Trouble TTC

Low Sperm Count and PCOS

I posted allready on the Infertility board, but thought that maybe if I posted on both boards, I could get more insight, so here goes:

I'm new to this, but I had a question. I was diagnosed with PCOS, but I have a period every month, I have had 2 kids with my ex husband the old fashioned way with no help. I have always heard that PCOS was supposed to make getting pregnant difficult, but it wasn't. However my fiancee and I have been trying to conceive for over a year and had no luck. He got tested years ago and was told his sperm count was low, but he had more than half what he needs, and his mobility and motility are perfect. He has no biological children. I'm thinking that if I was able to conceive without help, and we know his count is low, then the way to conceive would be for him to fix his sperm count. Apparently theres a medication he can take that will increase his count and make him extremely potent. He thinks I should look into Clomid, but like I said, I didnt have any trouble getting pregnant before. I am wary of taking hormonal medications, especially onces containing progesterone, as the depo-provera shot contains pregesterone and I gained a lot of weight on it (weight can affect fertility too). MY question is this: given the medical issues we have, what is the most effective way for us to conceive? What medications are there to help his sperm count, and should I try medication too? Should we skip medication and try something else?

Re: Low Sperm Count and PCOS

  • My kids are 8 and 5. I was diagnosed at 14, again at 23 (I had my kids at 19 and 21), and continue to get my hormones checked regularly. Every time my hormones are checked, my testosterone comes back high, but in the normal range. I have had at least 1 diagnosed cyst in the last year, I think I may have had a second but did not go to the doctor. I have taken home ovulation tests, and they have shown that I ovulate 15-17 days after my period. I think I read somewhere tho that if you have PCOS those tests may not be accurate. I do not know what an RE is, or a BBT. There are actually many things on this site that I don't know lol.

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  • The first thing you need to do is a pick up a copy of Taking Charge of Your Fertility, it is a wealth of information.

    Just because you have had two kids "the old fashioned way" doesn't mean you have no issues. There is in fact an entire board dedicated to women who have issues after they have had kids (secondary IF).  Your H should get another semen analysis done, because an analysis from years ago is useless.

    You should get tested too.  An RE is a reproductive endocronologist.  You should see one and get your testing done and see what you are both dealing with before you just go on Clomid.  And your H should see a urologist that specializes in male infertility.

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