On CD 70... Vent/Questions

[CallMeAL1982]

Hi, all,

I'd appreciate any support/thoughts anyone has.

I've had PCOS as long as I have gotten my period... it never got regular, I was diagnosed in college (my mother didn't believe in the gyno for teens), and was immediately put on the pill. I stayed on for 10 years and came off last November when my husband and I wanted to start TTC. I had a 'period' in December, then one in April, then nothing... I had moved since my last trip to the gyno and my regular doc told me to wait six months after coming off the pill for things to regulate before I got concerned.

I made an appointment to see a gyno here at the end of August... went in, and surprise, BFP. It was super early, and ended 12 days later in MC. My first gyno was very unsympathetic and I didn't like the practice, so I switched.

The new gyno immediately put me on metformin, 500 mg 2x per day (this was at the end of September). I have 'thin PCOS' (BMI is about 21.5, right in the middle), but he wanted to try it. I had a couple of long cycles, including the October cycle which we think was a chemical pregnancy (my chart looks somewhat tricyclic and I got positive HPTs on CD 23 and 24, then nothing but didn't bleed, and had an EXTREMELY short and light period). Saw the doc a day before my last period, November 26th, and he was pleased that I'd had two periods since my mc, so he wanted to wait and see before making any changes. Now looking back, I think it was the hormonal shifts from the pregnancy and MC that made me cycle rather than an actual benefit from the metformin, but hindsight is always 20/20, right?

I'm currently on CD 70. I'm miserable and feel like I've wasted 3 months. It's been psychologically devastating to deal with my own body, the effect the 'pointless BD' has on my marriage, and all of my other friends who seem to get pregnant at the drop of a hat.

AND NOW for my questions: What should I be pressing my doctor for when I see him again on Valentine's Day next week? What tests should I request, what questions should I ask? I know he is open to Clomid or Femara, could anyone who has taken both speak to which one they preferred and why? Should I ask for more metformin?

Anyone have any thoughts? Sorry this is so long and ranty. I know there are many of you ladies here who have been in a similar position one way or another and I want to try to pick your brains!

 

[kiwilove]

Hey
I'm so sorry for your loss and your struggle.
I also have pcos, I completely understand what you mean when you say pointless BD.
I do not have insulin resistance but my FS put me on 1500mg of Metformin, maybe ask if a higher amount will help you.
AF arrived for me today so I start Clomid for the first time on Friday. I think Clmoid is what the doctors put you on first, but maybe just ask your doctor which one he/she thinks will help you most.
Tests that can be taken are an HSG test, to check your tubes and make sure they are open, this test will also show if there are any scare tissues and shape of uterus. My doctor wouldn't put me on Clomid until I had this test done. This really was the only test he did on me other then hormone blood test. You could ask him/her for an ultrasound to check for Cysts on the ovaries.
I wish you lots of luck and hope I have helped a little.