Hi Mrsfogi, there are variations of fertility problems and each one must be checked, I suffer with sub fertility, I can get pregnant, but only after years of treatment. I was diagnosed with PCOS (polycystic Ovarian syndrome), they took my blood and checked for LH/FSH levels, blood sugars, testosterone(sp!!!) thyroid, glucose and other hormonal things. Then I had an ultrasound which showed the cysts on my ovaries, then like you I had years of taking Clomid, Metformin, Nasarel, I had 2 Lap and Dyes (yeah don't forget blocked tubes) and finally gave my husband the once over as well. As far as supervision with clomid, they cannot leave you taking this drug on your own, you need to know if you are ovulating as clomid forces ovulation, today I had CD16 ultra sound at my hospital, it showed 5 follicles that were developing well 16.1mm, I haven't been ovulating since god knows when, but did managed to successfully get pregnant nearly 5 years ago, she is 4 today. Clomid should be a supervised drug, you need ultra sounds (follicle tracking) and blood tests, otherwise, how does anyone know if it is doing what it is supposed to do. I would ask for a blood test to check your hormone levels, then maybe suggest a HSG (this is an uncomfortable procedure - not painful, a bit like a smear, but they put a tube up inside your uterus and send a saline type solution into your tubes, this way they get to see if they are ok), tell them that you are having a problem conceiving and that in your opinion, ask the dr how he/she knows that the clomid is working. Just a word of caution, Clomid can be used for 6 months at a time, if you are ovulating, if you are not ovulating (so the clomid may not work for say the first 2 cycles), then you can take it for 8 months as the 1st 2 months do not count as they didn't do anything. How long have you been on Clomid???