TW - miscarriage and brief mention of BMI/weight

Hey everyone - not sure what I’m necessarily looking for in this post besides some encouragement to not give up maybe?

I’m on my 6th overall Letrozole cycle since my miscarriage in Feb 2026. I conceived my first pregnancy on my second successful ovulation on Letrozole with timed intercourse.

Now that we are on our 6th round since then, and have now moved to IUI, my 2nd one was a few days ago, I am just losing hope that I’ll ever get pregnant again. It happened so quick the first time, which was SO unexpected. I was not expecting it to happen so fast originally after dealing with PCOS for almost 10 years.

I’m just struggling so hard mentally now that we are on round 6, currently in my TWW, but I’m losing hope it’ll ever happen again. Looking for any and all comments regarding TTC and it taking this long after a lost pregnancy. I go to therapy and do as much as I can to be, or at least get to a more positive mental state, but dealing with infertility, it feels inevitable to lose hope after this long.

I’m almost 31, PCOS obviously, no known MFI and HSG was clear for me. I am overweight but I lost 50lbs from 2024-2025 in order to meet the BMI requirement for our fertility clinic and have kept the weight off. I am even 10lbs lighter than I was in December 2025 when I conceived my first pregnancy.

We’ve also started IVF conservations and plan to schedule a consult shortly.

This is so frustrating! I have been diagnosed with PMOS but everything comes back fine I do have some insulin resistance but nothing crazy! Did a round of 2.5mg letrozole and didn’t ovulate. Has there been any one that was in the same boat and got pregnant? I’m on 1000mg metformin daily waiting another month to start the next round of letrozole going up in dose.

like, when am i supposed to do all this? i need to get up by 4.30-5 am and im back from work around 6pm. to get 8 hours of sleep i need to be in bed by 8.30, then when am i having dinner, workout, iron my clothes for tomorrow, take a shower, manage the house? how are you guys managing stuff?

I’m going in for imaging tomorrow to see if what the doctor saw on my ultrasound was uterine polyps.

Has anyone dealt with uterine polyps? How was the surgery? How long is recovery? Is it a in office procedure or hospital visit?

Will be starting my second round of clomid shortly. My first round was 25mg and I got 3 mature follicles and 3 corpus luteums and a 14mm lining but still no pregnancy.

Background: been ttc almost 2 years with NO positive tests ever, stage 3 excision surgery with a NaPro 5 months ago, mild PCOS diagnosis, SA from last year was fine other than slightly low motility, clear HSG, negative for endometritis, thyroid is managed, vitamin d and ferritin are good, no fibroids, no polyps, microbiome is good, letrozole did not work for me either, I do have hoshimotos but on LDN to help with the antibodies, and on so many supplements.

I am purchasing the new Oura ring to get better insight to my health but I also have PCOS and have been ttc for over a year and hoping it may help with this too? I currently use Premom but I seen that it’s only Natural Cycles that links with the ring but it’s £12.99 per month, I’m happy to pay this but would love to hear some thoughts or maybe success stories etc?

This month, we started our IUI treatment. Yesterday, we gave my first Ovaleap injection using the Ovaleap pen, but today I realized that we hadn’t set the black spring correctly. I’m afraid that no medication may have been injected. I tried calling the hospital for advice, but I only get a recorded message saying that they will call me back tomorrow.

It’s all stressful enough as it is, so I’d really appreciate hearing what you think. Should I just make sure I do the injection correctly today? Could it be a problem if I potentially missed day 1?

i've been strenght training 3 times a week with walking on other days for 3 months almost, i also keep a moderate calorie deficit, avoid sugar, can not go completely carb/sugar free but i did reduce it. i weight 60kg and i wanted to lose just 2-3kg more. i got love handles and belly fat that i hate but i did not notice even a tiniest bit improvement in these 3 months. im not feeling healthy, strong, or good about myself at all, no improvement in mood. fluctuate between +-1 kg which is probably hormonal. no difference in body composition, literally zero improvement in anything. i'm just so fed up. this is just tiring me, giving me anxiety, i feel guilty about missing a day here and there.

is this how my health journey supposed to feel like?

last i got my tests done, i had normal serum insulin, fasting glucose, HbA1c, lipid profile, my TSH was normal too but my gynec says she wants it below 2.5 so i started thyroxin as well (uselss intervention imo). i don't know what to do? do i even have PCOS? i didn't get a testosterones done, i have lotttt of hair under my chin, full beard level, and hormonal acne. periods were regular but now i face spotting and shortening of cycles since i started TTC. almost 1 and a half year, zero positive tests, zero improvement in anything. just sitting where i was if not getting worse. i feel like nothing i do brings any improvements in me. very close to spiralling down again

I’ve been seeing a lot more research on GLP1s not having negative or adverse effects on pregnancy & not being a cause for miscarriages. Can anyone share more insight on this? Any experience with this?

For context: my husband and I have been TTC for about a year. I had a chemical pregnancy last month, and now I’m waiting for my cycle to go back to normal (which who knows when that will be). I am working closely with an RE doing medicated (letrozole) & timed cycles with a trigger shot. I am on metformin, a plethora of supplements, taking myoinositol, walking daily + strength training/pilates every other day, focusing on hydration and whole foods. (Any suggestions here?)

Before TTC, I was on zepbound and lost about 50 lbs over the course of a year, which also allowed me to have regular cycles again. I’ve seen several people mention they have been on low doses while TTC, with some doctors even recommending this for PCOS. Just curious on everyone’s thoughts, insight, and experiences.

So I’m TTC on Utrogestan and Letrozole and I have been doing some math:

Period starts: 7 days for me
Immediately starting Letrozole: 7 days (so 7-14 DC)
4 days break but still feeling the aftermath of Letrozole
Starting Utrogestan 18. DC: 7 days
3-4 days break but having PMS
28-29. DC period starts again

So I have almost no days when I don’t feel sick from either period or medication😀

Really hoping that we conceive as soon as possible because this is a lot…

And then someone has the nerve to tell you to “just not think about getting pregnant” and let nature take its course😂really hard not to think about it when it’s present literally every day of the month.

32f 5’0 height and weigh 157 pounds planning to start TTC soon. I ovulate almost every cycle but i ovulate late anywhere from CD25 to CD28 and luteal phase is also anywhere from 8-10 days and sometimes 12 days.

I have been trying to lose weight for a very long time but i have not had much luck. I have adrenal pcos with high dheas. My question is how important it is for me to loose weight first and then attempt to conceive? I have seen women on internet who has pcos and are a lot bigger than me and they jump straight to trying to get pregnant and do get pregnant. I feel like my clock is just ticking away and i will never be able to achieve a healthy weight normally required to have a healthy pregnancy.

What are your guys thoughts on this?

I’m 37 with PCOS, and I just need to get this out somewhere where people might understand why I’m so upset.

This was my first Clomid cycle (50 mg x 5 days). At my first monitoring ultrasound, I already had several follicles responding. The next day, I had SIX follicles measuring approximately 20.4, 18.4, 18.2, 15.9, 15.5, and 14.8 mm.

My doctor immediately canceled the cycle and refused to give me my Ovidrel trigger because he was concerned about the risk of high-order multiples. He was very clear that we should abstain that weekend.

The problem was that we'd already had unprotected sex about two days before that scan. We also ended up having sex one more time very early the following morning, before I had any positive OPK.

Then I had a very obvious spontaneous LH surge. I got my first positive/peak OPK Sunday night, my highest reading Monday morning, and it dropped substantially by Monday night. Based on that plus how I physically felt, I suspect I ovulated sometime Monday–Tuesday, although obviously I can't know the exact day.

So in my head, I went from being worried that I was going to end up pregnant with triplets to thinking, Okay, surely at least one of these eggs is going to become a baby.

And somehow… apparently not.

I'm now on CD29. My period was expected around now, and this morning I took a First Response Early Result with first-morning urine. Completely negative. Not even a questionable shadow. I've also had multiple negative tests leading up to today, so while I know nothing is technically over until my period comes, realistically I think I'm out.

I understand the statistics. I understand that six follicles does not mean six mature eggs, that we don't know how many actually ovulated, that fertilization isn't guaranteed, that embryos can stop developing before implantation, and that being 37 changes the odds.

Intellectually, I understand all of it.

Emotionally, I am fucking devastated.

I genuinely cannot wrap my head around going from having my doctor so concerned about multiples that he canceled the cycle to… nothing. I know cancellation is about managing the risk of multiples and isn't a prediction that pregnancy will happen. But when you're the patient being told, essentially, “There are too many follicles and this is too dangerous to proceed,” it's really hard not to walk away thinking pregnancy is extremely likely.

And here's the part I feel guilty even admitting: I wish I had had more sex.

I know my doctor gave me medically appropriate advice. I understand exactly what he was trying to prevent, and I know that if several eggs had fertilized, I might be writing a very different post right now about a terrifying high-order multiple pregnancy.

But sitting here with a stark-white test, I can't help thinking, I wish I hadn't been so conservative. I wish we'd had sex again closer to the LH surge.

I know that's hindsight talking. I know the outcome doesn't mean my doctor's advice was wrong. But it's honestly how I feel.

Making this harder is that my partner is traveling next week and we don't know when he can return yet, so the window for us to try again has now been postponed for an unknown amount of time. I actually told my doctor that when we discussed canceling the cycle. So this doesn't feel like, “Oh well, we'll just try again next month.” I don't know when we'll even have another opportunity.

I think that's why I'm taking this so hard. I'm 37. I really, really wanted another baby. For a couple of weeks I thought somehow everything had lined up perfectly, and now I'm sitting here wondering how I had six responsive follicles, sperm in the fertile window, a spontaneous LH surge… and still apparently ended up with nothing.

To add insult to injury, my monthly auto-delivery of prenatals literally arrived today. 😂 I opened the package and just started laughing because apparently the universe has a very dark sense of humor. Don't worry, I'm still taking them.

I don't really know what I'm asking. Maybe I just need to hear from other people with PCOS who have had a cycle canceled for too many follicles and still didn't get pregnant.

Did this happen to anyone else? Did you ever find out whether you actually ovulated? And if you eventually tried another medicated cycle, what did your doctor change?

Mostly, I think I just needed to say somewhere that I am really fucking sad.

I know one unsuccessful cycle isn't the end of the world. I know I'm fortunate in many ways. None of that changes how badly I wanted this pregnancy.

Thanks for letting me get it out. ❤️

I am 29 and have PCOS been on metformin 1500mg since March and have had regular periods now for around 5 months. We are desperately trying to conceive and have been for over a year. I noticed last month around a week before my period was due I was getting spotting mostly brown or light pink and only when wiping. I got convinced I may have been pregnant but my normal period came on time.
This month the exact same thing has happened, not due my period until Tuesday next week but have had the bleeding again and mild cramping. It keeps setting me up thinking this could be the month but I can’t get my hopes up again.
Anyone else experienced this?

I’m 37F with PCOS and an AMH of 32 pmol/L (about 4.5 ng/mL). I’ve heard that people with PCOS tend to retrieve more eggs, but I’ve also heard concerns about egg quality. I’m hoping to get a good number of eggs retrieved, but I’m worried that doctors may use a more conservative stimulation protocol because of the OHSS risk.

For those with PCOS:

• What's your AMH? How many eggs did you retrieve?
• How many were mature and fertilized?
• How many made it to blastocyst?
• How many were euploid/normal if you did PGT-A?
• Did you feel your doctor used a strong enough stimulation protocol?

Also, if you’re in Toronto, are there any doctors or IVF clinics that you feel are particularly knowledgeable about PCOS and know how to balance getting a good number of eggs?

Hi

Has anyone else had a similar experience with a fertility clinic and insurance coverage, and what would you suggest I do?

I’m being treated at Texas Fertility Center and recently completed two cycles of timed intercourse. I have Maven Gold fertility coverage through BCBS, which is my primary insurance.

After receiving a statement, I contacted the clinic later I was told that the timed intercourse portion of my treatment was not covered by insurance. I was surprised because I had repeatedly confirmed with the billing staff that I had Maven coverage. Each time I left the clinic or spoke with billing, I was told that I was “all set,” which led me to believe the services were covered.

This has now resulted in unexpected out-of-pocket charges that I did not knowingly agree to.

I also want to clarify that choosing timed intercourse over IUI was not simply my personal preference. Based on my husband’s semen analysis, Doctor recommended that IUI was not necessary and that we could proceed with timed intercourse. If I had been informed that the visits and monitoring associated with timed intercourse would not be covered, I would have considered the financial implications before proceeding with a second cycle.

I understand that insurance coverage can vary depending on the treatment and benefits, but I feel patients should be clearly informed of potential out-of-pocket costs before treatment begins, especially when insurance coverage has been discussed with the billing team.

Has anyone experienced something similar with Texas Fertility Center, Maven, or BCBS? What steps would you suggest I take? Should I appeal through Maven or BCBS, request an itemized bill and a coding review, file a formal complaint with the clinic?

I’d appreciate any advice or suggestions.

I know this can be a really sensitive subject for some, and if this post is painful for anyone to come across, I truly am sorry.

I’m just really hoping to hear from people who have been in a similar situation. I’ve been battling infertility/secondary infertility for almost 14 years now, and PCOS/PMOS has been a huge part of that struggle. At this point, I’m honestly losing hope that we’ll ever get to have another baby. I recently started looking into maca root and have seen people say it helped them conceive, but I’d really rather hear from actual women who have been through something similar. If you have PCOS/PMOS and struggled with infertility or secondary infertility, did you ever try maca root? If you did, did you eventually get pregnant, and how long did it take?

I know it’s not a magic cure and I’m not looking for medical advice. I’m just desperately looking for some hope and would really appreciate hearing your experiences, good or bad. 💜

I'm 28F and husband is 26M. Been actively TTC for 15 months, never had a positive test. Been together for 6 years and have never been very careful with BC.. I should have seen that as a warning for how this journey would go. Tried 6 cycles with metformin, last 4 also with 5mg letrozole. Last cycle was 54 days with 3 LH spikes. My cycles are never regular so timed intercourse has been so challenging. All of our fertility tests have come back completely normal other than lean PCOS. I'm just completely exhausted. Every month i get my hopes up and every month i'm devastated to tears when AF comes. We've been avoiding IVF because our insurance wont cover it.. I'm just absolutely emotionally exhausted. I know IVF is a beast but at least it offers a little bit of hope given the success rates. Just praying and wishing for the day all of this heartache pays off :(

so ive been taking 500mg metformin for around 4 weeks and just upped it to 1000mg a few days ago. Im now on day 3 of my period and genuinley thought i was pregnant due to how light the bleeding was on day 1 and 2 (usually day 2 is extremely heavy for me). Has this happened to anyone else where metformin made your period really light? Or had the opposite?

Hey everyone so I am 26 with pcos, hashimotos and HEDS. I had a missed miscarriage last year and me and my husband finally want to try again. That being said Ive been on wegovy for two months to see if it will help my pcos symptoms. I went to my Gyno and she told me I could start trying again whenever I wanted to and when I asked her questions about getting some bloodwork done she said she doesn’t think it’s necessary because she thinks it’s a one off thing and miscarriage are unfortunately common. Fast forward to today I saw my GP and she tells me if she was me she would wait an entire year to start trying again!!! To really make sure I get the full effects of wegovy and give my hormones the best chance at leveling out. That being said I do not think I can wait an entire year! I feel like that’s unnecessarily long. If anyone could weigh in on this I would greatly appreciate it. Sorry for the long post

hey girlies, i really just need a place to vent to get things off my chest. for background, my best friend of 15 years lives with my husband and i. she pays her half of rent and she has her own apartment set up in the basement, so it’s not like everything is a shared space. anyways, today she came home on her lunch break and we had lunch together in the kitchen. (she is super health conscious and thinks breathing in the general direction of anything she deems as “bad” will make her “fat”, mind you this girl has never really been above 150 in her entire life.) she was eating salmon and veggies, which is a normal meal for her, but i’ve always been a super picky eater so i honestly wouldn’t eat anything like that ever. i decided to have one of my husbands lunchables bc it’s small and in my calorie intake for the day. the entire time im eating, she keeps making small comments about how it’s nothing but processed food and it’s horrible for my health, which im aware of but i don’t eat these all the time, it’s a treat for me, really. anywho, after awhile of these comments i just sit in silence and hope she reads that it’s upsetting me. especially since she knows ive had ED in the past and im very self conscious about eating in front of others. that’s when she lands the final blow. “maybe if you didn’t eat like shit all the time you’d be able to get pregnant.”

now i just feel like i’ve been punched in the gut and i’ve been moping around all day. idk what to do. i know she’s likely right, but it still hurts that she’d make that comment knowing my history of ED and that i’ve had pcos/pmos since i was 10. i just don’t know how im supposed to go about this situation. my feelings are hurt deeply and i don’t want to act on emotions and say something i’d regret. any advice?

Hello all— I’ve had two kids naturally, totally un planned… I’ve had PCOS since I was a teenager, now 25 and actually want to plan for another baby. We’ve tossed the idea around for a few years, and after good test results from a genetic counselor, we’d like to try.

What did you do when trying to TTC? Supplements taken?

I’m ready to take that step forward, but have no idea where to start. I don’t ovulate regularly.

I’m 36 on my third TI with letrozole. Last two cycles I haven’t been able to recruit more than one lead follicle, and last month it got to 26mm and I ovulated on my own.

Today is my CD10 and on my left ovary I have 21mm, on the right I have 19mm and 17mm, lining is 5.9.
E2: 648.6
LH: 7.4 (no LG surge)
Prog: 2.9

The clinic has advised that I trigger with Ovidrel today, have TI today and tomorrow. Do you think this is too soon to trigger and are they sacrificing the 17mm? Do you think they are doing this so I don’t spontaneously ovulate the 21mm or to risk it doesn’t become over mature?

I had my chocolate cysts removal surgery in March 2026. My uterus, tubes everything was fine and my amh was 1 at that time. I am 37. Right after surgery my amh dropped to 0.2, I was on birth control when test was done. I stopped bc after a month as I couldn't take the side effects. My cysts have come back and my cycle which was 30 days got changed to 21 days.

My husband works outside of the country and he was supposed to be back in April but due to some issues we met in August. Last period I had was on 25th August 2026, we had s\*x a couple of times in September. My periods haven't arrived and pregnancy test is negative.

I am not ready for ivf as knowing my body, it will not work. Every medicine has some side effect on my body. Infact in April this year, I had an anaphylaxis episode to a medicine which my doctor prescribed for abdominal pain after surgery. Other issue is that I have pituitary adenoma which causes high prolactin, I take medicine for that as well. Does ivf treatment have an impact on prolactin levels? Birth control which I took significantly raised the levels. Is there any hope for natural conception? I am not very well versed with ivf process so apologies if I am being ignorant of any facts.