Should I see my reproductive endocrinologist or my gyn?

Question

i have PCOS and take provera to have my period. My period is no longer coming with provera or it comes for only 1 day and is super super light. I don't know if I should contact my fertility doctor the RE or my obgyn. My fertility doctor seems to know about my condition real well but will not be ttc again until after my husband returns home from Iraq. I know this can't be a good sign fertlity wise but wasn't sure which doctor to go to about it. THANKS.


best answer will be chosen

Answer 1

If you're taking provera to force a period, it's likely that your uterine lining is shedding, and that's healthy-it reduces the chance of problems like endometrial hyperplasia, but that doesn't suggest anything about ovulation. And if you're not ovulating, pregnancy is impossible. Charting your cycles may help you figure out whether or not you're ovulating.

I see my ob/gyn for basic management of PCOS-he monitors my glucose and other metabolic functions, and keeps me on metformin, which regulates my menstrual cycles, and helps me ovulate. You may prefer to see your RE for that, because you've already established a relationship with one, but whichever doctor you're most comfortable with would be the best place to start. If you have insulin resistance issues, which are common with PCOS, you may want to talk to your RE about starting metformin or a similar drug which can help maintain regular menstrual cycles and induce ovulation. There's some new information in February's New England Journal of Medicine that suggests that Clomid alone is more effective than metformin alone at helping women with PCOS achieve pregnancy and give birth, but that combined together, they may provide the best chance, and starting metformin sooner rather than later might give you the best chance to get through the worst of the side effects and adjustment before you're ttc-ing again. Good luck. I know how frustrating and stressful it can be.

Answer 2

Are you charting your fertility signs? If your period isn't coming, it seems pretty clear you're anovulatory. If you aren't ovulating, you won't bleed. Having your period doesn't make you ovulate, so I don't know how provera would help.

There are medications which can balance the hormones in PCOS and help you ovulate regularly.

If you're not already, I highly recommend charting your fertility signs. Your chart can tell you when you are fertile, when you are not, when you are ovulating, when to expect your next period, and when to suspect pregnancy. Your chart can also tell you if there are issues delaying conception or causing difficulty w/ carrying a pregnancy and if there are serious issues which need a doc's attention.

Some good sources for charting your fertility signs: Fertilityfriend.com (free software as well as a pay-for version and on-line charting turorial); ovusoft.com (discussion boards for many fertility related issues, much info on fertility after the pill, and a very good software for purchase). The books Taking Charge of Your Fertility (associated w/ the the ovusoft website and software), The Art of Natural Family Planning, and Garden of Fertility

Answer 3

I have pcos. I was put on Metformin to help regulate my period. See the endocrinologist. They are in the best position to help you. I was told that metformin helps to regulate the periods to make getting pregnant easier.

It worked for me.... along with clomid and puragon!

Answer 4

Go see your endocrinologist and don't wast your time with OBGYN, they don't understand your need to be treated, they want everything happen naturally and majority of their patients are either to seek birth control or already pregnant.

Answer 5

Honey, 34 isn't that late! i'm 32 and in simple terms now engaged on #a million, and that i understand a lot of folk who had their first infants or further infants of their mid-30s -- some with ARTs, some for sure without issues. the only subject i could say approximately couples attempting to have teenagers of their 30s is they only wait 6 months until now seeing a fertility wellbeing care provider quite than the everyday twelve months, as a results of less variety of sturdy fertile years left. And that applies to the aptitude fathers, too, provided that male fertility additionally starts off declining around the comparable time women's does. you could try Clomid in case you decide directly to, yet be warned that in case you utilize o.ok. or the Clearblue video exhibit to foretell ovulation, you may get "fake positives." I advantageous did! That stated, until your OBGYN did extra assessments than in simple terms a blood paintings-up, that's untimely to declare "unexplained infertility," extraordinarily given which you and your hubby have in simple terms had, what, 2 months of unquestionably "attempting?" Clomid will strengthen your threat of multiples, so until your wellbeing care provider *is acquainted with* what's occurring, she may be putting you at pointless threat from meds you do no longer choose! i could make an appt with a fertility sanatorium. in the event that they choose you to work out a RE, they are going to refer you, yet there are different assessments they must be doing, besides. case in point, sperm prognosis to your hubby, ovarian reserve assessment for you, and HSG and/or SHG to make sure out the interior your uterus, that variety of subject. you do no longer *have* to attend 6 months or twelve months to work out a fertility expert, that's in simple terms a suggestion. yet while getting each and all of the checking out finished eases your concerns, then for my area that's actually properly worth it. looking out each and all of the matters with my hubby and me helped us settle directly to go directly to IUI past to maximum couples (we tried for sure for 9 months), and already i'm plenty extra comfortable than any month until now as a results of fact i understand we are getting our suitable danger. =)

Answer 6

go to the endocrinalogist no doubt in my mind