Heather C replied: "If you are considering having another child in the near future, I would probably go to the next step, whether that means increasing your met dose or considering clomid. If you have only had your period twice in the last 6 months, then you are clearly not ovulating regularly. 500 mg/day of Metformin is actually the lowest dose (usually referred to as the "starter dose") and should be increased if ovulation is not occurring. I was actually up to 800 mg/2x a day. A low carb diet (I know, YUK!) can also help you lose those last few pounds which, in itself, can induce ovulation. If you are not in a rush, you could try naturally for a few months while using ovulation predictor kits to tell you for sure. Most doctors like for their patients to use them anyway for a clear cut answer. You could also ask to be referred to a reproductive endocrinologist for more information on concieving naturally. I was in the same boat that you are now and tried for a year, naturally, for my second child and nothing was happening! It turns out, during that year that I was off of BC, my ovaries were becoming increasingly cystic every month. Instead of menstruating, the cysts that were developing on my ovaries were progressively worsening my condition and the odds of my conceiving! I was so frustrated. Ultimately, it had gotten so much worse that I ended up having to undergo "ovarian drilling" laparoscopically and following up with metformin and clomid. I only had one period after the procedure before becoming pregnant the second month! I am now a proud mommy of a 15 month old little pistol! And I don't regret ANYthing that I had to do to get her! PCOS is such a tricky syndrome because it can be so different for every woman. Unfortunately, with PCOS we can't always have our "little surprises" the way that we plan to. You really have to go as far with it as YOU are comfortable with. Only you can say when enough is enough...Best wishes! P.S. If you do decide to try clomid MAKE SURE that you look up (and order) PRE SEED. Clomid tends to "dry you out" down there, counteracting your efforts, and this is a sperm friendly lubricant. You may also want to consider taking a baby aspirin every day to thin the lining of your uterus to make implantation easier. Hope this helps!"

Lelani replied: "I'd like to know if you do become pregnant; I have pcos too and have wondered if I will ever be able to conceive"