Hi there, Peripherally arranged follicles with enlarged ovaries indicate that you have polycystic ovarian syndrome as you also have irregular cycles. Women with polycystic do have difficult conceiving and require help through ovulation induction. You could take Clomiphene from the 2nd day to 6th day of your period as ovulation induction and you also need ultrasound follicular monitooring from the 9th day of the cycle to know when you ovulate. Before taking clomiphene do rule out other factors like male factor, and also check for tubes by HSG. It would be reasonable to rule out thyroid and prolactin disorders as well. Also start taking folic acid daily till you conceive. Another medication called metformin can be considered, it with normalize the hormones and it can be continued even in pregnancy. Hope this helps. Regards.