Recurrent M/C and PCOS

cmhawkins1709

Trying to decide how to best approach my doctor about this and what to ask questions about...Metformin, HCG shots, Progesterone suppositories, Clomid...first pregnancy in Jan 2011 was a chem. pregnancy loss, my DD is a Clomid baby, but since I've had another chemical pregnancy loss since DD's birth, I am wondering if maybe I should incorporate one or more of these others in with the Clomid this time. Anyone had any experience/success with a combination of the above mentioned therapies?

pettycrocker

Clomid never worked for me, but Clomid plus trigger could help a lot if your issue is releasing eggs that aren't quite mature- that could (potentially) explain the CPs. Just make sure they are monitoring you closely with this combo- you don't want to be the next octomom! 

Progesterone never hurts anything. Idk about the metformin.

Good luck! 

Clagore

I agree with PP. And please correct me if I'm wrong about this, but I seem to remember being told that its a common thing for PCOSers to have progesterone deficiency/ luteal phase defect issues.

GraceyandTroy

I think you should be on metformin now.  If you have PCOS, taking metformin will address the root cause and help get your body ready and balanced BEFORE you become pregnant.  You want your body at its best before you become pg so that it's ready to receive the fertilized egg.  

As far as clomid and/or trigger, it sounds like you had success before and I would try it again if I were in your place.  Clomid made my lining too thin, so it's not an option for me. But I wish it were!  I would probably be doing it now if I thought it would help me!

I would also push for progesterone if I were in your shoes.  I took it for the first 10 weeks with my son even though I didn't use other medical interventions to conceive him.  I think it's better safe than sorry.

lcloffredo

The way my RE phrased it the progesterone suppositories won't hurt. Just do the research and bring it up, clomid didnt work for me, now I'm on femera.