XP: PCOS question for a friend (siggy warning)

JessMike07

 

Siggy Warning!  

 

This is something I am not familiar with (despite my m/c history) but I am trying to help a friend who has PCOS. She believes her LH:FSH was tested on CD 12 (not sure why) and was 5:1. Ratio should be 1:1 correct or is that only on CD 3? Does anyone have a good website or recommedations?

BTW, her doctor put her on the BCP for 3 months and wants to try Clomid after she is off BCP. Does this sound right??

TIA!

 

sbrowns08

I'm not sure what the norms are for FSH/LH other than on days 2-4. Is your friend seeing an RE? If not, there is a good chance that her testing and dx are being reviewed by practitioners who are not familiar with infertility and are therefore inaccurate. Before clomid she will need an HSG to see if her tubes are clear, and her husband will need a semen analysis. These should really be evaluated by an re. Gl to her!

genmalone

The LH should be higher than the FSH mid-cycle.  Your LH surges which is what causes ovulation so I'm not sure I would automatically think PCOS based on that alone.  The b/w needs to be done on CD 3.  Also, looking at LH is kind of an outdated approach.

In order to be diagnosed with PCOS you need at least 2 of the following:  high levels of androgenous hormones (testosterone), annovulation, or polycystic ovaries (as seen on an ultrasound).

I'm not sure what her Dr thinks BCP is going to do for her.  That is usually the answer if you are not TTC but I can't imagine it doing anything to help her TTC.  I would suggest she see a Reproductive Endocrinologist.

ETA:  Also, a lot of PCOS ladies don't respod to Clomid.  Femara tends to work better for most but not all PCOS gals.

mnj05

I have PCOS, but haven't been checked for FSH/LH levels that I know of. I'm not sure if that's a good thing or not. I agree with PP about BCP, not sure why she is on it. I am on my second cycle with clomid at 100mg, I did not respond to 50mg, and also added metformin to the mix.

Clomid may be a good place to start, but as stated in PP, not all women respond to it. She needs to be monitored and an RE would definitely be the person to see. GL to your friend!

Kershnic

genmalone:

I'm not sure what her Dr thinks BCP is going to do for her.  That is usually the answer if you are not TTC but I can't imagine it doing anything to help her TTC.  I would suggest she see a Reproductive Endocrinologist.

I'd also suggest an RE, but the BCPs are likely an effort to clear a cyst.

genmalone

Kershnic:

genmalone:

I'm not sure what her Dr thinks BCP is going to do for her.  That is usually the answer if you are not TTC but I can't imagine it doing anything to help her TTC.  I would suggest she see a Reproductive Endocrinologist.

I'd also suggest an RE, but the BCPs are likely an effort to clear a cyst.

My impression of the post was that she hadn't had an u/s and her diagnosis was based solely on her LH to FSH ratio.  Maybe I misunderstood.

JessMike07

I'm sorry I did forget to include that she had an u/s that showed one cyst. She has some other common symptoms that are associated w/ PCOS. I'm really not sure how her doctor (pretty sure its an ob) came to the diagnosis.

Thank you for all your replies!!!

JessMike07

I should also add that she does have a DD and she has had I believe 1-2 m/c and is TTC again.