Dr. Thaïs Aliabadi

50% of them get pregnant in the first six months and 90% of them get pregnant in the first year.

But for patients with endometriosis or PCOS, I usually have them try for like about six months and then check back in with me.

You know, if letrozole, Clomid, trying on their own, everything fails, then you can send them to fertility doctors.

One thing that I want to bring up here, which is my observation, and it's nowhere in the literature, but I'm saying it today and I know it's going to be published someday.

I strongly believe that over 50% of PCOS patients also have endometriosis.

Over 50%.

And I've always said this.

If you have a patient with PCOS, think about it.

PCOS is already one of the leading causes of infertility.

And in my opinion, 50% of them, because I've seen it in my office, have endometriosis.

And I have a PATH report and I've done laparoscopic surgery to prove it.

If you only address PCOS and you're dismissing their painful period, then they're not getting pregnant.

That's why you have to make sure you put a check in front of all these underlying conditions.

Yes.

And start with supplements first if your symptoms are not bad.

You know, I've had like 50 some patients get off Ovi because they got pregnant.

All you're doing is addressing their hormone and metabolic health.

That's all we're doing with it.

But if it doesn't work, ask for metformin.

If it doesn't work and you're having a hard time losing weight, ask for GLP-1s.