Hello, thanks for writing in. I would like to inform you that
polycystic ovaries is a persistent condition which cannot be cured but only modified to improve the quality of life.
I appreciate your dedication towards weight loss and following a
diet plan which is worth mentioning here. However, I take note that your periods haven't become regular and even clomid has not helped you conceive. In that case I would like to suggest to to get these tests done before moving further.
1. Oral
glucose tolerance test with 75 g of glucose. This is to see how your body handles glucose which is likely to be impaired at times. If the test results show impairment, you may have to take tab.metformin for a long time to improve your glucose tolerance.
2. Tube test also known as HSG ( hysterosalpingogram) to evaluate if your fallopian tubes are open.
3. Serum TSH and free T4, serum prolactin to see if they are contributing for your
irregular periods.
4. Your husband's semen analysis.
If all tests turn out normal, I suggest you to go ahead with injections ( gonadotropins) for
ovulation induction as clomiphene has failed to help conception. The chances of pregnancy will be higher about 15% per cycle if you try
intrauterine insemination along with ovulation induction. Do take folic acid 5 mg daily as a pre conceptional vitamin.
Hirsutism is a result of excess male hormone due to pcos.you can try waxing , depilation to remove hair as existing hair won't disappear. You can only prevent growth of new hair using anti androgenic birth control pills which you can't wait take now. Meet a
dermatologist to help you with topical eflornithine cream for hirsutism which is the only FDA approved drug for the purpose. Hope this helps. Good luck!