New comments on 'Polycystic Ovarian Syndrome (PCOS)'

New comment from Paigettc#1

Fri, 16 Oct 2009 17:58:20 -0500

Dr. Q, I am on 500 mg Metformin twice daily. My doctor said to wait 2 months to see if my cycle returns to normal with the Metformin alone. Is this too long? Everything I read says that the Metformin alone is unlikely to get my cycle back to normal and help me conceive. Should I be telling my doctor I want to do more or finding a new doctor who is more aggressive in their treatments? Thank you!

Paigettc#1

New comment from LoriH

Tue, 11 Aug 2009 13:43:35 -0500

Dr. Q. Are there other forms of PCOS other than insulin resistant PCOS? I have started fertility treatments and have been given information on PCOS,and was told I have an increased risk for Type II diabetes due to PCOS but this is the first time I have read about the insulin resistance deter ovulation. Wondering if I should mention Metformin to my OB. I did not realize Metformin was also used for this purpose.

LoriH

New comment from lucky 55

Wed, 22 Apr 2009 10:17:03 -0500

my doctor said I probably have PCOS but he did not do any test b/c at the time I wasn't trying to get pregnant he just put me on BC pills. The BC pills really helped with alot of the symptoms but now that I am of bc pills I notice some of the symptoms returning. I go to my Dr next tuesday to tell him I want to get pregnant what do you think he will give me?

lucky 55

New comment from gnlwilliams - having twins 5/17/10

Tue, 21 Apr 2009 17:32:51 -0500

Hi All, I am about to do a FET cycle, I have PCOS. Have you heard of it being more likly to take in a PCOS patient vs a fresh cycle. I have 10 eggs frozen and am planning on putting in 2 day 5 and 2 day 6. Am I being too intense?

gnlwilliams - having twins 5/17/10

New comment from Unsubscribed

Sun, 12 Apr 2009 01:56:09 -0500

Hi Dada if you have a question for dr. q it is best to post a new question many times it does get missed with prior threads:)))).

However with all meds there is side effects and such and only you and your dr can look more into what level is right for you. Also all meds do have a list of side effects either on the insert that comes with the meds and/or the net is a great source. Plus per this site there is a list of all side effects and you can use the search box for clomid side effects and pre-seed. Also pre-seed.com will advise you of what it does.

keep us posted on your ttc journey and ****babydust***

angelfish

New comment from lola

Sat, 11 Apr 2009 16:41:23 -0500

Dr Q,

My Ob just increased my clomid to 150mg (CD5-CD9),i was on 100mg for 2months without BFP.I read about using vitamin C, Mucinex with the clomid.Pls advise me on the effect of the drugs with clomid and the dosage.I also want to know if the pre-seed in tube is better than the regular pre-seed in sachet.

Thank You

lola

New comment from Azra Bora

Thu, 25 Sep 2008 06:23:26 -0500

DR Q,

ive had 2 misscarriages and both in 10 weeks..my baby stops growing.. i get an ultra sound done and everthing is fine till the 7th week..heart beats and all..than it stops..i don bleed until after d&c.

I have PCOS and my prolactin level is high...

doc i dont really know much about conceiving with PCOS.

i am suggested by a doc to take clomid and ill so it this month..

my question is that is there any other way i can know whn i ovulate than OPK? i live in east africa and we dont have such things available here..

please help..thanks...

Azra Bora

New comment from Katie822

Mon, 18 Aug 2008 08:31:09 -0500

Jolene.. i need to ask u something.. can u come in the chat box plz!

Katie822

New comment from JoleneT

Mon, 18 Aug 2008 08:29:49 -0500

Any doctor should help you regardless of if you have insurance or not, if you are willing to pay what it costs without insurance they should allow you. They are getting paid regardless right?

Hope you find somewhere to help you in TTC you little bundle of joy!

JoleneT

New comment from Unsubscribed

Mon, 18 Aug 2008 04:32:42 -0500

Adrienne you can view on this site if living in the usa...go to browse and then move to doctors/clinics and type in your zip code

angelfish

New comment from Adrienne Woodward

Mon, 18 Aug 2008 04:26:42 -0500

Hi Dr Q

I have a breif question I wanted to know If you dont have Insurance is there any doctors to help you conceive with these drugs or any offices for consultations..

Adrienne Woodward

New comment from JoleneT

Fri, 09 Nov 2007 09:11:22 -0600

Thats soo exciting sweetie, and I sure hope that you get your BFP on Tuesday as well and that AF doesnt show her ugly face.

Yep I ovulated this cycle on round 2 of Clomid, on either later CD16, or very early CD17. Im about 4/5DPO today, so we will see what happens.

All we can all do is pray and stay positive and hope for the best!

Lots of love sweetie and BFP DUST!!!!!!!

JoleneT

New comment from keysfergy

Fri, 09 Nov 2007 08:53:41 -0600

yea Jolene,

did you ovulated on the clomid this cycle? I am 14dpo and no signs of AF yet but just lite cramps which I was having from 4 days ago, my dr perscibe me back on clomid 50mg (5-9) if af shows her face but I'm praying she wouldn't because I want a BFP this month when I test on Tuesday (My Birthday)

Baby dust to you and hope you get a BFP

keysfergy

New comment from JoleneT

Fri, 26 Oct 2007 09:33:32 -0500

Keysfergy, im sooo excited that you ovulated on Metformin thats great!!! I really hope you get your BFP this cycle too!! Thanks for wishing the same for me. Im hope I ovulate this cycle, im on CD7 today, and Round 2 of Clomid and I have today and tomorrow left on Clomid, I ended up taking it CD4-8 again, so hoping for a miracle this time!

Thanks again and lots of OVLATION DUST, POSITIVE OPK DUST, BABYDUST, BABYGLUE, BFP DUST!!!

JoleneT

New comment from keysfergy

Fri, 26 Oct 2007 08:17:20 -0500

Hey Jolene

I hope you get your BFP, I must say you are lucky to ovulate on clomid, I did it for 4 cycle and didn't ovulate now I am on metformi, I think I did ovulate last month due to the high progestrone and the 29 day cycle, this is my 2nd month on metformin I hope it works miracles for me, today is day CD16 for me, and so far I have been getting lite cramps hoping and praying its ovulation cramps.

Keller0424

you are not alone when it comes to clomid resist, I have a dr. appointment tomorrow and I'm praying that I have a mature eggs to release this month, if not I'll have to ask for injection, its been some yearsnow of ttc#1, I can't wait to atleast get a positive on and OPK, I can never get a positive, but this month I cut back on carbs and sugar to improve my health

keysfergy

New comment from JoleneT

Thu, 18 Oct 2007 08:28:51 -0500

Thats so exciting and im wishing you the best, hopefully you can start Femara soon.

My temp went down today, to 97.94, so we will see what happens. No AF, but I have AF cramps, so im sure she will probably come. Still have lower backache and what not. Needless to say I didnt test this morning, because of the temp drop.

If AF comes hopefully better luck the next cycle, but I guess only time will tell.

Hope the doctor goes good!

Lots of love sweetie....BABYDUST!!!

JoleneT

New comment from Keller0422

Thu, 18 Oct 2007 08:05:55 -0500

Hi Jolene,

Just wondering how your temp was thir morning?! And to see if you tested... I'm sending tons of dust your way: babydust, babyglue, No AF dust and lots of prayers!

I go in for an ultrasound today to see when I get to start the Femara. I'll keep you posted!

BABYDUST!

Keller0422

New comment from JoleneT

Wed, 17 Oct 2007 16:19:19 -0500

Oh wow, thats awesome! Yeah it was great in Columbia, believe it or not it was like 75 with light rain, it was beautiful.

Im sooo glad you got your thermometer and im wihsing you the best sweetie!! Keep me posted sweetie and thanks for praying for my BFP and babydust!!

Lots of love sweetie and lots of babydust!!

JoleneT

New comment from Keller0422

Wed, 17 Oct 2007 15:25:33 -0500

Thanks for your quick response! Our best friends got married on August 12th 2006! It was a beautiful day! I'm gonna start taking temps tomorrow, yay! I have my thermometer all ready next to my bed...progress! Keep me posted and praying for a BFP for you! BABYDUST!!!!!

Keller0422

New comment from JoleneT

Wed, 17 Oct 2007 11:10:17 -0500

What I do is set my phone alarm for like 7:40 every morning because I get up around 7:45 every weekday to shower and then leave for work. So I just have it set for 7:40 every morning even on the weekends, and then I go back to sleep on the weekends.

It takes like 4 minutes at the most, and then just write it down, and go back to sleep, and get on the computer later, pretty simple.

Yep I have used OPKs as well. I got a positive and then I ovulated and knew that from the OPK and from my temps.

We have been married since August 12th, 2006, so a year and a couple months. We have been together and lived together for 5 years 3 months total. We just waited a little bit to get married.

Thanks for all the dust sweetie, and lots and lots of OVULATION DUST, BABYDUST, BABYGLUE, and POSITIVE HPT DUST too!!!!!!!!

Lots of love!!!!!!

(((((HUGS)))))

JoleneT

Polycystic Ovarian Syndrome (PCOS)

Sun, 11 Mar 2007 17:12:00 -0500

PCOS is a common condition affecting about 15% of reproductive age women and can usually be diagnosed by your medical provider if you have 2 of the following 3 present: increased bodily hair growth or increased blood testosterone levels, absent or infrequent periods, and/or the appearance of polycystic appearing ovaries on ultrasound. Women with PCOS have a higher risk than normal to develop diabetes, heart disease, and uterine cancer. Furthermore, overweight PCOS women who get pregnant run the risk of developing gestational diabetes, fetal demise, and many other pregnancy related complications. It is therefore recommended that all overweight women with PCOS undergo weight loss prior to planning their pregnancy. For some of these PCOS women who wish to undertake these pregnancy risks, there are several ways to help them get pregnant.

There are several oral medications that can be given to promote ovulation in women with PCOS. Most experts agree that an excess amount of bodily insulin can deter ovulation; as such, diabetic drugs such as Metformin or Rosiglitazone are commonly used to help increase the probability of ovulation in insulin resistant PCOS patients. Another class of medications, ovulatory induction agents such as Clomid and Letrozole, can be used to help PCOS patients. Most studies that have evaluated the combined use of an insulin drug such as Metformin with an ovulatory agent like Clomid have repeatedly shown a higher pregnancy rate than when individual drugs are used alone.

The majority of people who get pregnant using Clomid do so within the first 3 cycles, with no further benefit noted after 6 failed cycles. If a pregnancy isn’t attained with Clomid, then injectable medications with human Menopausal Gonadotropins (hMG) or Follicle Stimulating Hormone (FSH) should be given. However, risks of multiple gestations and ovarian hyperstimulation (OHSS) should be considered since multiple eggs can be created following a treatment plan. To help avoid these complications, patients require proper ultrasonographic monitoring from their medical provider. Intrauterine Inseminations (IUI) should be considered to be performed in conjunction with the oral and/or injectable medications listed above to help increase pregnancy rates.

In Vitro Fertilization (IVF) provides the highest pregnancy rates out of all available procedures. PCOS patients, however, have slightly decreased pregnancy rates because their egg quality tends to be poorer and they encounter higher rates of OHSS. Obese patients with or without PCOS have also been shown to have diminished pregnancy rates, contributing to this overall finding. If possible, it is always recommended that overweight patients lose weight not only to increase their probability of pregnancy, but to also live a healthier, longer life.

Dr. Q