this is best achieved by metformin, 2000 mg per day, and clomid, given
for five days per month at the lowest
dose which will induce ovulation. once you know you are ovulating, you should stay at the same dose of clomid until you conceive. if you go above the minimum dose of clomid needed for ovulation, fertility actually can decline, and rate of miscarriage can increase. if you don't get pregnant after the first, second or third cycle of an ovulatory dose of clomid, don't despair.