how can i concieve?

Question

serious answers only...i have pcos and i am going to the doctors on wednesday...what questions should i ask about trying to concieve...they dont want me on clomid yet...and i dont have diabetes so i cant take metformin...any suggestions

Answer 1

Don't waste your time with a regular OBGYN. You need to see an R.E. (reproductive endocrinologist). They will do tests to see if you are ovulating or not and if you are not they will get you ovulating and monitor you closely.
Even if you were NOT trying to conceive, since you have PCOS you would benefit from seeing an RE. And by the way you do not need to be diabetic to take metformin. I am not diabetic and I take it. People with PCOS generally have an insulin resistance which COULD lead to diabetes down the road if not dealt with.

Answer 2

I have pcos too. It's a frustrating thing to have. I've been trying to concieve for 5 1/2 years. The main reason I can't take care of it is because of the cost of fertility treatments. In the state of California fertility is not covered by individual insurance. I can't tell you what to ask all I can say is don't be afraid to ask a question. Even if you think its a dumb question, just ask. Try to get all the information you can.

Here's a website that is pretty informative.

http://www.pcosupport.org/

I hope it helps. Good luck!

Answer 3

You do not have to have diabetes to take metformin. In fact, you also don't have to be TTC to take metformin.

Most cases of PCOS are caused by insulin resistance (IR). Insulin resistance, sometimes called impaired glucose tolerance, is not diabetes, although some consider it to be a prediabetic state because it can lead to diabetes if left untreated. IR is a condition in which the cells are able to use insulin (which is why it is NOT the same thing as diabetes), but they use it more slowly than normal. This causes the body to "think" that more insulin is needed, so the pancreas is triggered to release more. The result is that you have normal blood glucose, but extra insulin in your bloodstream. The extra insulin is thought to cause your ovaries to produce too many male hormones. That, combined with IR, is how we get the classic symptoms of PCOS. Although not all women with PCOS have IR, about 2/3 of them do. Many fewer PCOS patients have diabetes. Some doctors recommend treatment with metformin for all PCOS patients regardless of whether their lab tests show IR or not.

IR is also not diagnosed in the same way as diabetes. Diabetes can be detected from a fasting glucose test; IR can't because people with IR will have normal fasting glucose levels. IR is diagnosed by a fasting insulin test and/or a glucose tolerance test.

Metformin is prescribed for many PCOS patients because it treats IR. I take it because I have PCOS and IR. I have complications from IR in the form of high lipids, and my doctor and I hope that metformin will help bring them down. I do not have diabetes and I am not TTC. Metformin can help if you are TTC, though, because lowering the level of excess insulin in your body can help ovarian function return to normal, and that can result in normal ovulation on metformin alone or can help you to ovulate more easily on Clomid.

My suggestion would be to get checked for IR, or rechecked if needed, and to find a doctor who will consider giving you metformin if you can benefit from it.

Answer 4

Chnage to a healthy diet. My friend with pecos turned to the South Beach diet and her issues with pecos greatly improved. Depending on your weight, losing just 10 lbs. can help trememndously with pecos.

Aside that, ask the doctor about how diet or natural herb rememdies could help. Also, ask about side effects of meds. What are the least invasive treatments? How long will any proceedure be attempted before possibly going on to the next stage and what would the next steps be if the first form of treatment does not work. Also - ask what is the best and worse case scenario that you might be looking at?

Good luck to you! I hope you are successful. :)

Answer 5

Ask if there is anything that you can take. Ask your doctor how you can safely concieve.

Answer 6

Pray... The only way ANYONE conceives is when God gives the OK...