<s>[INST] Hi iam suffering from pcos have been on metformin for a year and in nov 21 2012 had 1 dose of clomid 5-9 iwas supposed to get my period 21 dec 2012 but till date no sign of periods i took 3 home pregnancy tests all negative results its frustrating been married for 3 years trying for 2 years now please help im 23 years old should i opt for ivf? Whats wrong with me? Im stressed out!! [/INST] HelloThanks for your query should consult an Infertility Specialist, who will best decide the course of treatment for you.PCs causes problems with ovulation and conceiving, and you need detailed investigations and treatment for that. Taking metformin and camphene is one way out, but if you do not respond to that, further treatment options in the form of gonadotropin (injections), GUI and IVF are also available. Also, you should have your other basic hormonal work up done, the semen testing of your partner should be done, and your fallopian tube patency should be assessed. At 23, you have years ahead of you in which to conceive, and modern treatments will definitely make it possible. The mainstay of treatment for PCs is weight reduction, a healthy lifestyle that incorporates exercise and good nutritious diet. Stress, frustration, depression and such negative emotions will negatively impact your already disturbed hormonal condition. Take care. </s>