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ivf/iui procedure »
« CLOMID AND PROVERA

ewcm but not ovulating

Cathy
catheri...

July 20, 2007

for the last 10 months i have not ovulated but i have been having an abundance of ewcm i was wondering what could be causing this anovualtion and excessive ewcm?

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  • Posted over 2 years ago
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    anovulation and ewcm

Dr
Dr. Q

July 20, 2007

You most likely have a condition called PCOS which creates an elevated estrogen state (creating the ewcm) that you constantly feel and the PCOS doesn't allow you to ovulate so you don't get periods. Anybody that hasn't ovulated for more than 6 months having PCOS must get an endometrial biopsy as you're at high risk for developing Endometrial Cancer! Believe me, just saw one of my patients, 36 y/o, was recommended hysterectomy, but since she didn't have children, got medical treatment of the cancer which is now clear, and am doing IVF on her.

This is no joke, and would recommend that you follow-up with an Ob who knows PCOS or an RE to either get you to ovulate if you desire to get pregnant or put you on birth control pills to help prevent these things and help you with your possible PCOS
Cathy
catheri...

July 20, 2007

is that the only thing it could be, because i looked up the symptoms for it and i dont really fit the criteria..
Dr
Dr. Q

July 21, 2007

It most likely is given that you are not ovulating and PCOS is very common in our population...but again you would need two other criteria for PCOS 1. either a laboratory diagnosis of elevated testosterone or excess hair 2. ultrasound findings of polycystic ovaries...you may not know you have either of these two scenarios unless you visit an Ob or RE.

Some people PCOS have high insulin levels creating the condition, and if very elevated, they will notice darkening on the back of their neck, underarms, breast, and groin...this is called acanthosis nigricans.

If you do not have PCOS, you could not be ovulating for many different reasons, such as thyroid, elevated prolactin levels and stress to name a few, all with a combination of bacterial vaginosis creating a discharge, but this would require further evaluation
Cathy
catheri...

July 21, 2007

well two years ago i had a ultrasound done and it did not show anything unusual because i was hospitalized for a bleeding condition. my whole life i have had irregular periods. my insulin levels are fine i just had a blood work up a month ago. i dont have high blood pressure i dont have darkening on the back of my neck or breast or arms, but i do have recurrent bacterial vaginosis could that have anything to do with anovulation.
Dr
Dr. Q

July 22, 2007

The recurrent bacterial vaginosis may be the cause of the discharge you're having given your history, but would require testing for this. Checking insulin levels and it's values have changed and it is presently recommended that they be checked (if they are going to be checked) by performing a glucose tolerance test in which they give you this "sugar-type" drink and redraw your insulin and sugar levels to see how they responded.

In terms of your ovaries, most ultrasonographers will not comment on polycystic looking ovaries and just state that they're normal, an unfortunate circumstance but common occurence. Unless you have an ultrasound performed by an RE, Ob, or ultrasonographer who's familiar with polycystic ovaries, then we can't rely on a simple normal ovarian ultrasound.

I am glad to know you don't have acanthosis nigricans and would consult with a doctor who has your laboratory work to better give you a diagnosis or run further tests
Cathy
catheri...

July 23, 2007

i went to my re today and he did an ultrasound and my ovaries looked normal and non polycystic. but he is going to do further bloodwork to check and see if i have pcos. so is my ovaries looking normal a good sign?
Cathy
catheri...

July 23, 2007

i went to my re today and he did an ultrasound and my ovaries looked normal and non polycystic. but he is going to do further bloodwork to check and see if i have pcos. so is my ovaries looking normal a good sign?
Cathy
catheri...

July 23, 2007

i went to my re today and he did an ultrasound and my ovaries looked normal and non polycystic. but he is going to do further bloodwork to check and see if i have pcos. so is my ovaries looking normal a good sign?
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