High LH factor (PCOS) and odds of conceiving again?

Patient

Q: I am 23 and was diagnosed with PCOS based on a high LH:FSH ratio. Every other number is good, and my ovaries do not have "cysts". My LH:FSH was 25:6, and since then it's been lowered through a better diet and acupuncture (I've been going for 3 months now). I used to have a "color change" on an ovulation predictor kit any given time of the month, now I get stark white negatives, and positives during ovulation only. I have been on Clomid now for 3 months (we're currently in our third month, and 4 days past ovulation at the moment), and I was wondering what your opinion was on the next step? My doctor wants me on Clomid for 6 months and beyond that will refer me to an RE. What is typically the next step, and what do you think my odds are of getting pregnant again? (We suffered a miscarriage at 7 wks in February, before this diagnosis was made in August). We both wanted to be young parents and we're both scared about the heightened risk of miscarriage with PCOS.

Doctor

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