, Metformin, Regulation Pregnancy Pills.

Doctor's answer:

Hello! Couples of childbearing age living together for a year, with normal sexual life, and who have never taken any contraceptive measures but fail to conceive are diagnosed with infertility. Infertility is divided into two types: primary infertility and secondary infertility. Fertilization is a complex physiological process that requires the following conditions:
1. Normal ovulation by the ovaries
2. Normal semen containing healthy sperm
3. The meeting and combination of egg and sperm in the fallopian tubes to form a zygote
4. The smooth transport of the zygote into the uterine cavity
5. The endometrium is fully prepared for the implantation of the zygote.
If any of these steps are abnormal, fertilization can be hindered. The reasons for infertility may be related to the female, the male, or both. What is your specific situation? Have you had any history of miscarriage or gynecological inflammation? It is recommended that the female undergo a gynecological examination (including fallopian tubes, eggs, etc.) for pre-natal health to clarify your condition. The male should have a semen analysis.

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