<p>I assume sperm has been tested too? And you are otherwise healthy?</p><p>For women with PCOS (ie high ovarian reserve) who are not ovulating regularly, or perhaps at all, we can often induce ovulation with lifestyle change, clomiphene, letrozole, metformin, dexamethasone, HCG to trigger ovulation...or some combination of the above.</p><p>But: even when everything appears perfect, success rates with &quot;ovulation induction&quot; cycles as described above are often in the range of 10% per month. Not very high!</p><p>So this is the part that is personal:</p><p>-if the passage of time is not too much of a worry, it&#39;s well worth trying these approaches for up to six cycles (six to eight months)</p><p>-but for other fertility patients, time is a worry.</p><p>At 38y you might have concerns about passage of time, particularly if you are hoping to have more than one pregnancy. In this forum, I cannot know your personal circumstances, but if you&#39;ve already tried a few months of ovulation induction without success, and time is a factor, then despite your hope to try &quot;on your own&quot; I would recommend IVF with PGS to get lots of eggs, a good number of embryos, and find the right one to put back in. Success rates can be 60-70% per transfer, with multiple transfers possible from a single IVF for women with a high enough ovarian reserve as you report you have</p><p>You *did* ask what might work on your own? Allowing yourself to keep trying can work. Irregular ovulation due to high reserve tends to regulate itself with time. You may find your cycles become more predicable soon and, in turn, your ability to time intercourse each month will improve as well</p><p>I hope that helps</p>