Next steps after induction of ovulation

Kelsey • Wife 👩‍❤️‍💋‍👨 Dog mom 🐶 TTC baby #1 w/ PCOS

Has anyone not gotten pregnant on Letrozole and what were the next steps after that? We have done all of the tests and it seems my only problem is anovualtion, I started to take Letrozole to induce my ovulation and it has worked the past 6 months with no pregnancy yet. I’m curious what else could be wrong/what further steps I would need to do. Is IUI and IVF the only option left? I have a follow up appointment next week and I’m worried that’s what she’ll say 😩