instruction: hi doctor I am 27 years old I have cos and have been trying to conceive for four months my gynecologist put me on 500 my of metformin thrice a day and 10 day cycle of medroxyprogesterone at the beginning of each month to force ovulation the medication is working exactly as it should I get my period every month and I have lost weight with the metformin I went in for a follow up today and my doctor recommended that I sign up for an infertility study that she is doing it requires hormone shots extensive testing and in vitro fertilization every month for a period of four months I have been going to the same gynecologist for many years and I know her pretty well let me just say that she has never seemed like she puts much thought into diagnosing and treating me I had to practically beg her to test me for cos even though I have had very irregular periods and other symptoms for years now she jumped straight to if treatment I have heard of women staying on this course of treatment much longer and being able to conceive in vitro is incredibly expensive I am just worried that the only reason she recommended this is because she wants another participant in her study your advice on this subject would be appreciated thank you
output: hi I can understand your situation please do not be so hard on her I am sure it is not that she is not interested in diagnosing or treating you however you can wait for some more time before straight away jumping for if in vitro fertilization I have given you the information but participating or not in the trial is totally your decision all the best for further information consult an obstetrician and gynaecologist online