Trouble TTC

PCOS, Diabetes, Progesterone, Clomid, plus size pregnancy and all that fun stuff...

Hey everyone! I am new here, for the most part, and wanted to share and get some advice from you all...

My husband and I are currently trying to have a baby. I was diagnosed with Diabetes in 2008 and PCOS in 2013. We have gone through test after test to cover all our bases. He has been tested and all is good on his end. I have had numerous tests only to show that I in fact have PCOS and my testosterone is HIGH! I have not had a menstrual cycle in OVER TWO YEARS I have take progesterone medication to try and bring on my period and nothing worked! The doctor just sent me for a CT Scan of my adrenal glands and then after that I will be starting Clomid.

I am scared to start clomid because of all the side effects I have heard about. I am also scared because I want to get the ball rolling and start taking it but I have so much going on in the next two weeks+... camping, 5k, family parties, etc. Would you all suggest that I not take it when I have things planned? Any advice/tips?

I am also concerned because I heard that clomid wouldnt be effective unless you have had a menstrual cycle but my doc said that isn't the case. Anyone know anything about this? I know I should always trust my doc, but I would like to hear from other women that have gone through this.

Im an overweight woman, but I have been working on eating better and losing weight. As always it has been hard, but I keep pushing through and remember that I am doing this for my baby!

Looking forward to feedback and advice from you all! Thanks for reading!

Re: PCOS, Diabetes, Progesterone, Clomid, plus size pregnancy and all that fun stuff...

  • Oh my! So overwhelming! My doc just has me coming in on day 24 for blood work after clomid.... this test will tell if i responded to the clomid etc. And whether or not i will need a stronger dose next time. all the tests mentioned above have taken place and then some except I didn't get the HSG test and I didn't get the test that required me to have a period for obvious reasons....
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  • No not seeing a RE.... just my OB.
  • AnnaClaire256AnnaClaire256 member
    edited June 2014
    Welcome to 3T! There are so many dangers with taking clomid with proper monitoring (CD3 u/s, u/s follicle monitoring mid-cycle, b/w at 7dpo).

    If your OB isn't willing to do those tests than I would STRONGLY suggests seeing an RE. Clomid can cause cysts to grow on your ovaries, you may over respond, it can thin your lining and puts you at risk for HOM...dangerous stuff.

    An HSG needs to be done before you start clomid. I know when you have PCOS (I do too) it's easy to think that that is your issue...but all the clomid in the world can't get an egg down a blocked tube.

    Sorry if that's all overwhelming. I've just seen too many horror stories...hopefully you can find an RE that can help!

    ETA: oops, @NariaDreaming‌ I must've been typing at the same time. Looks like we had a lot of the same thoughts. Great minds... ;)

    Me (29) DH (37)

    Married 7/11

    Actively TTC 3/12

    DX: PCOS

    Current treatment: Break from IUIs until after the holidays

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  • Welcome to the board. I also have PCOS and am in my first Clomid cycle. A lot of monitoring is required while on a Clomid to ensure cysts have not formed nor too many follicles. Most OBs do not have the equipment, experience or staffing to properly monitor someone so I encourage you to seek an RE's assistance. Good luck!

    Missed M/C natural cycle 10/2013

    DX PCOS 3/2014

    2 cycles Clomid 50 mg + Ovidrel + TI

    1 cycle Clomid 50 mg + TI - no response stair-stepped to Clomid 75 mg + Ovidrel + TI

    1 cycle Clomid 50 mg + Ovidrel + IUI

    1 cycle Letrozole 7.5 mg + 150 mg Follistim + Ovidrel + TI

    1 cycle Letrozole 7.5 mg + 150 mg Folistim + Ovidrel + IUI

    1 cycle Letrozole 7.5 mg + 150 mg Follistim  - no response, repeated Letrozole 7.5 mg + 150 mg Follistim + Ovidrel + IUI = success! 12/2014

    Beta 1 - 15 dpiui, 324, Beta 2 - 17 dpiui 750. Twins!!

    My Blog: pcosandpizza.blogspot.com


  • Welcome and good luck!

    That said I echo what these ladies have told you. Better to go "slow" and be safe.
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  • Thanks again all... I am slightly confused because I do know that tests have shown I have cysts covering my ovaries, this we already know... part of the PCOS obviously. Have had ultrasounds, CT scans etc. That showed this....
  • Guess its just hard getting so much different advice and such contradictory situations. I have a few gfs messaging me saying they did clomid without the HSG and got pregnant. Others saying their RE didn't monitor them throughout clomid and then others saying that the HSG came after three rounds of clomid. Ah! So much to take in!
  • drstefdrstef member
    I am not as experienced in the IF world as some of these ladies are. However, I would highly recommend going to see a RE. I was fortunate enough to have a wonderful OB/GYN who did all of the appropriate test before referring me to a RE. I was diagnosed with PCOS, probably more atypical, but my OB/GYN and RE Dr. put me on Letrozole instead of Clomid. From my understanding, Letrozole does not have some the not-so-good side effects as Clomid. Plus the RE said it works better with women who carry extra weight (I'm am overweight and have been my whole life). All in all, it is better to err on the side of safety then jumping in head first. In addition, all women are different; what may have worked for one of your friends, may not work for you. Some things in this world just doesn't make any sense.

    Just remember to breathe, keep your chin up, and explore all of your options to make the right decisions. Good luck to you and definitely keep all of us posted!

    HUGS!
    Me: 31 PCOS
    DH: 30 SA-Low motility
    Married: July 27, 2007   NTNP: 2008-2013   Actively TTC: Since October 2013
    IUI #1: 10mg letrozole (3-7), trigger shot (5/31/14), procedure 6/2/2014 SA - 5mill post-wash  BFN

    IUI #2: 10mg letrozole (3-7), trigger shot (7/1/14), procedure 7/2/2014 SA - 23 mill post-wash BFN
    IUI #3: 10mg letrozole (5-9), trigger shot (7/30/14), procedure 8/1/14 SA - 28 mill post-wash BFMFN
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  • @drstef my RE also said that Letrozole works better for girls with PCOS than Clomid does.  It doesn't thin out the uterine lining as much.  I know that personally, I didn't respond to the Clomid but I have responded to the Letrozole. 

    Me: 30 yrs (PCOS), DH: 28 yrs (SA normal)
    June 19, 2008: Started dating
    August 12, 2012: Got married
    September 2012: Came off BC pills after 12 yrs
    September 2012-May 2013: Irregular periods (every 45-55 days), no positives on OPKs, used fertility friend
    May 2013: Started actively TTC, talked to OB about irregular periods and possible anovulation
    October 2013: HSG all clear, hormone levels normal, U/S showed polycystic ovaries, PCOS diagnosis
    February 2014: Clomid 50mg days 4-8, many follicles on CD14 but none bigger than 8mm
    March 2014: Switched to RE, saline u/s all clear
    April 2014: 3hr glucose showed IR, started on Metformin 1000mg/day, put on low-carb low-sugar diet
    June 2014: Femara 2.5mg x10 on CD3, 19mm follicle on CD17, Ovidrel, TI, Endometrin suppositories = BFP!!!

    Our little one due March 11, 2015

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