We have a plan - input appreciated.

LindseyM2012 · June 2014

I just had my RE consult yesterday. It went quite smoothly because my ob/gyn ran so many test before the referral and actually called the RE to discuss my case so the RE had a good picture of what was going on. I was impressed by that! Anyway, there are still some tests to run (saline sonohystogram, HSG, etc.) and update some other tests. My husband still has to do his SA and blood work. So I am currently taking progesterone to trigger my cycle and over the next couple weeks we’ll get the remaining tests done. Once completed and updated, we’ll review with the RE and begin treatment assuming there are no huge surprises.<?xml:namespace prefix = "o" ns = "urn:schemas-microsoft-com:office:office" />

Preliminary plan: She will start me on Metformin and Clomid. If my husband’s SA and labs come back normal, we’ll try to conceive on our own at home. If there are any issues with the SA and labs, we’ll consider IUI. I have tons of eggs so lots of monitoring will happen to avoid multiples. If I don’t respond to metformin and Clomid, she’ll add another medication (I forgot to write down what that one was…oops). If that isn’t successful, we’ll consider IVF with a one or two egg transfer. Since I have so many eggs, she does not recommend injectables due to the chance of multiples.

In the meantime, she told me to cut back my caffeine intake to no more than 2 cups per day (I’m a full time employee, full time wife and almost full time grad student…so I live on coffee). Also, begin taking a prenatal vitamin and start taking Pregnitude after all labs are completed. Of course, if labs and SA come back with any major surprises, we’ll reevaluate.

The RE told me, “We’ll get you pregnant. It is just a matter of how to get you pregnant with just one.” She was very confident in my case so I feel better about this whole thing, but still anxious to get it all going.

From everything I’ve read here and on medical sites, this seems to be a pretty typical treatment plan for “thin” PCOS. Any thoughts from you lovely (and knowledgeable) ladies?

ronniesgirl1981 · June 2014

It seems like you are in good hands. Good luck!

athlete010688 · June 2014

Good luck!

TiffW2012 · June 2014

Sounds like your consultation went well. Good luck as you move forward!

masterofallcheese · June 2014

Lean PCOS'er here. I'm not on Metformin but am on Clomid + Trigger. I think your plan sounds good!

juneroses · June 2014

Sounds like a good plan - my RE diagnosed me with pcos, too, and we are following the same course except with letrozole good luck on the remaining tests!

nswain85 · June 2014

Looks like you have a good plan and some good doctors too! Best of luck!

BunnyBerry · June 2014

That sounds like a very thorough plan. Our RE just goes one step at a time, and never talked about anything further than the first treatment (Letrozole and IUI), but I think he's wary of scaring us since we waited so long for treatment in the first place, lol! Actually it would be nice to hear his take on our long-term plan. Good luck on your testing!