I was diagnosed with PCOS at age 21, and while there are some women who may be able to conceive with insulin sensitising drugs and/or clomid, I was not able to. Hubs and I discussed this issue before we married and agreed that if I had problems that fertility drugs couldn't fix, we would adopt.
I actually didn't go as far with the fertility treatments as I could have; I stopped after three rounds of clomid. We could have done one more and then moved on to the injections, but after three rounds I just knew in my heart it was time to stop. The side effects, the anxiety, and then the terrible disappointment every month when the drugs failed just got to be too much.
I was reading what the Catechism says about infertility, and saw this:
2379 The Gospel shows that physical sterility is not an absolute evil. Spouses who still suffer from infertility after exhausting legitimate medical procedures should unite themselves with the Lord's Cross, the source of all spiritual fecundity. They can give expression to their generosity by adopting abandoned children or performing demanding services for others.
So that's what we did. We started the adoption process, at the time with major doubts anyone would choose us to raise their baby. We prayed for a baby but also prayed "not my will, but Thine be done," knowing that there was a possibility we were never meant to be parents. Perhaps our mission then was to "perform demanding services for others." We were at a point where we just accepted that if it was God's will for us to have a child, it would happen, and if it wasn't, it wouldn't.
We were totally surprised when a mother chose us just a few months later, and then heartbroken on the day of the fictitious scheduled c-section when we learned the mother was a scammer. (We learned later this happens quite a lot - but no one tells you this, I suppose because it would scare away potential adoptive parents.) But God had an even bigger surprise for us with another baby just four days later.
Having gone throught this process, I am not sure we are up for another round of it in a couple years. We would gladly welcome more children if they miraculously happened naturally, but right now it's hard to imagine trying to adopt another child. The cost is outrageous and is even more so when you have to pay for an adoption and a half when one fails. The emotional cost is high, too.