instruction: hello doctor I am trying to conceive for the last 5 years but not successful I was on fertisure and ovabless for six months and discontinued because I did not see any results and I am diagnosed with cos I am now on carbimazole my for hyperthyearoidism
output: hello cos polycystic ovary syndrome and also hyperthyearoidism can cause infertility I saw your examination the ash thyearoid stimulating hormone levels is normal the medication you have taken are only supplements if you have menstrual irregular bleeding you can correct it with contraception pills for two to three months and then try to conceive again first I would recommend you to evaluate the ovulatory process with ultrasound examination at 12 15 days or measurement of progesterone at 21 days and after that take some medication that induces your ovulation but you have to be in a close follow up with a doctor