Hello
Thanks for writing to us with your health concern.
Basically you are having an issue of anovulation.
The reason is that you are having PCOS ( polycystic ovarian syndrome ).
In this condition the ovary is studded with multiple small cysts, and there is basic hormonal disturbance, due to which none of them mature to form a good egg, leading to ovulation.
Decapeptyl will inhibit ovulation, but not after 3 months, you took it more than 3 months ago.
Women with PCOS often need stronger stimulation protocols ( more powerful injections ) and often they ovulate late.
NOrmally ovulation occurs around day 14, yours might be later than usual , owing to PCOS, so do not stress out.
ALso, sometimes you might need different protocol called Antagonist Protocol in IUI, for that injections are started from the previous menstrual cycle, that is before you get your periods.
SO if you fail to ovulate in this cycle, then you can discuss with your doctor regarding this protocol also.
YOu should have complete evaluation for PCOS.
THis would include - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Freee testosterone, Fasting insulin, lipid profile.
THen, drugs like Metformin can be started which will control PCOS.
Also, losing weight if you are overweight will aid in ovulation.
Right now, for this cycle, continue taking the Menopur 150 for further 3 days, and then let me know what the folliculometry says.
There is definite possibility of a late ovulation in PCOS, so do not lose hope.
All the best.
Please feel free to ask for further clarifications.

Hi
It is possible that PCOS was not diagnosed then, or it developed later on.
Do not worry.
Hope for the best, avoid stress, think positive, and do keep me posted.
Take care.
Wish you loads of luck.

Yes, this cycle seems to have failed.

Continue to remain sexually active though, even if no more injections are given, women with PCOS often have surprise ' late ' ovulation.

Also, for your case I would advise the following -
1. Ask your husband to consult an Andrologist, and have detailed evaluation for low semen count, motility and abnormal morphology. He should start medication to improve his semen reports.
2. This is just your first cycle of IUI. I would suggest two more cycles of IUI , using different injection protocols. Discuss with your doctor regarding Antagonist protocol ( here, injections are started from the previous cycle itself ) , and this protocol is generally safer for women with PCOS and more effective.
3. If 3 total IUIs fail, then yes, you need to consider ICSI / IVF.
4. Endometriosis can recur fast , so please have these attempts as soon as possible without wasting time.
5. Meanwhile have complete PCOS assessment, and try considering medications like Metformin for symptom control.

All the best.

1. Your husbands semen count is tolerably good, motility is borderline low, morphology is very poor.
2. You CAN conceive naturally, but chances are very low, and you cannot afford to waste time, else your endometriosis will recur. With 5 failed stimulation cycles, maximum go for 2 more IUI and then consider ICSI.
3. Its good that you are already on Metformin
Take care.