Following this thread with interest. Here's my story (sorry for long message!)
Im early-mid 30s, diagnosed with Pre-PCOS 2.5 years ago after inconsistent periods since early 20s. Was referred by a new GP to endocrinology unit who finally made PCOS diagnosis.
First year, tried diet and weightloss (on average i go between size 14-16). Had some success but not enough to regulate periods.
As i was getting married and planning on TTC, started taking metformin (500mg for 3 months, then at next review upped to 1000mg) a year ago. Consultant told me can take 6months-1year to take effect. Started having regular periods for the first time in 5 years 🥳🥳🥳
Started TTC last November. Referred to reproductive medicine team for clomid. Whilst waiting for referral (trust in London) started using OPK alongside hospital blood tests to check for ovulation. Confirmed ovulation took place in Jan only and we weren't lucky that month.
Agreed with consultant to start clomid in April. Now all on hold as consultant strongly advised not to take without follicular tracking, which cant be done during covid outbreak. Also, you can only take clomid for a certain number of months in a row without a break. We want to absolutely maximise our chances and it seems a waste to take without the associated scanning when it would be guesswork and then we would have to wait before we could go for another round. So currently very frustratingly waiting for fertility services to reopen.
To OP, my experience with endo unit at my local hospital has been excellent. Really supportive, willing to work with me and life timelines (eg. Postponing starting metformin until after my wedding in case of bad stomach side effects etc). Despite the frustration of now having to wait for clomid, this wasnt their fault.
I would strongly recommend trying to be referred to specialist unit rather than going through GP if you can be.