I have pcos on the low end and i am on metformin trying to get pregnant again. dr says i should try fertility treatment. is it necessary?

PCOS and pregnancy: Pcos often causes infertility, however with vigorous proper treatment many women can get pregnant. Everyone is different. Pcos is often associated with being overweight, excess androgen secretion, hyperinsulinism, metabolic syndrome and hormone abnormalities. It is advisable to see specialists with a major interest in pcos. Diet, weight control, ample exercise and medications are indicated.

MAY BE: Trial of metformin and other Insulin sensitiser tzds may help induce ovulation and pregnancy.If not successful fertility treatment will be reasonable next step.

Help yourself: Metformin will help with elevated Insulin levels with pcos, in addition maintaining a low glycemic index diet , cardio exercise and maintaining a more ideal weight will help you improve your ovulation to become pregnant.

Fertility in PCOS: Metformin is in essence a fertility treatment in your case as it helps with enhancing ovulation through several mechanisms. I think you should discuss your concerns with an endocrinologist with interest in fertility to rule out other conditioned that can "mimic" pcos.