I was diagnosed with PCOS about 8 years ago, when my periods (that had always been irregular) stopped altogether and I broke out in severe cystic acne. Ultrasound showed >25 cysts on each overay. I went on the birth control pill which worked wonders for my acne. I have now been on the pill for 8 years and am contemplating coming off it some time in the next year or so to try to conceive. I did come off the pill for 3 months in 2008 to see what would happen. I followed a low GI diet hoping that this would be enough to make everything normal (when this all started I was eating quite poorly). Anyhow, I got no period, developed cystic ovaries and my testosterone crept above normal levels. Fortunately my acne didn't come back in this space of time but I did notice oilier skin and perhaps it would have returned had I stayed off the pill for longer.
Anyhow, I am really not sure what I can actually do to help my chance of conceiving. I am not overweight at all. My weight has actually been very stable and in the last 8 years I wouldn't have changed more than 2kg. I am also addicted to exercise and love running and riding. I have not followed a perfect low GI diet but generally my diet is pretty good. I eat lots of fruit and vegetable and usually choose dense grainy bread. I can improve my diet a bit, but not heaps.
I was finally tested for insulin resistance this week by the GTT, however, my results came back suggesting that I was totally normal. I'm actually disappointed by this because going on Metformin seemed like one thing I could actually try to increase my chances of ovulating. But now it looks like there's nothing else I can do?
You know, I've had PCOS symptoms for years, since I was fourteen, and I can tell you hormonal levels in your blood can change from within normal range to above normal range all the time. in the past I've tested with an above average amount of testosterone, cysts on my ovaries and literally no period for one year-- then later on, once I adopted a very low cal diet alot my symptoms went into remission, and my levels (insulin, testerone) showed up extremely normal in a blood test-- which excluded me from receiving a metformin prescription because of this.
It really does go up and down-- and on a ''Down'' period where your hormones are registering normal on a blood test it's really difficult to get a doctor to know how to treat your symptoms. All they can do in promoting fertility in women with pcos is lower their testosterone and insulin level through meds and weight loss enough for them to start ovulating normally, that's the theory. But of course a method of treatment is very hard to determine when you're already in the normal BMI range for weight and you have no elevation of testosterone or insulin resistance (for now)-- yet you're still having trouble conceiving. Then that puts you in a really tough spot.
Umm I'm not sure what you should do really--maybe start inquiring about fertility drugs, honestly. Or go to another specialist to get another opinion and more advice-- who doesn't leave you optionless. Good luck
Hmm.. I know that the severity of PCOS varies greatly amongst individuals. Some have weight issues, others don't, some have insulin resistance while others don't. The problem with PCOS when it comes to ttc is ovulation. In many cases, women don't ovulate frequently or regularly and some don't ovulate at all without meds. Yes, you can talk to the doctor about ttc and I'm sure she/he will tell you about your options. There are meds to help with that.
So, if you are ttc, I always recommend what I do, charting BBT. Not sure if you've heard about that, if not you can google it. All you do it take your temps every morning upon awakening and you can use online software to input the data and it will analyze t for you and will tell you wether you ovulated and when. That is how I learned what my body's doing. You can check your cervical mucus as well, since charting will give you the ovulation date after the fact. So fertile mucus will look like raw egg whites, very stretchy and clear. That's when you have to have sex to get pregnant.
I guess what I'm saying is it's good to follow your doc's orders and recommendations, but there are things you can (which I outlined above) to increase your chances of conceiving.
Look at your exercise. How much do you do and how stenuous is it? Excess exercise can affect ovulation (that's why olympic atheletes often don't have periods). You might need to cut back just a little.
Other than that, I'd suggest seeing a naturopath or Traditional Chinese doctor to see what they can do. These methods take time so patience is a must. If you are getting on a bit (say 30 or over) then you might not want to wait, so I'd suggest seeing a professional fertility expert to see what they can suggest. You don't have to wait until you are ready to start, just go along for advice on what you can do now, until you are ready to seek treatment. You might simply need hormones to get you there or you might need more invasive assistance. You won't know til you go.