Jump to content

PCOS diagnosis...now what?

  • Please log in to reply
5 replies to this topic

#1 jessg89

Posted 04 October 2019 - 12:17 PM

So I’ve had long cycles (32-39 days so not too horrible) since coming off the pill and haven’t been ovulating. This prompted me to go to doctor who referred me for blood tests, ultrasound and transvaginal ultrasound.

The ultrasound found 20 follicles on each ovary and so I have now been given a diagnosis of PCOS and a referral for a gynaecologist.

What can I expect when I go to the gynaecologist? Will they prescribe me clomid straight out or will they need to do their own tests?


Edited by jessg89, 04 October 2019 - 12:18 PM.

#2 Jingleflea

Posted 04 October 2019 - 12:34 PM

It's possible they'll do their own tests, mine did.

You might be put onto Metformin which helps with insulin resistance.
Clomid should ONLY be used along with internal US and blood tests to make sure you don't over stimulate your ovaries and to make sure the dose is correct.

Anyone who writes a script for Clomid without any monitoring should be questioned. It's got some not great side effects and overstimulating your ovaries can be really dangerous.

Sounds scary, but it becomes second nature after a while!

Your partner will probably need to do a sperm analysis too. No point you taking fertility drugs if he has motility or amount issues.

I didn't respond to Clomid enough so I then tried IUI's(3 from memory) and then onto IVF.

Good luck! It's a lot to get your head around but it gets easier.

#3 Nat2910

Posted 10 October 2019 - 09:49 PM

I had lean pcos with a FSH level in excess of 150. If you get referred to a fertility specialist, they tend to do lots of blood tests to begin with.
I ended up having a HyCoSy, where they flood your uterus with water to see if there are any blockages. It was a good idea to have this done before medication as I needed surgery to remove a polyp and fibroid. Both can cause the embryo not to implant.
After more cycle tracking, it was confirmed I was not ovulating and I was placed on Letrozole to trigger ovulation on a very low dose.  Letrozole tends to be more effective for pcos.
I used opks to confirm ovulation which worked pretty well and we ended up falling on the second medicated cycle. I am now 20weeks pregnant.
Overall i was TTC for 15 months. Between my first FS appt and conception it took about 9 months - there’s a lot of waiting and bloods at certain times of the cycle. I was anovulatory for half of it and also had surgery.
I would recommend making sure all bloods, scans and tests are all thorough before starting on ovulation induction.
Good luck with everything!

#4 Magnolia2

Posted 10 October 2019 - 10:11 PM

OP, you might not have given all the details in the post above, but I thought I’d just chip in and say (just in case your GP has said otherwise) that having polycystic ovaries on ultrasound is not the same thing as having a diagnosis PCOS. The reason I know: I was in the former category about a decade ago, but didn’t meet enough of the diagnostic criteria for the second. (As a result I was told metformin wouldn’t be of use to me when I was struggling with TTC some years later - although Clomid was prescribed to lengthen my luteal phase). Apparently having polycystic ovaries is not uncommon, and not uncommon even for isolated periods of time for some women (?).  Apologies if you already know about this though.

I hope you get some answers from your FS - they might do further blood tests and tracking to confirm anovulation, which might point towards further markers on the diagnostic criteria.

Edited by Magnolia2, 10 October 2019 - 10:14 PM.

#5 Fossy

Posted 10 October 2019 - 10:14 PM

Reproductive endocrinologist is your best bet, they can do all the testing you need and they understand the underlying causes of the condition. They’ll do correct monitoring of your cycles and won’t prescribe medication such as clomid unless under proper supervision.  They can also look at other aspects such as weight, hormones, and diet.  I strongly recommend finding a good one.

Good luck, remember, PCOS/PCO is very common and there’s lots of help available, just find the right professionals to support you.

#6 Froyohoho

Posted 11 October 2019 - 07:14 PM

Yep, as above you need to see an RE/FS. Gynos aren't the best for fertility issues.

0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users


'My parenting style is Survivalist'

A helicopter or tiger mum, I am not.

8 mums reveal their favourite nappy bags

We asked a bunch of mums which nappy bags they love the most.

Why you shouldn't bother throwing a big first birthday party

If you're feeling the pressure to host an all-out, over-the-top shindig for your baby's birthday, I hereby grant you permission to throw the rules out the window.

The 24 baby names on the verge of extinction this year

If you're on the hunt for the perfect baby name and don't want a chart-topper like Oliver or Olivia, then do we have the list for you.

'My mum doesn't seem that interested in my baby'

Q: My mother and I have always been close, but now that I have a baby, she has not helped out as much as I thought she would.

New guidelines: "Bottle-feeding mums need support too"

Breast is best, but mums who can't, or choose not to breastfeed need support too.

Dads also struggle to 'have it all', study finds

Men and women both experience work-family conflict.

Language development may start in the womb

Study found babies can recognise foreign languages before birth.

Meet the baby born from an embryo frozen for 24 years

Experts say little Emma is a record breaking baby.


Top 5 Articles


From our network

Five things you need to know about flu and pregnancy

As the 2017 flu season begins in earnest, here?s what you need to know to protect yourself and baby.

Mum tips to keep your pre-baby budget in check

Money might be funny in a rich man's world (or so ABBA told us), but for the rest of us it's a major consideration – particularly before having a baby.

5 easy ways to make your maternity leave last longer

Maternity leave is a special time for you, your partner and your new little bundle. The last thing you want is for financial worries to stand in the way of that joy.

10 ways to keep your 'buying for baby' costs down

Becoming a parent is full of surprises – not least of all finding out that, for such small beings, babies cause a lot of chaos and expense.

5 ways to prepare to go from two incomes to one

Here are some ideas for getting that budget in shape, ready for being a one income family.


Baby Names

Need some ideas?

See what names are trending this year.

Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.