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PCOS diagnosis question

BornAhouseCatBornAhouseCat
in Trying to Get Pregnant

I'm sure this has been asked hundreds of times, but...

I was diagnosed by my OBGYN as having PCOS after a blood test indicating my LH level was three times my FSH-no IR.  However, the test was done on cycle day 55, and a day that FF gave me dotted CH.

Fast forward abt 3 months w no natural AF, and my doc wants to start clomid.  I'm not sure I'm ready for that, as all the cycles are right after BC over ten years, and I think it's early.

 So would you all confirm the diagnosis thru further testing?  How was your PCOS diagnosed if you have it?  (i'm thinking of asking for tests on CD3 after my next prometrium, which will be soon as she says to call at day 35 if no AF or pos tests.)also, our insurance doesn't cover any infertility diagnosis or treatment.  cause it's awesome

 

Thanks 

Edited to add:  we're def ready for the next step to move things along, just not sure I'm ready to jump to clomid on this alone.

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Re: PCOS diagnosis question

  • Ya Never KnowYa Never Know member

    For myself personally, I was dx'd with PCOS through b/w and ultrasound. If your doctor suspects you have PCOS as well, then they should be able to confirm it through u/s. If you're just coming off of BCP and having screwy cycles, then that in itself for most people is normal, and may not be PCOS related at all.

    I'd get a second opinion.

    If you do have PCOS that they confirm through u/s, then you should see an RE (reproductive endoctrinologist) for treatment. For my PCOS (I don't have IR either), the treatment that was prescribed from my RE is Clomid. I just started taking it this cycle, and that is after a little over a year and a half of ttc, and I haven't taken BCP in over 6 years. Also, you need to be monitored closely while on Clomid, and you should not be doing it through your OBGYN.

    Hope that helps, GL! 

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  • BornAhouseCatBornAhouseCat

    Thank you both for your responses.  That's kind of what I was thinking...that that set of tests alone may not give enough info.  Not that the conclusion may ulitimately be incorrect, but I'd prefer to have more tests.

    And she said that they do monitor, with b/w and ultrasounds, on clomid.  Which is good I suppose, but I guess an RE would be better.  (the problem being that it wouldn't be covered at all by ins, but I guess an RE would be just as good at coding to try and cover it as an OB and better in the long run!)

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  • SkypekWithoutACSkypekWithoutAC
    I was tentatively diagnosed with bloodwork and my history (late onset of menses, only 3 periods on my own before I had to be put on BCP to regulate them, and those were spread over 2 years). I was put on Metformin and decided to move to an RE, who confirmed the diagnosis with b/w and u/s. I think most insurance companies will cover testing if it's coded under "missing periods" or something like that. GL!
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  • babykuzbabykuz member

    My OB suspected that I had PCOS because of my irregular cycle and blood work (LH was 3-4 x FSH)...my blood work was done on CD 41 and I got CHs on CD 42.  After a few tries with clomid (I know, I know) I went to an RE and PCOS was confirmed with an ultrasound.  I dont think you need to run away from your OB...just maybe get checked out by an RE to confirm PCOS and proceed with them for monitoring/meds if you decide to go that route.  GL! 

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