Welcome to HCM,
PCOS makes it difficult to conceive naturally. And it must be quite frustrating to undergo 3 cycles of ovulation induction
and follicular monitoring with no result.
But I would like you to address the cause that is PCOS, the main treatment for which is diet and exercise . A weight loss
of 5-7 kilos in a PCOS patient can reverse the hormonal changes and definitely increase the chances of conception.
Along with that Metformin (Glucophage
) is a drug proven to help with PCOS. You could consider diet, exercise and metformin atleast 1000 mg per day for 3 months and see the results before undergoing laparoscopic surgery
Ovarian drilling by laparoscopy
is always an option, but any surgery has a risk and with ovarian drilling if excessive drilling done it can damage the ovaries and adhesion in the abdomen can cause further problems.
I would advise you to try conservative management and if not successful consider IVF (test tube Baby ) rather than laparoscopy.
Hope this helps.