Brief Answer: Vitamin supplements & insulin sensitizers. Detailed Answer: Hi, Welcome to XXXXXXX All the medicines you are taking are vitamin supplements & insulin sensitizers. Oosure & Benforce M reduce insulin resistance & are thought to aid ovulation. Especially in PCOS patients, they are helpful in reducing dose of medicine required for ovulation induction. All9 are vitamin supplements. You can continue all those medicines as advised by your doctor. One cycle of unprotected intercourse in woman with normal ovulation & patent tubes gives 25-30% chance of pregnancy. To get a decent chance of pregnancy, you need to try for 6-7 months (70-80% chance of conception). If possible, husband can plan visits, so that you at least get chance of conception for 2 cycles per visit. Other option is to freeze husband's semen & do IUI (intrauterine insemination) in the remaining 5-6 months when husband is absent. (If it is acceptable to you). Whatever may be the plan, remember that woman's fertility declines after 37 year's of age due to declining ovarian reserve & so try to conceive as early as possible. Regarding intake of siphene, it depends on your regularity of menstrual cycles. If they are irregular (implying anovulation), siphene will help in conception. With regular ovulation, its of little benefit (unless you make 2-3 follicles in siphene cycle). To formulate exact plan, kindly provide following details: 1. How are your menstrual cycles (Regular/irregular & frequency of cycles). 2. Husband's semen analysis report. 3. Whether any tubal patency test was done & what was the result of the test. 4. Whether you are willing to freeze semen & use for IUI in husband's absence. Awaiting reply. Regards.

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Brief Answer: No treatment guarantees pregnancy. Detailed Answer: Hi, Welcome back. No fertility treatment guarantees pregnancy, treatment is given to improve chance of pregnancy. One cycle of IUI gives 10-25% chance of pregnancy depending on what medications were used for ovarian stimulation. Two failed IUI cycles doesn't mean that you can't conceive through IUI. Though your doctor is true regarding potential for natural conception, we also have to take into account the fact that you are trying for pregnancy just for 2-3 cycles in a year. So there is a need to go for treatment which increases chance of pregnancy over & above that offered by natural intercourse. There are two such treatments: One is superovulation with IUI (superovulation is making more than 2-3 follicles preferably with FSH injections) & second is IVF/ICSI. Superovultion with IUI will cost less (Rs10000 to 30000/- depending on medicines used & hospital expenses), but will give less chance than IVF/ICSI. IVF/ICSI is costly (Rs1 to 2lacs/-), but gives maximum chance of pregnancy. Now with only one cycle remaining for achieving pregnancy, I would suggest superovulation with IUI. Kindly let me know if you have difference of opinion or any other query. Awaiting reply. Regards.

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