i have just been diagnosed with PCOS........?

Question

Polycystic ovary syndrome. i have been trying for a baby for nearly 2 years now. what course of treatment will the doctor get me to follow?

think it'll be a diet for me then!! lol

Answer 1

Your doctor will probably put you on metformin and possible start Clomid. This might work for you. The good news is that you now have a diagnosis and will probably get pregnant. It's important to make sure you are on a high enough dose of metformin. Dont waste too much time if you dont start to see results in a couple months.

Your best bet is going to be going on a low carb diet, exercise, and treating the PCOS with an insulin sensitizing drug such as metformin (you could probably get your regular doc. to prescribe this for you). Here's some good PCOS info and links. Good luck.

I recommend seeing a reproductive endocrinologist. They are generally more knowledgeable about PCOS and the correct treatment. Unfortunately, many doctors are not aware of the proper treatment.

The underlying cause of PCOS is insulin resistance (IR). The best treatment for PCOS is going on an insulin sensitizing drug such as metformin (1500-2550mg per day) combined with a low carb diet and exercise. There are a few important things to know:

1. Many women "pass" the test for IR, but still respond positively from the metformin. No one knows exactlly why..my thought is that the test is not a sure fire way of detecting the IR.

2. You must be on a high enough dose of metformin. I've heard women complain that their bodies dont start working even though they've been on metformin for awhile. Some doctors are hesitant to up the dose past 1500mg...but for some of us it takes more. I don't respond until my dose is around 2000mg a day.

3. It can take a few months on the correct dose, before your body is regulated.

4. It is important to treat your PCOS even if you are not trying to get pregnant. There are higher risks for many things (high blood pressure, blood clots, diabetes, and many other things) when you have PCOS, but if it is treated properly, then those risks are lowered.


When the PCOS is treated properly, all of your symptoms may not disappear, but they should improve some. It will also be a lot easier to lose weight (and keep it off). Our bodies work against us when we try to lose weight on our own, making it nearly impossible to lose weight.

There are TONS of books about PCOS and dieting. There are two that I recommend. Here's the links at amazon for those:
http://www.amazon.com/o/asin/0809224275/...
http://www.amazon.com/o/asin/0007131844/...

I also recommend a couple web sites:
http://pcos.itgo.com/
http://www.inciid.org/faq.php?cat=infert...

http://messageboards.ivillage.com/iv-bhp... This one is a great message board where you can ask all your PCOS questions or just chat with the women who are also dealing with PCOS. Good luck

Answer 2

I was diagnosed ten years ago. I have 9 year old twins and a 6 year old. I was already diabetic so it was a little different for me.
Basically I needed very general fertility medication to get pregnant. I was on clomid for three cycles both times and got pregnant. You don't ovulate normally on your own. It isn't a big deal really. (Clomid wasn't covered by insurance and cost me maybe $90.00 for all three months combined.) You may be more prone to develop Type 2 diabetes later in life as PCOS is a result of your body not metabolizing (sp) insulin and sugar correctly. You also have more male hormones than you should...still no big deal.
My doctor also put me on Glucophage after pregnancy to help with the unwanted hair growth--I have been on insulin for 19 years now so I didn't need that to help control the blood sugars.
There is a lot of hope to get pregnant--so relax and follow up with a Reproductive Endocronologist.

Answer 3

I also have Polycystic Ovarian Syndrome. My doctor has me on Acto Plus Met. It helps to control the symptoms that occur with PCOS, and can also assist in getting pregnant. I am in the same situation. I was diagnosed with this in August, and have been TTC since Sept. No luck yet, but I would definitely make sure you are on some kind of medication for this. If after 6 months, you have not conceived, I would check with your doctor about getting some tests done on you and your partner.

Answer 4

Well you want to see a Reproductive Endocronologist they can help you more than an OBGYN can. I have PCOS myself and I have been trying to get pregnant for 6 years and it hasn't happened I was on clomid back in 2001 but it didn't work. I stoped going through tests and decided to get into foster care to adopt a baby. But some of the things they can get you on is either Clomid, Metphormin, injections, IVF, etc... You can look some of these things up if you type in your search bar PCOS it will come up with some links do your home work before you decide on a treatment.

Answer 5

It depends on the Doctor. Weight loss, herbal treatments, more bloodwork or fertility medications are all possible next steps in the process.
If you have long cycles (in excess of 40 days) they may prescribe Metaformin to regulate your cycles, and then an ovulation drug like Clomid to produce healthy eggs and increase your chances of conception.
All Doctors do things a bit differently. I do know however that a lot of women with fertility issues (not exclusively PCOS) find that loosing just 10% of their body weight can increase fertility. I know that is a step I took when trying for our first child.

Answer 6

first find a reproductive endrocrinologist. loosing weight is easier said than done with pcos. as for the fertility treatments. your dr will get as aggressive as you want to get. you can either try the meds to control pcos and wait and see, it works for many women with pcos. losing weight will help. you can try clomid or injections, or go as far as ivf. your partner and you need to sit down and decide what you are comfortable with and then sit down and talk with your dr. many reproduc. endo. docs will speak at length with you about treatment options and concerns and which you are comfortable with. if your's does not find another one. good luck to you. i tried to conceive for 2 years on met, 5 rounds of clomid, 7 rounds of injectable meds, 1 pregnancy that ended in miscarriage and then found my daughter through the miracle of adoption! each treatment for fertility is a very personal one and no answer or decision is wrong.

Answer 7

That hapenned to me 10 years ago. After trying for 2 years with clomid, I decided to go back to my home country, and there a fertility doctor found out I had PCOS.
Since I couldn't stay longer there, he removed the cysts inmediately, prescribed clomid and one month later I was pregnant. My son is 8 years old now.
The second time I tried to get pregnant the doc back in Minnesota prescribed Tamoxifen (they don't prescribe it anymore), I got pregnant the first try but miscarried.
The third time, my doctor here in Texas, decided to go with injections (pergonal) and got pregnant the first try. My son is 3 years old.
There's hope. Get a good fertility doctor!
Good luck.

Answer 8

I was diagnosed with PCOS earlier this year (with the insulin factor). I was put on 1500mg of Metformin and told to go on a low carb/sugar diet....same month I was diagnosed and got on meds, I got pregnant and we now have a healthy baby girl.! We had been trying for close to 3yrs prior to my diagnosis.

Answer 9

Mustard is a secret bulge-buster. That boosts your metabolism and increases natural ephadrine, the hormone that will burns fat. According to Jeya Holly, professor of human nutrition at Oxford Brookes University, just a tablespoon in your food can reduce a flabby waist by 20 per cent!

Answer 10

IVF (in vitro fertilization) treatment; IUI, ICSI and Laparoscopic surgery is very cheap in India. The cost is very low and the medical services are very good in India.

My cousin and her husband got their IVF treatment in India through the Forerunners Healthcare in India and is all praise for this company. She is a known case of PCOS.She is a very happy mother of a baby boy now. She just paid 2500 pounds for the full IVF treatment in India for which she was quoted 8000 pounds in private setup in UK.

Forerunners Healthcare is very famous in India. I read a lot about them in the newspapers. I have also read about a Chinese couple who planned surrogacy through the Forerunners Healthcare. They arrange financing for USA, Canadian, UK and other international patients who plan to have surgery and infertility treatment like IVF, IUI, and ICSI abroad for low price. They also have photos pasted of their International patients. You can checkout their website. There are huge cost savings. As a doctor I personally believe that surgery and treatment can be easily handled in India, as the quality of healthcare available In India is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.

http://www.forerunnershealthcare.com
Hope this helps.