Should I call the doctor?

Question

I had a miscarriage in April. I don't ovulate on my own. My doctor died...yeah can you believe that...and I am going to a new doctor that I absolutely love! He's great. I know that I don't ovulate so I have to take clomid. My new doctor wanted me to wait one more cycle before he put me on it again...I had a scrip left from last time and took it. Clomid causes you to get cysts on your ovarys sometimes. I had one last time when I got pregnant. I know I have gotten one this time because I am having pain. I didn't have pain before. Should I call...the cyst should go away by itself but I didn't hurt the last time. I am scared to admit to him that I took clomid against his better judgement....I don't want to loose a great doctor.

I have been having pregnancy symptoms, but it could be caused by the cyst I assume. I can't test for 4 more days.

I called....the nurse was super nice and when he gets in they are going to have me come in for an ultrasound and blood work.. Thanks for easing my nerves guys!!!

Answer 1

Sounds like you have PCOS. I have not heard of people getting cysts from clomid. I have heard that most people that don't ovulate have PCOS and are put on clomid in order to ovulate.

You have been mislead or maybe you misunderstood. You have PCOS. IT has nothing to do with the meds. You should go read up on PCOS (Polycystic Ovarian Syndrome). This is the whole reason you aren't having regular periods and are having problems concieving.

Once you understand about this disorder, you'll be able to understand the treatment.

I too miscarried (mine was in May, 5-6 weeks). I understand what you're going through. Hopefully the next one will go better.

You should only take clomid certain times of the month. You need to have your period first. Call this new doctor. I'm sure he will put you on Provera. You'll take that for 10 days to induce a period...at which time he'll put you on Clomid so you can drop another egg.

Good Luck! Sorry for your loss. There are lots of great forums that talk about PCOS and TTC, I suggest looking them up on Yahoo Groups.

Btw, other than causing pain, the cysts are not an 'emergency' situation. You'll have them despite the meds. You've probably had them since puberty. They can do an ultrasound to see how many you have. Some people have them worse than others.

My cousin who's 24 just had one removed via laser b/c it was causing her immense pain. I have them too but they never bother me. The only way I even know that I have them is b/c I saw them on the ultrasound monitor.

Again, ignore the people that have no idea what they are talking about...The way your ovaries work is;
Each ovary has follicles. Normally certain hormones would be created to stimulate full follicle growth. These follicles, then release an egg once they have matured.
In a person with PCOS, the follicles never receive the correct levels of estrogen/progesterone in order to mature a follicle (b/c women w/ pcos have higher testosterone levels). So fluid builds up in the sacs around the follicle. Occassionally the sacs rupture and cause some discomfort. Since your follicles haven't matured, no egg is released. Since no egg is released, you don't have a period. That's why you doctor will induce one (generally using Provera).
*Do you see why I'm saying Clomid isn't the cause for the cyst? Clomid causes you to drop an egg, in theory it should reduce cysts as opposed to promoting cyst growth.

The cyst will either go away or it wont. Like I said, they often rupture. If the pain is VERY intense, you'll have to have surgery. Thats expensive and will put a delay on TTC. I suggest bearing with it if you can.

If this new doctor wants to help you with ttc he might ask you to do an HSG (not much fun - xray looking for blocked fallopian tubes), he might also ask your hubby for a semen sample. Semen sample is good to rule out bacterial infections that can reduce the sperm count.

My doctor put me on Metformin and that helped me concieve the first time. I don't want to wait this next time so he'll put me back on clomid around the end of August. I'll continue to stay on the metformin through out the first trimester.

He told you to wait one more cycle because concieving too early causes an increased risk of premature delivery. This means your baby could be born with out Fully developed organs. You also have a higher miscarriage rate because your body is still out of whack.

My Dr wants me to wait 3 months from the miscarriage. It feels like an eternity. =( I know how you feel. I do.

You might want to see if Metformin is a good option for you because it has quite a few beneficial qualities.

Whatever you do, don't freak out. I'm sure you miscarried because of a genetic defect. Most early abortions happen b/c of genetic defects. Also, your period is probably late because of all of these recent hormonal changes.

Good Luck!

Answer 2

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Answer 3

I would say, yes and you should tell him about the Clomid that you took as well. It is in your best interest to follow your doctor's orders...he went to school for this and you didn't. All doctors are not the same, some stick with tried and true methods and will not try anything else. New medicines and techniques come about every day and because something "used to work" doesn't necessarily mean that it is the "only thing that works". Listen to your doctor, he should know best.

Answer 4

Please call your doctor! The cyst could have burst and be infected or it could be large and causing you pain and that is only two of the many things that "could" be wrong. Explain to your doc that you did not listen to him and are now sorry for it. He is a human just as you are and they are also very accustomed to having patients not take their full advice. If it will make you feel better even go as far as telling him that you think he is a wonderful doc and you should not have underestimated his knowledge (ego strokes are always nice). Whatever you do though don't ignore this problem, your body is giving you signals that something is not right and you need to listen to them. Good luck to you and I hope everything turns out o.k.

Answer 5

Better to admit to your doctor than to end up in the hospital. If the cyst persists and is not taken care of, it could scar whereever it is and if its in the fallopian tube even when you do ovulate you may not be able to concieve because of the blockage from the scar, or you will have an ectopic or tubal pregnancy. Good Luck

Answer 6

You should absolutely call him. Cyst's can be very harmful as well as painful. You should go to the doctor and get it taken care of before you lose an ovary.

Answer 7

Definitely tell your doctor. You won't lose him for telling him the truth. He's a doctor and he's had years of study. Next time listen to him. A doctor can treat a patient better if they know specific details. How can you expect to get a proper diagnosis if you don't tell the doctor what is going on?

Be honest. Good luck!

Answer 8

1. You can test for pregnancy immediately (blood test gives answers before the end of the cycle)
2. Always speak to the doctor about your symptoms and youe concerns, it is dangerous not to.
3.Always tell the doctor the whole truth, so he cn tell what's going on. You are not going to lose him, he might tell you you shouldn't have done something, but I guarantee they have all had many disobedient patients. They just want what's best for you, not their ego!

Answer 9

I would get a second opinion not all doctors know what they are doing, And if you are hurting by all means go seek medical care because the longer you wait the longer you can make things worse.

Answer 10

I know it sucks but it doesnt matter weather you're afraid to tell your doctor, you should always call your doctor when there are issues during pregnancy. If not for the sake of yourself, then for the sake of your unborn child. Theres no such thing as a stupid question, especially when youre expecting.