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Infertility
PCOS question(s)
Hi ladies,
I just came back from a CD3 u/s after being Dx with PCOS about 2 weeks ago. My OBGYN said that both ovaries are normal size, the right ovary is consistent with PCOS, and the left looks almost normal. Has anyone had that experience?
I think I feel more confused now and feel like rushing home to start reading TCOYF. I saw follicles in both ovaries. I don't know what is normal or normal size for CD3, but there weren't any signs of large ovarian cysts. Can anyone enlighten me here on what is normal vs. what is consistent with PCOS?
He also mentioned that under normal circumstances, he would just have me take Clomid for three months before seeing the RE, but because DH's morph is only 2%, we have better chances going straight for IUI. However, he did say that I could try the Clomid if I want. He would just suggest personally that I don't waist cycles on Clomid and go to the RE. Does that sound right?
Sorry for all of the questions. This is so new to me.
TIA!
This discussion has been closed.
Re: PCOS question(s)
PCOS is very odd. I have been dealing with confusion and frustration since I was first "diagnosed" with it 5 months ago out of nowhere. And they say it helps when you lose weight - except I lost weight and THEN got PCOS. Unfortunately, it's not all black and white with what's normal and what isn't. I only had little cycsts on the right ovary, never anything on the left. I'm not overweight, nor do I have hirutism, some moderate acne.
I took clomid and metformin for 4 cycles, from 50 mg to 150 mg, and I didn't ovulate at all. So now I'm trying to deal with the fact that I have to go to an RE and all the costs will be out-of-pocket. I also did acupuncture in conjunction with the clomid. I would not waste more than 3 months on clomid, and definitely get monitored to see if it's working. GL!
You don't have to have cysts to have pcos, so it doesn't surprise me that only one looks cystic. Follies are tiny on cd3, that is why it is the perfect time for b/w and u/s to get a true reading. Unfortunately, there is nothing consistant with pcos; every woman is different with her symptoms and treatment.
I would go to an RE either way. It sounds like he wasn't going to monitor you on clomid anyway, so that would be a waste. Taking a big risk by taking clomid without monitoring. Have you had a HSG done yet? That would be your first step before clomid anyway. I would start on Metformin first and see if that helps also.
*PCOS bio* *Cold Hands, Warm Heart*
Katie- I have not had an HSG yet. I am thinking that might be done once I go to the RE. I definitely would want to be monitored on the clomid so I am happy in a way that my OBGYN is pushing the RE. I will ask about Metformin also. Thanks!
I totally agree with all the above posters. I am surprised that you doctor gave you clomid without monitoring. I have to go see my RE every 3 weeks - even if nothing has changed. I was dx with PCOS in early Aug after not getting AF since Feb. After a huge panel of bw, the RE started me on Met and Provera. I think the important to see an expert and not waste time / money with a doctor and medication that may not be appropriate for your situation. As for the ovaries, my RE said that both my ovaries were covered with little cysts (typical of PCOS) and this was supported by bw confirming insulin-resistance.
Good luck!!