What to do
Printed From: OHbaby!
Category: Support
Forum Name: Coping with infertility
Forum Description: Have you been trying to conceive unsuccessfully? Dealing with primary or secondary infertility? Get support, advice, and help coping here.
URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=44238
Printed Date: 13 February 2025 at 4:01am
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Topic: What to do
Posted By: snugglebug
Subject: What to do
Date Posted: 11 August 2014 at 8:14pm
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I have a 3.5 year old and suspected I might have PCOS back then as I had a long irregular cycle. However tests were inconclusive and then I got pregnant so kind of shelved it. After having my son I was on the pill till the end of last year. Since then I have had only 2 or 3 periods which I was able to bring on by taking vitex. But nothing since the end of April. I saw an endocrinologist in May as it was thought I might have a thyroid problem and he said I likely have mild PCOS but he wasn't too worried about it, so didn't order any further tests. Just told me to lose weight and exercise. My symptoms are swollen acne, weight gain, hair falling out, and irregular periods, some hair growth on my chin but it's light. I think I ovulate when I have a cycle, but it's gone missing... a scan in 2009 showed no cysts but may now who knows. Also have high blood pressure and cholesterol is ok but gotten higher recently as well as liver enzymes. I don't want to go back to him, but I am thinking of looking for a gynaecologist to help give me a proper diagnosis and way forward to at least get a period again! My southern cross doesn't cover fertility specialists and also I may not meet the criteria, so I was thinking seeing a gynaecologist was the way to go... Would this be a good course of action? Or should I see if GP can help? I can get pregnant on my own or could when I got pregnant with DS, so I don't know if I'd be allowed clomid but I need to at least get something to get a cycle back as its a bit hard to TTC without one? Or should I just try to lose weight and hope it comes back without seeing doctors as they may just say that? I need to lose 10kg I think, but I had irregular long cycles when I was lighter, so I just don't know. Plus weight just goes on and has been so hard to lose as I am on some medications too. But I watch my diet already and exercise when I can but need to up it. Any advice on where to take this journey next is appreciated, thanks! ------------- Me 28, DH 29 DS born 20 Nov 2010 (4 years old) #2 due October 7 http://lilypie.com" rel="nofollow"> 
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Replies:
Posted By: NzVeggie
Date Posted: 11 August 2014 at 8:21pm
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I would suggest seeing your GP. Most gp's should have a good basic understanding of PCOS and can start basic tests without costing a lot. However for fertility losing weight is the best thing you can do to help.... Even a few kgs is good but 10% is fantastic! Basically having a normal weight helps ovulation. May not be the total cure but it's a really good start! Then if your gp finds anything then you could go to a specialist. ------------- http://lilypie.com" rel="nofollow">  Angel babies July '13, November '13 and June '14 Baby girl born 26/06/15 |
Posted By: Mushroom
Date Posted: 12 August 2014 at 10:10am
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Your GP can definitely refer you for a scan for PCOS if you ask - cost me around $250, but could claim most on insurance. I'm pretty sure in NZ you need to have a high follicle count to get an 'official' pcos diagnosis, though I do know that AMH levels via blood tests can be used as well overseas. If you did see a specialist, it's around $250 for the first appointment (depending on where you go), which includes an internal scan to check for any visible issues. I also know that they would almost definitely give you clomid to make you ovulate, and take it from there. While you can have a period without ovulating, you can't ovulate and not get a period (unless you get pregnant that cycle), so the fact you haven't had a cycle since April means you're not currently ovulating. It might be your cycle is still stuffed up from the pill (can take a full year to come right), and will sort itself out with a bit more time, or you might need drugs! Apart from clomid, the other thing that can help is metformin (which your GP can prescribe, especially if you emphasise weight-loss, acne, etc) - metformin is a insulin-sensitizing drug that is good for people with pcos in addition to diabetics. Hope this helps at all! ------------- Me: 35, PCOS, endo, DH: 34, severe MFI 6+ yrs TTC#2 M/C 2012, clomid 2013, IVM 2014, IVF 2015, M/C 2015 2016 FET#1- BFP - MMC - Emergency D&C FET#2 - BFN Jul 16 - stage 3 endo removed. Oct 16 BFP |