Hello
Thanks for writing in.

The subserous fibroid is big, but subserous fibroids generally do not interfere with the uterine cavity, and hence do not cause infertility or abortions. I would be happy to have the details of the previous pregnancy , and if you came to know the reason for the miscarriage.

Also, please let me know how was it concluded that you are anovulatory? Was a follicular study done ? The commonest cause of anovulation is PCOD ( polycystic ovarian disease ) - It would help to know if any work up was done for the same.
Apart from taking ovulation inducing drugs like clomiphene ( fertomid ), various aspects of PCOD need to be treated, like hormonal imbalance, deranged blood sugars, lipids etc.

ALso, you should have a detailed evaluation of the causes of your previous abortion, before taking any ovulation induction treatment.

The reports you have written down are all normal, except that for day 2, the FSH is slightly high ( less than 9 is considered normal and 9 - 11 is borderline high, as in your case ). This indicates a slightly poor ovarian reserve, that is, capacity of the ovaries to produce mature eggs, and is also shown by your inability to ovulate. So, clomiphene is the drug for you to induce ovulation.

You can take clomiphene again in this cycle from day 2, however day 6 is too late to begin clomiphene therapy. Also, you should always start this treatment under regular monitoring by an Infertility Specialist, and with proper follicular monitoring, to improve chances of pregnancy. You might need trigger for ovulation also. Proper progesterone support after ovulation is a must, as progesterone deficiency is common in anovulatory women and in any cycle where artificial stimulation of ovaries is done.

Also, if you have been trying to conceive for more than a year now, your fallopian tube patency also should be assessed. Ideally, a hysteroscopy and laparoscopy should be done to assess the tubes, ovaries and uterus, including status of the fibroid.

I also hope your partner's semen analysis and basic laboratory work up is clear.

Take care, and feel free to ask for further clarifications.

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Hello
These hormone levels are near normal, and without follicular study, it is impossible to say that you are not ovulating.
Also, If both ovaries are normal, and these hormonal studies are normal, then PCOS is not likely, specially if your cycles are regular.
You can test your thyroid hormones and blood sugars to be sure.
ALso, there is no way to boost progesterone levels naturally or through vitamins, and adequate progesterone is given during the necessary time in the form of capsules or injections.
Also, the FSH indicates that the ovarian reserve is less than perfect, but there is no known way of improving it.
You should consult a proper infertility practitioner, and avoid taking clomiphene citrate blindly.
It should be coupled with a proper follicular monitoring , and to boost chances of success, with an IUI if 3 cycles of plain stimulation fail.
Take care.

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