J.B.
Just wanted to wish you luck, and assure you that seeing a specialist is a good move because of your age. Not sure where a prior poster got the info that it takes an average of a year to get pregnant, but that is just not true. The stats below, which were published in a journal on reproduction, show that about a third of women get pregnant on the first try, and two thirds within three months. The usual recommendation for women over 35 is to see a specialist after 6 cycles of trying. Like you, my three biological children were conceived easily so if I had trouble, I'd be concerned because I know my own body and track record and it would be weird to not be instantly pregnant. Everything is probably fine but I just wanted to say that I understand where you're coming from!
38 percent were pregnant after 1 month.
68 percent were pregnant after 3 months.
81 percent were pregnant after 6 months.
92 percent were pregnant after 12 months
I do have cystic ovaries but none of them have caused issues (painful rupturing, etc.), they're just something that show up on an u/s for me. They haven't affected my fertility at all.
You obviously have an awesome track record, which is great! The specialist will be able to do really detailed testing of hormone levels, ovarian reserve, etc. to rule out issues and lay out a plan. Probably not things that your regular OB can do, unfortunately. Just be patient, try to relax (I know, I know) and best wishes to you and your husband!