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  • Trying to conceive, told I might have PCOS...what does this mean for me?

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    Old 07-16-2007, 11:42 PM   #1
    laf8884
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    Question Trying to conceive, told I might have PCOS...what does this mean for me?

    Hi there,
    I was told by a fertility doc that my thyroid levels were off. They said in a range that was .40-4, I had a 4.6 and I was a little high, I guess meaning hypothyroidism. They wanted me to go on Synthroid. Now, 2 months later (without going on the drug), I checked my blood again with another doc, he tells me I don't have a thyroid issue and in fact my levels are perfect, at 2.4, whatever that means.
    He did an exam and suggested I might have PCOS because my ovaries were "plump" and I have other symptoms like long cycles, abnormal bleeding, etc...I guess I do have some of the symptoms but none of them are extreme..a little hair in undesirable places, difficulty losing weight (though I'm probably only 10 pounds overweight)....
    So now I'm just confused. Did I have a thyroid issue and now I don't and all along I've had PCOS? I'm going to yet another doc for another opinion.
    But if it is PCOS, how do you procede if you don't have diagnosed cysts? My diet is really healthy, I exercise, I take care of myself....what else is there, aside from taking Clomid for ovulation?
    Any thoughts would be appreciated.
    Thanks,
    L

     
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    Old 07-17-2007, 10:37 AM   #2
    Kris07
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Hi! Do not worry, just because you have PCOS doesn't mean your life is over or that you cannot conceive. It very well can happen. (easier said than done sometimes, lol)

    Anyways, I am not sure what that means in regards to your thyroid. When I had those tests done, mine came back perfect. I was diagnosed with PCOS in August (2006). Most Dr's will prescribe Metformin for PCOS patients & Clomid to help with ovulation, but in my case the first 2 rounds of Clomid I did would not work and the Metformin only made me sick.

    Either way, with people having problems with irregular periods & Clomid not working (not sure if you've tried it yet or not?), they normally recommend the next step to Injectable, IUI, and/or IVF. But, in many PCOS cases, there have been MANY BFP's with or without the medication as well. It really depends on any other health problems or how fast/far your Dr. is willing to go. The steps after Clomid get very costly, too, just to prepare you. I'm sure you've researched all of this, though!

    Good luck to you & I probably wasn't much help but I wanted to offer encouragement. I find it very hard sometimes to listen to my own words but just know it can happen, it will happen, and just hang in there

     
    Old 07-17-2007, 03:06 PM   #3
    MiriamOLong
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    hi Laf
    I definately understand where you are coming from...I was diagnosed with an underactive thyroid 3 years ago, shortly after having my son...and we've been trying for #2 for about 2 years with no luck..I take levothyroxine for my thyroid and I believe one of the reasons thyroids effect fertility is because of hormones...anyway about a month ago I was also diagnosed with PCOS via ultrasound and blood test...I believe to be diagnosed with PCOS the blood test needs to show insulin resistance...so if you have only had an ultrasound, I would ask for a blood test, if that hasn't been done already...It definately seems like you have all the symptoms for it...and some of the symptoms of underactive thyroid are the same as PCOS...
    My doctor put me on a low carb diet and I am taking metformin...She told me once we start treating the PCOS, pregnancy will most likely follow soon....
    Good luck with everything and I hope I was helpful..if you have any questions feel free to ask me..

     
    Old 07-17-2007, 09:06 PM   #4
    Kris07
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    I forgot to mention that I had an HSG done where they shoot the dye through your tubes to check for blockages, etc. Although my tubes were clean & clear, the X-Ray images they took during that procedure were clear that I had PCOS due to cysts blocking my ovaries from releasing eggs!

    Either way, I would definitely recommend further blood work and possibly the same procedure I had done. It tells a lot and can help your Dr's further assist you!

    Good luck!

     
    Old 07-18-2007, 12:53 PM   #5
    laf8884
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Thanks Kris and Miriam for your responses.
    I actually haven't had any tests done except for blood (no insulin), no ultrasound, etc.
    My doc just did a regular exam and said my ovaries felt enlarged.
    Haven't done an HSG yet either. I'm going to a fertility clinic on Friday so I assume they'll suggest all these tests.
    Just curious, did either of you have serious obvious symptoms or was it just a fertility issue?
    Like I mentioned, I have super long cycles and abnormal bleeding, but as far as the weight, excess hair, etc...it seems pretty minor, and I think the hair, in my case is heredity. My sister and mom both have excess facial and stomach hair and we all have the same body type. Not "fat" but we are all always trying to lose 5-10 pounds (who isn't?).
    Anyway, just curious if there were major signs before being diagnosed.
    Thanks!!

     
    Old 07-18-2007, 04:55 PM   #6
    Kris07
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Laf ~ I didn't have obvious symptoms of PCOS as I don't have a problem with excess body hair & never had a weight problem growing up or as a young adult. (I'm almost 23 now) I am trying to lose now because I gained unwanted weight due to seeking help for the disorder.

    Anyways, my husband and I are trying to conceive our first child. I had an ectopic and then miscarried around 3-3 1/2 months, therefore placing me as "Secondary Infertility". We decided to start seeing an Infertility Specialist July, 2006, because I went an entire year without a period. They ran all of the tests first - blood work, fasting 3 hour glucose test (which showed insulin resistance), HSG, pap smear & breast exam of course (I was due for one anyways), and a few other things. After the HSG (was painful for me), at our next appointment they showed & said I had multiple cysts blocking my ovaries, which therefore any eggs could not be released. I was put on 2,000mg of Metformin (which helps in PCOS patients), and I stayed very sick on it. I did my first round of Clomid (50mg) in 2006, which didn't work. I did a 2nd round at 100mg, and that didn't do anything for me either. Both periods were induced using Provera, by the way.

    Well, at our next appointment in April we discussed another procedure, which I had done July 2nd - Endometrial Biopsy to check for Uterine Cancer (since I have yet to get a period since December, too) & to see if my uterus could even sustain a pregnancy. Monday, July 23rd, is our next appointment to get those results & if everything came back okay, I'll start my next round of Clomid (150mg). If that doesn't work, we'll be pushed on to try IUI, injectables, IVF, etc. BUT, I will request more than 1 round of 150mg of Clomid even if this next round doesn't work since I started a new diet plan, and your chances increase when you exercise & eat right. Any Dr. will tell you that is a big key in Infertility and PCOS!

    Btw, I was also diagnosed with Diabetes (I think it's a crock!) this past March so I no longer take the regular Metformin. Either way, sorry for the novel but I wanted to kind of map out how our process has gone. It really depends on the speed of your Dr, your health problems (if any), and the route they want to take you. Good luck and if you have any questions, feel free to ask!!

     
    Old 07-18-2007, 09:43 PM   #7
    MiriamOLong
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    hi kris and laf..
    Kris I really hope your appt goes ok and your test results are neg for uterine cancer..
    Laf I hope everything goes alright at your fertility appt friday..Once you have more testing done it will be nice b/c some answers will finally be given to you..waiting is definitely the hardest part..
    My symptoms were hard to detect b/c after I had my son 3 1/2 years ago I was having an impossible time losing the 50 pounds I gained during pregnancy and my periods were very strange and completely different then how they were prepregnancy..My pcp checked my thyroid and found out it was underactive. The med helped with a little weight loss then about a year ago we started trying for #2 and were having no luck..My period would never come and the next month it would be horrible..plus I was having bad pms and still a hard time losing weight..I saw my obgyn last year and we discussed options for getting preggo like taking clomid..My husband and I weren't ready for that move yet..so about a month ago I was having horrible back and pelvis pain and a few days later I felt a horrible ripping sensation on my right ovary..so I called my obgyn and had an ultrasound done which showed I ruptured a cyst on my ovary..ouch..anyway she had some bloodwork done to verify the pcos and that's about where I am today..I started taking metformin on Monday, which is a common drug used to treat pcos and my obgyb says once the pcos is treated pregnancy should happen...anyway my symptoms were there for a while but I thought it was my underactive thyroid; bad or no periods, difficulty losing weight, infertility...Luckily I don't have the facial hair..
    I hope I was helpful.
    good luck

     
    Old 07-19-2007, 08:53 AM   #8
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Thanks Miriam!! I hope they are okay, too so I can go onto my next round of Clomid & pray it works!

     
    Old 07-19-2007, 12:26 PM   #9
    laf8884
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Thanks so much to both of your for these really helpful replies! This is so new to me-I guess I was silly and thought I could just, well, get pregnant and have a baby! Little did I know....
    Good luck to you both and I'll keep you posted if anything interetsing happens at my appointment tomorrow.
    -Lauren

     
    Old 07-19-2007, 05:45 PM   #10
    Kris07
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Thanks Lauren! I hope you will keep us posted & I hope everything goes great at your appointment. Don't be scared - it gets you closer to holding a little miracle child

     
    Old 07-22-2007, 07:04 PM   #11
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    HI Lauren..

    Wow you were given a lot of news at that appointment..prayers and baby dust coming your way..I take the generic synthroid and and for my pcos I take metformin..it's a little strange your doctor didn't talk much about treatment..but since you are trying to concieve clomid is deinfately the right med especially with the pcos..I have the book "Understanding adn reversing PCOS" by Dr. walter futterweit..I recommend it..it has been very helpful for me..
    good luck to you

     
    Old 07-23-2007, 10:33 AM   #12
    laf8884
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    Re: Trying to conceive, told I might have PCOS...what does this mean for me?

    Thanks Miriam
    He is putting me on Synthroid so I'll go on that for sure..and yes I agree it is strange that he didn't talk about meds for the PCOS. Maybe he doesn't think it's that bad? He's very much a fertility doc so his mind is on getting me pregnant, obviously, but at this point I don't even feel great about that because of this hormone imbalance and now these uterine polyps...doesn't seem like the best environment for carrying a baby but what do I know? He seems to think a woman can conceive with all this stuff and even without removing polyps but I have a feeling I will have to get them removed.
    As for Clomid, it's not even a possibility at the moment because I still haven't gotten my period (on day 44)....we'll see....lots of stuff to deal with..
    Hope you are doing ok as well.
    -Lauren

     
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