Infertility

What do you guys think? *NEW HERE*

Hi, my name is Alisha. Me and DH have been trying to conceive for about a year and half. I started out with my regular OBGYN. They did an ultrasound and said I have PCOS, then my husband went and got tested and his motility was 36%. So immediately the OB started me on clomid and metformin. My periods were still hit and miss and after the fourth month of clomid with no success, my OB referred me to an RE. I also was having cyst rupture every month that i was on the clomid as well. So i went to first RE appointment which went great(i feel as if a weight has been lifted off my shoulders). He then explained that he doesn't think i have PCOS, that i may have a PCOS looking ovaaries. He stated that I am not overweight or have any of the other symptoms of the disease. He also said that he that my irregular periods were just unexplained infertility. The RE also gave me some hope with my DH saying his motility level was not terrible. Long story short I will be starting IUI with the trigger shot next month. We will be trying this for about two months before trying Gonal-f. I feel great now that i have finally seen an RE. Has anyone had a similar situation. It is always good to talk to someone who can relate or give any info about IUI. Please be easy on the lingo you use with typing a reply because i haven't quite got the vocab down yet for this website:)

Thank in advance!!!!!!!

Re: What do you guys think? *NEW HERE*

  • Why specifically does he not believe you have PCOS? PCOS is a total spectrum. People have varying levels of the symptoms and not every person has every symptom. I personally do not have any of the adverse symptoms of PCOS: obesity, hair loss, facial hair, etc. After complaining to my doctor about irregular periods, I was diagnosed due to lab result of higher than normal testosterone and ultrasounds showing typical polycystic ovaries. ir was my understanding that the only definitive way to dx PCOS was the appearance of the ovaries. You may or may not have any of the other symptoms.

    I mean fsh injections like gonal f and iui is the next step they would take with PCOS anyway solo I guess it really doesn't matter. I just don't know why they would try to put you on the unexplained infertility category when they have identified polycystic ovaries.

    Granted PCOS is not actual cysts on your ovaries, just partially developed follicles. Does your RE maybe think you have actual cysts? Because recurrent ovarian cysts would be totally different.

    Sorry I rambled. Always just curious about PCOS :)

    Good luck with the iui. Hopefully the fsh injections don't cause cysts for you like the clomid did. I did my first iui with injectibles at the beginning of November but got a cyst. I have been on be for two months trying to get it to go down as cycles likely will not be effective if you have a large cyst.
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  • Hi, he did the blood work this morning so i will have the blood work results back by next week. The blood panel he ran will confirm PCOS. My RE told me that i only had a couple of the symptoms of PCOS and that a lot of times OBGYN will say you have PCOS just because your ovaries look like you do and you have irregular periods. My OBGYN just did an ultrasound and seen my ovaries were so bad with lots of the follicles and immediately they started me on the meds without doing anymore testing. They started me on the clomid and Metformin back in July and i felt like i was getting no where so when my last cyst ruptured they referred me to my RE. At this point you never really know what to think i guess. 

    How long have you been trying the IUI? Also me and the DH is going to naturally try instead of the RE injecting me. 
  • Welcome!  Most of the women on these forums are working with an RE and are in the middle of IUI or IVF cycles, so feel free to jump in on the IUI threads (there should be a January one soon) and the TWW threads once you've had your IUI to connect with others who are on the same cycle as you.  It felt great to me too once we met with an RE (and a urologist in our case since we are dealing with male factor infertility).  I personally just love the feeling of working with doctors who are extremely motivated to get me knocked up!  Best of luck to you!
    ***BFP & Child Warning***

    Me: 34, DH: 38 ~ TTC since 2014
    IUI #1-3 (Nov 2015, Feb 2016, May 2016) = BFNs
    IVF ER (July 2016) = 7 PGS normal embryos
    FET #1 (Sept 2016) = BFP! DD born 5/30/17
    FET #2 (April 2019) = BFN
    FET #3 (July 2019) = BFP! DS born 3/27/20
  • @alishaboone12 - Welcome, and I am sorry you are here. I hope your stay is short! Have you had an HSG yet (to make sure your tubes aren't blocked)? You really should have one before you do your IUI. If one of your tubes is blocked you could be wasting a lot of time and money on the IUIs, and I'd hate to see that happen.


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