Trouble TTC

PCOS without the cysts??

Hi all,

Is it possible to have PCOS without cysts? My ultrasound showed 'no evidence of PCOS' - but why are my cycles so irregular?  After a visit with my gynecologist, he barely let me get a word in to ask this question.. seems like the doctors are always in a hurry.   My cycles vary between 30 - 55 days (however, last 3 cycles were 35 days or so.. seems like they are getting shorter with my healthy lifestyle change). They never cause me any pain.. I feel guilty telling some women that I rarely get cramps! Anyways, I don't know why else my cycles would be all wacky and why i'm not ovulating..  too much cortisol?? lol I do have a low anxiety threshold....

Re: PCOS without the cysts??

  • There are a few diagnostic criteria for PCOS. 1. Polycystic ovaries 2. Too much male hormone (signs would be hirsutism/hairiness or male pattern baldness) 3.  Irregular cycles. You need to have 2 of the 3 to have PCOS. If you haven't had bloodwork done, I would ask your OB to run those. If you feel like your OB doesn't listen, I highly recommend getting a new OB. If they don't listen or give you time now, are you comfortable with the same treatment when you are pregnant?
    Me: 33 DH: 31
    DS: 5 years old
    TTC #2 since August 2015
    July 2016: Testing cycle with 100 mg Clomid = BFN
    August 2016: 50 mg Clomid + IUI = BFN
    October 2016: IVF#1 - 13 retrieved / 12 mature /  9 fertilized / 2 blasts
    November 2016: FET#1 = chemical
    January 2017: FET#2 = chemical
    March 2017: IVF#2 - 18 retrieved / 18 mature / 16 fertilized / 5 blasts
    April 24, 2017: FET#3 - BFN
    May 24, 2017: FET#4 - BFP! - Beta #1 151 - Beta #2 503 - Due date 2/9/18
    Baby Birthday Ticker Ticker
  • i was told the same thing as megzb510.... my ultrasounds did not show signs of cysts but I do have the two other symptoms ..and the new RE said two out of three would be enough to diagnose as PCOS 
    Me: 36 years old   DH: 42 years old
    Married: 05.2012  
    TW:
    TTC #1 Since April 2016
    HSG/FSH/AMH/E2/SA all normal DX: unexplained IF

    spontaneous BFP 01/01/2017-  Alexander was born sleeping 04/13/2017 at 19w1d  ic/chorio
    September 2017 HSG #2 & Gonal-F/Femara/Ovidrel/IUI #1 = ep (Salpingectomy of left fallopian tube)
    spontaneous BFP 01/02/2018  EDD Aug 30th  It's a GIRL!
    Cerclage placed on 03/02BabyFruit Ticker  Cerclage removal 08/02
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  • I have no cysts but signs of high testosterone and absent periods.  Ask for a full hormone panel. 
    TTC since May 2015 with domestic partner of 13 years. Me 33 OH 33.  No ovulation or natural menstruation. Normal SA.
    Diagnosed PCOS February 2016
    First cycle 50mg Clomid 5/3/16, O'd CD 19 BFN
    Second cycle 50mg Clomid 6/1/16 O'd CD 18 BFN
    Third cycle Clomid 6/29/16 O'd CD 16 BFP @11dpo!
    EDD April 3 and praying things work out!
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