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New and Question!

bjames24bjames24
in Trouble TTC

Hi Ladies! I'm new to TTTC, However I have been stalking the boards for a while. DH and I have been TTC for 10 months now. I know I'm not quite to the year mark yet.. but I already have a diagnosis of PCOS. My OB has me on 2000 mg of metformin/day. At my last appointment he said we were going to try that for a few months and then go to clomid. I'm going to see my OB tomorrow because I have not seen Aunt Flo in 85 days. I took 10 days of provera starting on September 26th and still nothing! And of course lots of BFNs! I have had a normal HSG and DH has had a normal SA.

 SO.. I've been reading a lot about an OB vs. RE. I'm worried he is going to start me on clomid. So my question is.. Do I need any more testing before starting the clomid? and If my OB wants to start me on clomid, should I insist on going to an RE?

TTC #1 Since Jan 2012 Me:22 DH:24 DX: PCOS 2000mg Metformin/Daily Currently on Estradol, Then Provera. Start 1st Round of Clomid Nov 2012
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Re: New and Question!

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    jess8788jess8788

    I dont have PCOS so someone correct me if Im wrong....

    If you are being correctly monitored by your OB than yes I think its okay for him to start you on clomid.  But if not, than go to an RE for your safety. 

    When it comes to testing, I would say at this time its not necessary since you have a high prevelant diagnosis.

    GL!!!

    Me: 24 DH: 27 12/7/2011- Faint BFP #1- 12/18/2011- early m/c at 5 weeks- CP 1/30/2012- Faint BFP #2- 2/17/2012-early miscarriage at 6 weeks- CP RLP done- 1 copy C77T hetero MTHFR-Slight hypothyroid-normal HSG. 8/2012 and 9/2012 Clomid + TI= BFN 10/2012- follistim 7.5 and IUI #1- BFN (pressured into this IUI) 12/2012-BFP #3- 2 days later started bleeding. 3rd CP. 1/18/2013 BFP #4. Beta #1- 14.7(10dpo) 99.5(13dpo) 263 15(dpo).STICK LITTLE PEANUT- WE LOVE YOU!
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    pantsarellapantsarella member
    If you are being monitored appropriately, it's fine to be treated by your OB. But make sure you're clear on what "appropriately" means. I've never taken clomid, so I'm not sure on the frequency of ultrasounds/bw but hopefully someone will chime in with the details. Also, after a few cycles, you may want to look into a RE.
    image


    Me:27, DH:28 - DX: MFI, varicocele repair Nov 2011 
    Post-Op SA: Count- 15 million, Motility- 75%, Morphology- 3% 
    IVF with ICSI - Stimming 10/4/12 - 10/13/12, Lupron Trigger
    ER 10/18/12, 12 eggs retrieved, 8 mature, 5 fertilized
    5 day transfer 10/23/12, 3 frosties
    Beta #1 11/5/12: 453, Beta #2 11/7/12: 1,013, DD born 7/19/13
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    jess8788jess8788

    The monitoring is as follows....

    If you start it day 5 you will take it days 5-9 with an ultrasound day 5 and than we did day 12. On day 12 they told me when I would need to trigger-it was usually day 14 and then they give you the rest of your instructions.

    Me: 24 DH: 27 12/7/2011- Faint BFP #1- 12/18/2011- early m/c at 5 weeks- CP 1/30/2012- Faint BFP #2- 2/17/2012-early miscarriage at 6 weeks- CP RLP done- 1 copy C77T hetero MTHFR-Slight hypothyroid-normal HSG. 8/2012 and 9/2012 Clomid + TI= BFN 10/2012- follistim 7.5 and IUI #1- BFN (pressured into this IUI) 12/2012-BFP #3- 2 days later started bleeding. 3rd CP. 1/18/2013 BFP #4. Beta #1- 14.7(10dpo) 99.5(13dpo) 263 15(dpo).STICK LITTLE PEANUT- WE LOVE YOU!
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    erililierilili

    Personally, I would recommend that you see a RE. I have a PCOS and prior to having my current insurance was being treated by O/B (big mistake). My RE immediately had my partner and I, complete various test. She also mentioned that clomid would most likely be ineffective for me. She recommended that I have IUI instead of taking clomid or metformin. Also, you must be monitored when on clomid. 

     

    TC #1 since Dec 2010 Me: 31 | DH: 30
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    bjames24bjames24
    Thanks for all of your answers! I'm just getting nervous about going tomorrow and want to make sure I'm well informed before I get there! I'm already glad that I finally posted! Its hard talking to friends/family about this when they have no idea what you're talking about!
    TTC #1 Since Jan 2012 Me:22 DH:24 DX: PCOS 2000mg Metformin/Daily Currently on Estradol, Then Provera. Start 1st Round of Clomid Nov 2012
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    mkwgymnastmkwgymnast member

    I agree with PP about seeing and RE. You need blood testing on specific days of your cycle to check a few more things out. Also you should get a day 1-3 ultrasound to make sure you have no cysts before you start meds. Good luck!

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    new+tothisnew+tothis member
    imagejess8788:

    The monitoring is as follows....

    If you start it day 5 you will take it days 5-9 with an ultrasound day 5 and than we did day 12. On day 12 they told me when I would need to trigger-it was usually day 14 and then they give you the rest of your instructions.

    This is not how my RE monitors. I'm not sure why this would be the monitoring schedule. I get a baseline ultrasound cd 1, 2, or 3 to make sure I don't have cysts before proceeding. This should be done for everyone prior to starting meds. Then you take meds for a set amount of time (cd 3-7, 5-9, whatever) with an ultrasound a few days after stopping meds to check follicular growth. If they're not the correct size then another ultrasound when they estimate the size will be sufficient. That's the minimum for monitoring imo.

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