Keto and weight loss for PCOS TTC

Did keto help you lose weight and/or conceive? I worked out 3-5 days a week and counted calories (not macros) for ten weeks and barely lost at all. I have my fertility apt to start meds next week but I really wanted that to be a last resort. I’ve always wanted everything to happen as naturally as possible but I’m losing hope. Should I ask my OBGYN if she can prescribe anything to help me lose weight? Does keto really work magical wonders for PCOS women like everything says? Or should I just go ahead and start medication? :/ (5’2”, 155lbs)