is a surgical procedure where either laser or cautery is used to burn a part a the ovaria tissue which causes ovary stimulation and ovulation.
But it is better option for women who are still not ovulating after losing weight and trying fertility
medicines (like clomiphene
, letrozole). This procedure has complications like bleeding, development of adhesions or scar tissue on your pelvic organs, pain and infection. Pregnancy rates range from 30% to 85%.
You are now on birth control pills loette and metformin
. Its been only 2 months you have started treatment with metformin. It takes minimum 6 months for the hormonal imbalance to improve with metformin.
You can use ovulation induction
drugs like clomiphene, letrozole. If these fail then you can go for a surgical procedure of laparoscopy.
But you have to stop loette when you decide to take ovulation induction.