I have been told by re and ongyn that I could have pcos but they have never done anything to determine if I do ttc since jan 06 regular 28 day cycles only problem I ovulate on day 21 which kind of late and one cyst that was 5.9 cm found near end of cycle possibily another one this past period pain on rt ovary just curious do I need to find for sure if I have pcos or not and how would I go about it thanks

It is always a good idea to determine if you have PCOS. If you are ovulating really late in your cycle, but still having a regular 28 day cycle, at the very least, you may be having some kind of ovulation issue. A luteal phase (the time from ovulation to your period) is "normally" 12-16 days, and often needs to be at least 12 to ensure enough time for an embryo to implant. Also, a short luteal phase can be a sign that you are not developing good, mature eggs.

There are a few different ways to diagnose PCOS. Some doctors will diagnose by ultrasound alone - PCOS usually has tons of follicles the first few days of the cycle, and can form a ring of cysts. Doctors usually do bloodwork at a few different points in the cycle to diagnose PCOS. On CD 3, they can check LH and FSH, and do the same tests again after ovulation, in addition to checking progesterone. They often check testosterone and other hormones for PCOS as well as insulin levels. People with PCOS may have slightly elevated insulin levels, higher testosterone, a high lh/fsh ratio. BUT, not all people with PCOS have irregular bloodwork. At the very least, testing progesterone about 5-7 DPO can tell doctors if you are ovulating well. If not, there are medicines like Clomid you can take. If you do have PCOS, they should put you on metformin and see if that improves everything for you.
GL! I hope you get some answers. Don't be afraid to ask your doctor for more tests or to treat you for PCOS if that is the diagnosis.

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Thanks that helps I have asked both drs if I should do something about finding out and did 3 cycles of clomid with no Luck both drs seem like its no big deal to find out and they would just give me clomid if I had it anyway I am getting aggravated bcuz its my body and I should know that and everyone on sk talks about metformin and stuff and if it would help me ttc to know

I can understand your frustration. Some doctors just think Clomid alone is the answer, so it doesn't matter, but there are also longer-term health affects that PCOS can have, and getting on metformin/glucophage is important. Also, metformin can increase the effectiveness of Clomid, and reduce the miscarriage rate, so I do think it is important to find out more information. Maybe ask your doctors about trying metformin along with the PCOS if they won't do more testing? I hope you find a doctor that will help. Have you tried going either to a regular endocrinologist (for diagnosis) or a reproductive endocrinologist?

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I go in this Monday for my Clomid consult (I've recently moved and have to establish with a new dr) For as long as I can remember I've had screwed up cycles and don't get periods unless I'm on birth control pills. My first baby was conceived ON the pill so obvioulsly I ovulated (maybe the first time ever on my own) but I did a little experiment and used my fertility monitor and tracked my cycle and it didn't even read high let alone peak readings. So my second baby was a 50 mg one month of trying Clomid baby and when we start trying in August I'l have to take Clomid again. Knock on wood luckily my PCOS seems to be mild and hasn't required any more extensive measures than Clomid. Hopefully this will be the case as I'm almost 33 years old. Sometimes Clomid is all we need to get that egg or eggs popped. Good luck

Kara

I also sort of have pcos. I have many of the symptoms, but my periods have been regular most of my life. My ovaries did have multiple cysts on them when they did the ultrasound. I will more than likely begin my 1st treatment of clomid with IUI in March. Hopefully it will go well. Let me know how it works for you.

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Amanda

I hope the Clomid works for both of you!

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Hey I am currently seeing a re but he wants to find out if dhs s/a improves first before we go any further so just waiting will schedule an appt for first of April and try to ask about the pcos somemore its they just don't want to talk about pcos when I bring it up ahh maybe they will take me serious one day

I think sometimes REs can get too focused on the "getting pregnant" part, and don't always want to think about the big health picture. GL - I hope you can get them to listen to you!

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It sounds like you have a luteal phase defect. You can take 100-200 mg of vitamin B6 every day and you may find that it lengthens your luteal phase. That may be all you need to get pregnant. If that doesn't work I'm sure there is something (perhaps provera after ovulation) that your doctor could give you to up your chances of implantation. Good luck and ***baby dust***!

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