
Anyone have any ideas what’s happening? TCC w/ endometriosis and PCOS
26F, 164 lbs — TCC w/ endometriosis, PCOS
No menstrual cycle after years of marina IUD (removed 3 weeks ago) & an AMH of 0.79

26F, 164 lbs — TCC w/ endometriosis, PCOS
No menstrual cycle after years of marina IUD (removed 3 weeks ago) & an AMH of 0.79
Hey pre-pregnant people,
I’ve read hundreds of other people’s posts and comments, and I want to chronicle my current TTC experience here because I think others may relate / find it helpful. My steps may seem aggressive or premature but I work in medicine and want to have all my ducks in a row as soon as possible. Conception with endo and PCOS is a numbers game.
Location: USA
Metrics: 26F / 5’,8” / 170lbs / no smoke, vape, alcohol use / active 3x a week / full time employment / married
March 10, 2026 — I want to conceive by December so I have removed all cooking plastic from my home, bought all glass and stainless steel cookware, and replaced all cleaners to non-toxic products. I have maintained a healthy BMI and am training 3x a week. I got all my vaccines updated or bolstered, started taking exclusively 3rd party tested supplements (Prenatal Vitamins for Women, Vitamin D3, Selenium, CoQ10 Ubiquinol, Salmon Fish Oil, R-Alpha Lipoic Acid (R-ALA), N-Acetyl Cysteine (NAC), Choline) and low dose Aspirin. I have also made an extensive list and budget from my time as a birth doula and called my insurance for a list of in network providers at hospitals with great labor and delivery scores and a level II-III NICU for continuity of care.
March 20, 2026 — Before starting to TTC my husband had his sperm tested, received excellent results and continued to train for a 10k and weight lifting with the goal of supporting currently healthy sperm. I went to the dentist and received an early cleaning and updated them on my plans to conceive.
March 25, 2026 — OBGYN preformed genetic testing, pre conception blood work, and ultrasounds. Ultrasounds found free fluid around my uterus, cysts on both ovaries, and discovered my AMH is 0.79. I also explained I’m on my 2nd hormonal IUD and have been on hormonal birth control for 10 years to manage extreme bleeding. OBGYN urges TCC immediately + strongly advises IVF. I called my insurance and inquired if fertility treatments are covered and made an appointment with a reproductive specialist for June 9, 2026.
I also read Matrescence: On Pregnancy, Childbirth, and Motherhood by Lucy Jones (2023) and Nine Months That Count Forever: How Your Pregnancy Diet Shapes Your Baby's Future by Jessie Inchauspé.
April 28, 2026 — OBGYN removed hormonal IUD + prescribed TXA for when first period arrives. This is when I began hormone tracking daily with Mira (+ Ultra4 wands) and basal temperature readings.
May 10, 2026 — After reading research about conception rates post laparoscopic excursion and Hysterosalpingogram (HSG) I scheduled both procedures early for June 17, 2026.
May 13, 2026 — Mira monitor has not detected ovulation nor have I had my period yet 15 days after IUD removal. Continuing to monitor :)
Current Plan: Continue TCC naturally until first menses prior to procedure, if unsuccessful, return to use of birth control and prep for surgery. After procedures, TCC naturally with medications to induce ovulation for 2 months. If unsuccessful immediately begin IVF protocol.
Title is insane, hear me out. I’m trying to conceive and have been struggling with my fertility because I have severe endometriosis. Both of my doctors told me that it can be helpful to have some hobbies to keep my mind off things, but this has been such a crazy and involved process, I don’t really know where to start or what to try.
Some things I’ve enjoyed in the past but can’t do anymore or haven’t done in a while:
- Ride my motorcycle
- Yoga
- Hike
- Write poetry / read
These are (mostly) very physical and my medical problems haven’t made it easy to get about…
Any ideas / personal experiences?