Doc appt this evening for suspected pcos. What do I say?

[icy121]

Been ttc since December. Fairly certain I have pcos. I'm not overweight (bmi 19), periods are irregular with long cycles, acne gets worse every day and I've not conceived. Not even a sniff. I've had some bloods done and they're all fine, including a day 21 showing I ovulated.

This is the doc who when I saw her last raising pcos concerns said "oh lots of people have that. You're not overweight so you're fine". Whilst I sucked that up back in feb, I'm now in a place where that won't do.

I don't really know what to ask for, beyond a magic pregnancy prescription. I'm not sure if medicine would be suitable for me? A referral to a pcos consultant? I'm prepared to pay private as my oh is 45 (I'm 27) and he's said he's running out if time and it would be selfish to have a baby an be so much older. He has 2 other kids already. I can't wait for the nhs unfortunately.

Does anyone have any experience/ideas on this? I'm feeling very isolated and quite sad.

[TinkerBlue]

Hi icy, I have pcos.
Make a list of all of your symptoms to take with you: hirsutism, mood swings, male pattern baldness etc, etc.
Request a referral for an ultrasound, quite often pcos sufferers have ovaries with cysts resembling a string of pearls.
In my experience bloods can quite often be inconclusive. However, if you tested -ve for associated androgens and are ovulating it's not hugely likely you have pcos I don't think??
I also find charting really helpful, if you already do this, take your charts. If not I can recommend a book called Taking Charge of Your Fertility to get you started. Recording temps is really the only way to show ovulation, opks can show a +ve surge but don't confirm that you have ovulated.
If you have all of this recorded take it to your GP. Unfortunately bloods confirming you ovulated once does not mean you are ovulating every cycle and the nhs will not perform 21 day tests every cycle so charting/temping is useful.
The first medication normally prescribed after diagnosis is metformin if the patient is ttc, they usually say try this for 6 mths and then move you onto Clomid if you are a candidate.
Don't feel sad, you haven't had your diagnosis confirmed yet. Spots and infertility can also be attributed to stress!! Try and be positive, ttc is a rollercoaster but you have to try and focus on a positive outcome.