Your scan shows a polycystic pattern in both ovaries with small cysts, which fits PCOS and can make natural conception harder, especially after several ovulation induction cycles and one IUI that did not work. Natural conception is still possible, but the odds are lower with this pattern.
Next Steps
Discuss moving to IVF, or a different IUI protocol, with your fertility specialist, since repeated failed ovulation induction usually means the approach needs reassessing. Ask whether an
AMH test and your partner's semen analysis have both been done.
Health Tips
Please consult your fertility specialist with this scan in hand before deciding on the next step.