Secondary IF

pcos question

ok- so I met with my RE last week and he told me I can start ttc now or continue on my plan to stay on bcp for 6 months. He prescribed me metformin and I have been on it for a week now.

My dilemma is this. I planned to wait to ttc until August hoping that the bcp would calm my ovaries, the met could do its thing and I can get pg right away. DD would be turning 4 when #2 is born. Its a bigger age gap than I would like, but what can I do?

Im getting antsy. I really want to just throw the bcp out the window after this cycle (#2) and start ttc. I called the RE to see what the next step is, but figured I would ask you girls too.

When you started to ttc, what was the protocol? He suggested Clomid first, so what does that entail? Do I have to go in for ultrasounds etc to check for ovulation or is it just a wait and see kind of thing? What did your RE do?

 

 

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Re: pcos question

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    Daughter born July 2008; Daughter born March 2010 Son born August 2011
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  • Well I have PCOS and bc doesn't help....I mean it helps while I am on it but nothing changes once I go off.  So from my point of view I wouldn't stay on bc for 6months hoping it's going to make it easier for you to conceive later.  (but I am no Dr!)

    I started with Clomid as well.  It is just a pill you take for 5 days during your cycle.  They should monitor you while you are on it.  I would have bloodwork day 3 for baseline #'s then ultrasound around day 13 and sometimes a trigger shot too.  Then blood work again on day 21 to confirm that I ovulated. 

    Good luck!

    Daughter born July 2008; Daughter born March 2010 Son born August 2011
  • just got off the phone with the Re nurse. She said the bcp pill can fix things in one month, and really doing 6 doesnt matter. she did want me to give the metformin a month to fully kick in, so I am finishing this pill pack and doing one more. that way the met has almost 2 full months.

    she said to call when im ready and they will prescribe the clomid. i take it, do the opks, and hope it works. they dont monitor unless i dont get a positive surge on the opk by cd 15. (strange?) i have an appt at the end of this pill pack to test my hormones etc.

    im so excited that I have a plan in place!

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  • An RE office doesn't monitor on Clomid?  That would concern me... Clomid stimulates your ovaries... it shouldn't be taken lightly in my opinion.  I would personally ask to be monitored. 

    My bloodwork always indicated I O'd on Clomid but I have never once gotten a positive opk...  the monitoring isn't just to check that you O'd...it's also to make sure your ovaries aren't going too crazy or developing cysts or anything...

    Daughter born July 2008; Daughter born March 2010 Son born August 2011
  • For me, BC didn't do squat besides regulate my period while I was on it.  I have PCOS as well and I don't O on my own. 

    Ditto CHI on how it works and that you have to be monitored.  I was rushed to the ER for a burst cyst on one of my unmonitored clomid cycles.  That wasn't fun.

    Just a heads up on the OPK's.  If you read the leaflet that comes with it it says that taking clomid can give you an incorrect result.  It's true.  I have never gotten a positive OPK and I know it's happened to many other women.  You shouldn't be using that as your only indication that you are going to O.  You need to be monitored and I would insist on it.

    Good luck!

  • hmm, that concerns me. i asked her about monitoring so i can plan around work a bit. they are they only RE practice here, so I will make sure they monitor.

    what is normal? bloodwork on CD3, then ultrasounds when?

     

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  • Hmmm, well, I have PCOS but I haven't started treatment like you are yet, so I have no advice for you. But I just wanted to wish you good luck, from one Met Mama to another! Yes
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