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PCOS diagnosis

MrsTran021310MrsTran021310
in Trying to Get Pregnant

Okay, I finally got a call back from the OBGYN (who is a great friend of mine) she says I have a high level of testosterone which means I have PCOS.  She wanted to give me a presciption for Clomid as she says that will help get me KU.  When I asked about fixing the real problem (the high testosterone) she said that she could give me a presciption for metformin as well and that taking both would be even better and that I can continue taking metformin even while pregnant.  After reading comments on KWatson1210  board this morning I feel inclined to still get a referall for an RE.  Just to be sure.  Does anyone have an idea of the cost? Did your insurance cover an RE if reffered?

This is all so confusing now and I really need to do as much research as possible to make the best most informed decision.  Any advice or knowledge would really be appreciated.   TIA.

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Re: PCOS diagnosis

  • MrsCarroll.6-10-07MrsCarroll.6-10-07 member

    I was just writing in the PCOS post that I felt better within 2 weeks on metformin. I would say "If I could do it over I would have skipped the clomid" but I wouldn't have DD right now. If I ever have problems getting PG or even just getting AF in the future I will take metformin alone for a while before I bother with clomid.

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  • ermadermaermaderma

    Personally, I want to treat the PCOS, rather than just induce ovulation to get pg. That is one of the biggest reasons I went to see an endocrinologist, rather than an RE. I will say that I am very confident in his plan of doing both metformin and actos to control my insulin resistance. If I end up needing Clomid, I will feel much better about it knowing that I at least tried to treat it.

    It really is up to you though. Either way, i highly suggest seeing an RE or an internist/endocrinologist for treatment. They deal with PCOS way more often than an ob/gyn. My ob/gyn wanted to just do Clomid as well and i wasn't comfortable with that.

    Insurance coverage depends from plan to plan. You may see that you are labeled as "infertile" if you see an RE. If you already have a diagnosis, then they probably won't make you wait a year of TTC before seeing the RE though. I would check with your insurance to see what, if any, infertility coverage you have.

    GL!

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  • cooperme2871cooperme2871 member
    I just wanted to tell you that I think using Metformin will definitly help. My RE prescribed that first before even trying clomid. Met can help some women with PCOS ovulate on their own. We TTC for 2 years with PCOS. I tried Met, Clomid, Injections, IUI, and then we took a break from it all except Metformin. That's when I got my BFP. We are currently TTC #2 and I am back on Metformin only. I'm hoping this time it works sooner than with DD. CHeck out www.soulcysters.com It is a board designated for PCOS and has a message board with A LOT of members. It has been very helpful to me. I did use the RE the first time, but this time we are going to just use the OB since we have DD. My insurance covered everything except IVF-which was going to be our next step after our "break". We do have really good insurance though. GL!
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  • MrsTran021310MrsTran021310
    BIG Thanks to you ladies for the advice.  This is still all so new to me.  I'm sure I will have plenty more questions to come.  But, I'm going to spend a lot of time doing my homework on it all first.  You guys are a blessing to me.  Angel
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  • SkypekWithoutACSkypekWithoutAC

    Adding a few things here...definitely start up the Metformin. Even if you do not have insulin resistance, it can sensitize the ovaries to insulin, which is important for ovulation. Metformin can take 3-6 months to work to its full potential, so give it a little time. Met can give you GI side effects (diarrhea, nausea, etc.), but it does get better after a few weeks. Starting at a lower dosage and moving up slowly will help. 

    Clomid is a great drug, but you should not take it if you aren't be properly monitored. Plenty of people do use it without issue, but in others it can cause high order multiples, aggravate cysts, and deplete the lining of the uterus. So it's important to be monitored with bloodwork and ultrasound while using it. Using Met in combination with Clomid will up your odds. 

    You really need to check with your insurance company to see if an RE is covered. There is a huge range of coverage (which is chosen by your employer, not the insurance company). For example, some women have absolutely no IF coverage and would have to pay for all IF treatments (Clomid through IVF) totally out of pocket. I am blessed with stellar insurance and have coverage for unlimited IUI's and I think 6 IVF cycles. Clomid is relatively inexpensive, but other meds can be very pricey, so I'd also consider looking at your other insurance options if you don't have coverage under your current plan. DH and I went over all our options with a fine-tooth comb when we were TTC and chose the one with the best IF coverage at open enrollment. Hopefully Clomid will do the trick, but it never hurts to have that coverage if you can.

    The ladies over on TTTC and IF can also offer some great advice, I'd encourage you to lurk/post over there as well. GL! 

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