Bit of a confusing time!

I have been posting a wee while now as my fiance and I have just started investigations as to why we have been unsuccesful in falling pregnant. since my cycles are so long I went in for bloods once a week for 5 weeks. I was trying to be positive and then when we had our results appiontment it wasn't what I had been hoping for to say the least!

The dr (who has been great!) said my progesterone was about 2.7 every week and that there was a surge but only to 5.8 which is below the recommended level. My prolactin was higher than normal but nothing that she was concerned about. She said that because my LH and FSH are abnormal that she susbects PCOS so has reffered me to the hospital for a scan.

My other half is getting his men checked in three weeks which im really nervous about because I am hoping its's good news but what if its not?? What would our options be? would I get prescribed clomid etc if i have PCOS? or would there be othere treatment options?

xxxx

4 Replies

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  • Hi there,

    I know how you feel, the news is awful and so hard to break the information down without falling apart yourself.

    The key is not to panic (easier said than done, I know) but really until your partners results are back they cannit say what the best treatment is.

    I hope that the results for your partner are positive as it is a weight off your mind. It is a stressful time. But you are on the right road now.

    Different drugs can be given, some are not suitable for pcos, but chlomid can be given in most circumstances. See the extract below of the cautions and some side effect, i am a student nurse and this information is what healthcare proffessional have.

    *******

    Chlomid

    CLOMIFENE CITRATE(Clomiphene )

    Cautions 

     polycystic ovary syndrome (cysts may enlarge during treatment, also risk of exaggerated response to usual doses), ovarian hyperstimulation syndrome, uterine fibroids, ectopic pregnancy, incidence of multiple births increased (consider ultrasound monitoring), visual symptoms (discontinue and initiate ophthalmological examination)

    Contra-indications 

     ovarian cysts, hormone-dependent tumours or abnormal uterine bleeding of undetermined cause

    Hepatic impairment 

     avoid in severe liver disease

    Pregnancy 

     exclude pregnancy before treatment; possible effects on fetal development

    Breast-feeding 

     may inhibit lactation

    Side-effects 

     visual disturbances (withdraw), ovarian hyperstimulation (withdraw), hot flushes, abdominal discomfort, occasionally nausea, vomiting, depression, insomnia, breast tenderness, headache, intermenstrual spotting, menorrhagia, endometriosis, convulsions, weight gain, rashes, dizziness, hair loss

    Dose

    50 mg daily for 5 days, starting within about 5 days of onset of menstruation (preferably on 2nd day) or at any time (normally preceded by a progestogen-induced withdrawal bleed) if cycles have ceased; second course of 100 mg daily for 5 days may be given in absence of ovulation; most patients who are going to respond will do so to first course; 3 courses should constitute adequate therapeutic trial; long-term cyclical therapy not recommended—see CSM advice, above

    *********

    It will not be a quick fix whatever they decide so you should prepare for many more tests and appointments. Don't ever be hopeless as while they are testing and giving treatment, hope is alive.

    Chlomid didnt work for me, but I know 3 of my friends it did work for so its good at what it does if the conditions are right.

    I only yesterday had my first ivf cycle cancelled the reason I was not told and although it is a kick in the teeth and yesterday I was despairing, true to form I picked myself up, because the dr's have not yet said its over.

    That is the cruel nature of infertility, everything it time and waiting.

    It sounds like you have a great dr and that is rare nowadays unfortunatley.

    Just trust that they are going to find the best option for you and they wont do anything for no reason.

    Good luck at the start of your journey, I hope you speed down the infertility road to a happy ending!

    Saz :)

  • thank you so much for all the info :) It brought a smile to my face! I'm going to have to learn to be patient I know.I'm so glad I have my college course and work to keep me busy, helps keep my mind occupied. Im so sorry to hear your IVF round was cancelled , did they say why? Im so glad to have a pplace to ask questions and rant!

    xxxxxxx

  • Hi. If you are diagnosed with PCOS, then it is possible that you might be prescribed “Clomid”. This should then hopefully regulate your menstrual cycle, and allow for ovulation to occur. Often this drug is prescribed for up to 6 months. Should you not fall pregnant, then IVF could be your next option. If, when your partner is checked out, there is a problem found with his semen analysis, then perhaps a form of IVF would be recommended. Often a laparoscopy and/or an HSG (x-ray of your tubes) will be performed, and depending upon your age, and whether your Fallopian tubes are working normally, the appropriate treatment will be recommended. With polycystic ovaries, it is difficult for you to ovulate, as there are too many cysts in the way”. Some consultants will perform “ovarian drilling”, in order to allow “exit” points for eggs to get out. Remember that if you should be prescribed Clomid, it is a drug that has been around for many years and is often the drug of choice. There can be some mild side effects from its us, but these would be explained to you fully beforehand. Hope this helps. Diane

  • Hi.

    Sorry for that late reply.

    They only said i didnt respond well enough. And as with everything in our nhs answers dont filter down to the patient. Im positve though.

    Good luck with your journey.. i hope to see good news for you.

    Saz :)

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