Been TTC for over a year w/ PCOS + polyps. Had surgery, then was told to lose 20 lbs for IVF—still have 15–20 to go. Skipped IUI to save fertility benefits for IVF since we want 2 kids. I have 23 eggs frozen out of state, but Dr said to save those for our second child. Getting married in Aug, hoping to do IVF in Sept when I’m down to 275. I’m 36 now and will be 37 this fall. Really trying but feeling frustrated. Continued in comments…

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Update I started wegovy and feel better than I’ve felt in YEARS

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Cut alcohol + processed food, weight lifting 3–4x/week, walking—doing all the PCOS weight loss tips but only lost 5 lbs. Using Natural Cycles but ovulation dates are always 2 weeks off. Clearblue OPKs aren’t accurate for PCOS (just saw that on the box). Wondering if I should’ve tried semaglutide sooner, but now it’s too close to IVF. Feeling stuck, sad, and alone—none of my close friends have fertility struggles. Anyone been through this? Advice welcome.

Try Letrozole for ovulation have heard a lot of positive reviews on it for women with PCOS

Try Ovasitol. Also see if you can do timed intercourse cycles with letrozole instead of IUI. Also check out the book real food for fertility.

Try SakaraLife a food delivery service

Worked for me for my wedding weight loss. It is expensive but for me it was worth it

Other questions to consider:
1. What has led to the weight gain & was it recent: stress, diet, lack of activity, all of the above, else

How can you mitigate these factors? E.g. reduce stress

2. Are you sleeping enough? Very hard to lose weight on 4-5 hours of sleep per day

3. What time in your life did you feel like your best self and/or were optimal weight? What were your habits then?

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