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2 years ttc. And stuck with a new doctor (intro)

SamanthaarielxoSamanthaarielxo member
in Trouble TTC
Hey everybody,

My FH and I have been ttc for 2 years with no luck minus one false positive test which was absolutely heartbreaking.
A year ago I had no cysts, pcos, diabetes, etc. just didn't ovulate or get my period without being on progesterone. My gyno however retired this year so I get to start this whole process over with a new doctor.
It's one of his colleagues so I am hoping I can skip going through all the blood work, ultra sounds, etc and get put on some type of fertility medication.
My question though is I'm 24 and overweight. I've been doing research on fertility meds and I have been looking into side effects and I see nothing to worrisome, but am I likely to even be prescribed anything to help me get pregnant because of my age/weight?
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Re: 2 years ttc. And stuck with a new doctor (intro)

  • riveridgionalriveridgional member
    edited January 2016
    First of all good luck, welcome, and hopefully your stay is short! Regarding weight, some doctors refuse to treat until body weight is below a certain BMI level but others don't seem to care. I think it becomes a bigger issue with IVF since it would affect their clinic's success rates and as well as yours.

    However, I need to urge you not to attempt fertility treatment or take fertility drugs from an OB. You really need to see a fertility specialist (or RE, reproductive endocrinologist). Several OBs give Clomid out like candy and without proper monitoring, which can not only be ineffective but dangerous, especially for women with PCOS. It can be dangerous for many with PCOS because the risk of high order multiples is increased and because a cyst (larger than typical PCOS cysts) may develop, which makes the drug ineffective and can cause the cyst to rupture. Additionally, it may cause your lining to thin out, making conception or a viable pregnancy nearly impossible. I took 2 rounds unmonitored with my OB. Turns out, I don't respond any differently on it (ovulate on my own and still only produce 1 follicle on 100 mg) and it thinned my lining. I did nothing but my reduce my chances of pregnancy while trying to save money by taking it with my OB.

    Best of luck to you and please make an appointment with an RE. You won't regret it (only that you didn't do it sooner)!

    ETA: Your age should not impact your ability to receive treatment. If under 35, you are considered infertile with no success after 1 year of regular, unprotected sex. Since you have PCOS, the 1 yr wait doesn't even apply to you and you can seek treatment earlier. The 1 yr really just applies to those couples with no known issues that impact fertility. Over 35, it's 6 months.
    Married to DH 10/6/12
    TTC since 5/14
    Unexplained with (controlled) hypothyroidism and suspected ovulatory dysfunction (but, I do ovulate on my own)
    Clomid 50 mg 3/15 (unmonitored) - BFN
    Clomid 50 mg + metformin 4/15 (unmonitored) - BFN 
    First RE appt. 5/15; Natural cycle 5/15 monitored with 2 mature follicles and Pregnyl Trigger (full dose) + prometrium - BFN
    6/15 HSG - clear tubes & normal uterus; great PCT test results
    TI - 100 mg Clomid + prometrium (AM & PM) + vaginal estrace (AM & PM) 6-7/15 (monitored) --> no additional response and thinned lining - BFN
    TI - Injectables (follistim + Gonal-F, Ganirelix, & 1/2 dose Pregnyl) + prometrium (AM & PM) 9/15 --> 3-7 mature follicles (3 definites and 4+ that could have matured due to trigger) @ O -->BFN + 5 large cysts
    BC for 2 weeks due to cysts
    TI - Injectables (Gonal-F, Ganirelix & full dose Pregnyl) + prometrium (AM & PM) 10/15 --> 1 mature follicle --> BFN 
    TI - Last attempt at injectables (Gonal-F, Ganirelix & 1/2 dose Pregnyl) + crinone (AM only) + vaginal estrace (AM & PM) 11/15 --> 3-4 mature follicles --> BFP!! 11/27/15 @ 13dpo (shockingly, actually waited until then to test)

    Beta #1 @ 16dpo (11/30/15) = 1,075
    Beta #2 @ 19dpo (12/3/15) = 3,150
    One baby: Saw heartbeat @ 5w5d (114 bpm; baby measuring 2.3mm)

    "Great Things are Happening"
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  • SamanthaarielxoSamanthaarielxo member
    I got my appointment made for the 8th. My doctor retired so they had a hard time getting me in and called me to reschedule the one I had already made. 
    If they can't find anything wrong I'm going to try to get a referral to an RE 
    the other thing I thought of is my fiancé is a positive blood type and I'm a negative. Could that be part of the issue for why I wasn't getting pregnant when I was having a period? 
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  • daystardreamsdaystardreams member
    I am 25, overweight (250+ lbs) and also have been TTC two years. I was diagnosed with PCOS at my year mark and after confirming that I wasn't ovulating with blood draws, my OBGYN prescribed me Letrozole which worked the first cycle I took it. Letrozole/Femara is not nearly as dangerous as Clomid (which you should NEVER take without monitoring). 

    However, I have a blood clotting disorder that my OB missed in her initial infertility screening and I strongly believe I lost my pregnancy at 7w because of it. So although my OB did succeed in using Letrozole to get me pregnant, it didn't end well for us due to unknown factors at the time. I also recommend seeing an RE at this point. 

    I had no trouble getting a referral and I have basically the same stats as you. My RE has not even mentioned my weight at all. We plan to start treatment in March which could be IUIs or something else. 

    image

    TTC #1: February 1, 2014
    BFP #1: 2/21/14 EDD: 10/31/14 MMC: discovered 3/31/14 (blighted ovum) D&C: 4/3/14 at 9w6d

    BFP #2:12/18/14 EDD: 8/27/14 Beta #1 (16 DPO): 50 Beta #2 (18 DPO): 54 CP: 12/25/14 at 5w0d

     Names | Blog | Chart

    Formally LisaG09

    "Everybody wants to be happy. Nobody wants to feel pain but you can't have a rainbow without the rain."

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  • SmallTownCanadianSmallTownCanadian member
    I haven't posted much as we are still awaiting results from dh, but I had done some thinking after getting feedback from others in this group and I decided when I go back to my ob I am going to ask to see a re. My ob didnt do any testing on me as she right away told me i needed to loose weight. I did as she asked and have lost about 30lbs. But I feel that these ladies are right, you really need a re. My ob told me clomid doesn't work if you are overweight, but it bothers me she even said that we would do clomid, since I have had no testing yet! I am also just about your age. So I think you should be able to find an re who will treat you regardless of weight and age, I am going to try also! Best of luck.
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  • linzylemonz365linzylemonz365 member
    I am 22 and am on fertility treatments. I don't see why they wouldnt put you on as well. I have the same problem I dont have my period without medicine. Theres no reason young age should factor in if you just can't conceive on your own
    Report Reply
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