<s>[INST] i am 27 years old now.. recently i had undergone a pelvic ultrasound and the doctor diagnosed me that i have PCOS. Me and my husband are trying to have a baby now.. the OB give me an OVAMIT.. i had take it once.. ahmm, actually we already have one child.. a baby girl.. and shes already 4 years old now.. buy that long years we dont have any baby yet.. even a sign of pregnancy.. i dont even taking pills or any family planning.. my hubby and i are usually do the natural method... not even wasting any sperm cells just to be get pregnant... for that year long we really miss to have a little boy... pls help us...pls give me any medicine that would be work better than OVAMIT... i am begging... plsssss.... best regards [/INST] Hello, Thanks for the query to H.C.M. Forum. Ovamit ( clomifene ) is used in anovulatory infertility . As you are having pcos and already there is one daughter so you are a patient of secondary infertility . Causes of infertility may be . 1 anovulation , diagnosis can be confirmed by study of follicles and also study of dominant follicle. 2 uterus is unable to receive fertilized ovum . Diagnosis can be confirmed by  study of endometrium thickness , if this thickness is less then 10 mm , no chance of pregnancy.3 Hormonal imbalance may be the another reason of secondary infertility . Diagnosis can be confirmed by blood examination of estrogen , androgen ,  F S H / L H ratio. In my opinion first of all consult a gynecologist and after all above mentioned measures , deal accordingly . Good luck. Dr. HET </s>