Trying to conceive since April 2025
Trying to conceive since April 2025
Hi everyone,
I am 34 years old, I’ve been trying to conceive since April 2025, and I’m feeling stuck. I’m wondering if anyone has had a similar experience.
Here’s my situation:
Trying to conceive since April 2025.
My cycles are usually 30–35 days.
I consistently get positive LH strips around day 18-20 and have had Day 21/7 DPO progesterone tests confirming that I’m ovulating.
I’ve completed 3 cycles of letrozole without success, completed 2 IUI with no success
My husband’s semen analysis came back completely normal.
I’ve had an HSG, ultrasounds, and pretty much every fertility test( Day 3 test) and everything has come back normal.
The only abnormal findings are:
HbA1c: 5.8% (prediabetic range)
Low SHBG (sex hormone-binding globulin)
Elevated testosterone, i have attached my reports as well
However, my ultrasounds don’t show polycystic ovaries
I’m starting to wonder if insulin resistance could be the main issue, even without a PCOS diagnosis. Has anyone here had elevated testosterone, low SHBG, and prediabetes but no polycystic ovaries, and still found that insulin resistance was affecting fertility? I have been taking Myo-inositol, multivitamins, CoQ10 x 1 year.
If so:
Did treating insulin resistance (Metformin, inositol, weight loss, diet, etc.) help?
Were you eventually diagnosed with “lean” or atypical PCOS, or was it something else entirely? What helped you with the same result?