Hello dear,
I understand your concern.
In my opinion the PCOD is one of the causes for infertiliy.
Absence of ovulation is seen in PCOD which is the cause for infertiliy.
So
ovulation induction drugs are the first line of treatment in PCOD.
They are started with low dose and if no response the dose is increased which is also done in your case.ie., they started with 50 mg and gradually increased to 200mg.
So you are on correct line of treatment.
PCOD is one of the treatable cause of infertiliy.
Intrauterine insemination (IUI) can be tried along with ovulation induction drugs.
To increase the success rate laparoscopic puncture of cysts in PCOD can be done.
Also as there is increase in weight
thyroid abnormalities should be ruled out.
Adapt healthy lifestyle like exercise or walking daily and healthy nutritional food daily.Avoid junk and high calorie food.
weight reduction is most important in PCOD.
Metformin is a drug which also increases the success rate in PCOD.
So discuss regarding IUI, Metformin and laparoscopic puncture of cysts with your treating doctor.
Nothing to worry.Avoid
stress.
Infertiliy treatment can be time taking so have patience and go on with positive attitude.
Hope this helps.
Best regards..Dr.Srilatha