Im just a few months away from scheduling gastric bypass but Ive realized a child is more important to me. My bmi is 44, Im 25 yrs old and married, have always had irregular periods, GERD, chronic back pain, obesity. We do not want to wait almost 2 yrs before trying to conceive, but would have to if i have surgery. I start clomid tmrw to increase ovulation, does pregnancy often happen after the first dose? Or would I be better off have gastric bypass and waiting the 1.5-2 yrs?