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Intro

Hello everyone! I thought I'd introduce myself and ask a question.
My name is Kristin. I'm 24 and married my husband, Ben, last November. I was diagnosed with PCOS when I was 14 after I developed long term amenorrhea (longest time between periods was 3 years). I was an obese teenager, I almost reached 300lbs. I had a gastric bypass when I was 21, and after I got under 200lbs I started having monthly periods. I've had them every month since Nov 2007. When Ben and I got married, Ben and I decided to TTC. I thought because of my monthly periods and weight loss I wouldn't have problems getting pregnant. It's been 10 months now, I just had my period for the month of August, and I'm not pregnant yet. :( We're thinking our next step is clomid, and we are preparing to pursue that route.

So, I have a couple questions:
1. Has anyone tried the supplement d-chiro-inositol (d-Pinitol)? Has anyone had success getting pregnant with it? Do you think it's worth a try or just go with the clomid because the supplement is a waste of money (it's expensive from what I've seen),
2. Can I get prescribed clomid by a regular OB/GYN, or do I need to find a reproductive endocrinologist? I'm thinking of finding one anyway because my current OB/GYN scratched inside me my last exam, but I wanted to ask.

Good luck to everyone, and hopefully someday soon I'll get to post a BFP. :)

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Comments

( 6 comments — Leave a comment )
mslivewire
Aug. 29th, 2010 10:05 pm (UTC)
I would recommend going to a reproductive endo(RE) - i know there are some good obgyn's out there but in the small circle of friends I have with fertility issues the obgyn wasted their time, money and energy not knowing exactly what they were doing in prescribing Clomid.

Frankly Clomid isn't the end all be all to assisting PCOS ladies with infertility issues ... but an RE can do some preliminary blood work (and potentially exams/physical testing)and come up with a game plan for you and hubs to work towards conception.

Any questions along the way holler ... I've been through everything up to IVF (that's where we stopped) ... best of luck!

Ps. If you want to look into trying an herbal version of clomid check out Chaste Berry/Vitas.

loving_martinis
Aug. 29th, 2010 10:11 pm (UTC)
As for your second question, you could get Clomid form an OB/GYN but I would recommend seeing a RE before getting prescribed Clomid by an OB/GYN. I got the impression or at least from my doctors office that they're not as experienced with PCOS like a RE. I had so much good luck with my RE that I am 20 weeks pregnant! :)
delqc
Aug. 29th, 2010 10:51 pm (UTC)
First, you should consider charting your cycles with FAM so that you know when you are ovulating and you are sure that you are actually having sex within your fertile window. You might not be. Ovulation predictor tests are not that reliable.

Using FAM (Fertility Awareness Method can also help you tell if you are ACTUALLY ovulating, rather than having regular bleeds without ovulating, which some women apparently do. I know, it seems obvious that if you are menstruating that you are ovulating but that is not necessarily the case.

As mentioned above taking one year to conceive is totally normal. I know 10 months feels like FOREVER (been there!) but is within the normal window, particularly if you are not charting to know for sure when/if you are ovulating.

If after all that you pass a year and don't conceive it is worth seeking out a proper reproductive endocrinologist. Depending on your bloodwork results, clomid might not be right for you. Many folks with PCOS conceive with the help of other drugs (for instance, metformin worked for me). Also your partner's sperm needs to be checked to make sure there are no issues there - if you are ovulating it may be that your fertility is not the issue at all.

Hope this helps! Congrats on the weight loss, that's amazing!

maereth
Aug. 29th, 2010 11:38 pm (UTC)
I am in the same boat and was recently sent to a reproductive endocrinologist by my OB/GYN after charting my temperature and confirming anovulation. If you have insurance, this is an excellent option because they also rule out a lot of other issues, such as blocked tubes. They also will monitor you during the clomid cycle to confirm ovulation (or at least mine does). If you don't have insurance, I would talk to your OB/GYN. Clomid has a generic out there and may not be pricey on its own (I am pretty sure it's just $10 for me, my first course will be next week so I'll find out).
maereth
Aug. 29th, 2010 11:40 pm (UTC)
Oh, ALSO, my OB/GYN was able to do bloodwork to confirm my type of PCOS. According to her, if you have insulin-driven PCOS, metformin alone may be enough to aid conception. My insulin was normal but my androgens (male hormones) were waaayyyy off, so they don't think that's an option for me and after more blood work they're going right to clomid.
wickedsymphony
Aug. 31st, 2010 08:39 am (UTC)
i highly suggest going to an RE,
I went to a regular obgyn w/o knowing i had pcos cuz i was never tested. Just assumed i wasn't ovulating. I was put in bc to regulate and then after put on clomid and given a time schedule to do the deed.
After months of unsupervised clomid , i read you're to get ultrasounds, my dr said i didn't need one. I pushed for it lying saying i had pains and he put me down for one. Once there i was told my us was fine. But when i went to the RE cuz he would do no more for me but give me bc again.
The RE ran so many tests, said my ultrasound showed i had pcos, and i had the inking done which showed one scarred tube and one blocked. So clomid didn't help at all.

Good luck on your journey, after 5 years of ttc w/o ever knowing what was wrong ,we're expecting twins.
( 6 comments — Leave a comment )

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