Hallow Dear, Fertyl contains Clomiphene citrate which helps egg release from the ovary. In cases of Polycystic Ovarian Syndrome, there are raised levels of insulin and male hormones. To control insulin levels, Metformin is given which is supposed to increase the success rate of pregnancy in PCOS. However, it has been found that use of Myo Inocitol in place of Metformin gives better results. Myo Inocotol in addition to controlling insulin levels also controls male hormone levels. You may try this with the advice of your infertility consultant. While on medication for induction of ovulation, I would advise you to monitor your ovulation either by ultrasonography or by home kit. Please try to have sexual intercourses on and around the day of ovulation. It will increase the chances of fertilization. Inj. hCG after ovulation helps continuation of pregnancy after conception. If these practices are not successful, you may have to opt for Assisted Reproduction Techniques with the help of Infertility Consultant. If your tubal patency and the study of the other reproductory organs have not been done, they should be carried out. Laparoscopy and/or Hysterosalpingography can provide such information. If there is tubal block, it will have to be managed surgically. Any other anatomical abnormality will have to be dealt with accordingly. In fact you should have got husband s semen examination done before this. If not done, please get it done after at least 4 days sexual abstinence. Considering your age and marital history, you should not waste your time in trial and errors. Please report to Infertility Consultant ASAP. I hope this provides you sufficient guidance. Dr. Nishikant Shrotri