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Clomid/PCOS pregnancies

(24 Posts)
Alexandra6 Tue 26-Mar-13 08:37:40

Hi, I wondered if anyone else had one of these and if you have any advice, and also if you had any monitoring/checks when you got your BFP? I'm so happy - clomid got me ovulating and a BFP first time but I can't seem to relax and keep thinking it's too good to be true! Just wondering if I should have progesterone or something checked, I've heard of people having injections etc to maintain pregnancies?

BabyHMummy Tue 26-Mar-13 09:03:32

I have pcos and my pregnancy was a complete accident. I haven't had anything in terms of meds or extra care but i am struggling with the believing it even at 19 weeks!! It is causing me a lot of problems with anxiety and depression but i suffer anyways.

Try not to panic too much and if u r concerned ask to be referred for early scan to make sure everything is ok. Xxx

Lj8893 Tue 26-Mar-13 09:07:05

I'm the same as babyh. I have pcos (although never actually been officially checked for it!) and was certain I was going to have trouble concieving when the time was right.
My partner and I wernt even using protection for the last 9 months, I was that sure I wouldn't get pregnant but I did!
I am meeting my midwife today so she may suggest meds or extra check ups because of my pcos but the gp didn't seem fased by my pcos at all.

I shall let you know what my midwife says this afternoon!

TremoloGreen Tue 26-Mar-13 12:44:11

Hi Alexandra6, I have PCOS and was ttc for over a year. We conceived naturally in the end, just before my appointment to go get Clomid was due! I had similar worries about progesterone levels etc because I have previously had low levels when tested. The chances are, on a cycle where you ovulated more normally, your progesterone levels will be normal too and enough to maintain the pregnancy for the first few weeks until the placenta takes over. If you're under the care of a specialist, you could call and ask, but they will probably reassure you that any interventions at this stage are unnecessary. I remember that the first few weeks were quite nerve-wracking, but I'm 32 weeks pregnant now and everything is going great. Try and stay calm, get plenty of rest and stay hydrated. Hopefully your 12-week scan will be around before you know it!

Alexandra6 Tue 26-Mar-13 13:55:03

Ah tremolo I think I remember your name from the ttc boards ages ago! Glad things are going so well for you. My prog test at day 21 on clomid was 76 so quite high so hopefully you're right and the placenta will then take over. I know with PCOS, a low GI diet helps, did/do you do that during the pregnancy or anything else different? I'm just trying to be as healthy as poss.

Thanks lj and babyh my GP this morning said it's a case of just try and stay calm and fingers crossed it will work out well (she knows nothing about PCOS/clomid though so said to mention it to my midwife but I don't think I see a MW until nearer to the 12 wk scan)

Was thinking about having an earlier scan at 8 weeks but then googled and saw some studies said ultrasound COULD be SLIGHTLY risky, not strong evidence though. So it's best apparently to only have the amount you need medically....can you tell I'm a teensy bit anxious and obsessive? wink

BabyHMummy Tue 26-Mar-13 15:31:37

Join the club.lol!! i was 6+4 at my first scan and other than tying to not eat my weight in chocolate haven't really changed my diet. Follow a relatively healthy diet due to hyperinsulinemia so other than high value carbs i eat normally.

Haven't heard anything about ultrasound being a risk but its worth discussing. If you have this strong a concern India on seeing mw earlier.

Do u see a gyny consultant for pcos that u can talk to

Lj8893 Tue 26-Mar-13 17:39:21

Met my midwife today and she wasent concerned about my pcos at all, she said that once your pregnant pcos doesn't really affect the pregnancy, its just the getting pregnant in the first place that could be an issue!

She was slightly concerned about my Bmi though, which of course is down to my pcos, so that's the only reason I may get slightly more attention throughout my pregnancy.

Hope this helps a little!

Alexandra6 Tue 26-Mar-13 17:40:26

Thanks lj that's reassuring smile

BabyHMummy Tue 26-Mar-13 18:37:15

Hi LJ do u suffer with hyperinsulineamia as well? If so be VERY careful of the GTT. I suffer badly with it and am in the process of arguing that the GTT is too high risk for me.

My BMI is 32 but anyone with 30+ is tested full stop without consideration for individuals circumstances.

Luckily the diabetic clinic at my hospital have been brilliant and courtesy of them and the awesome ladies on here am armed and ready for a war with gyny next week!

Alexandra6 Tue 26-Mar-13 18:41:50

Sorry what's GTT?

Lj8893 Tue 26-Mar-13 18:42:53

Sorry what's gtt? I don't suffer from that thankfully.

Yes my Bmi is also 32, which automatically means my midwife has to refer me to the antenatal clinic but she said as its just over 30 they may decide they don't need to see me after all. Wait and see I guess!!

BabyHMummy Tue 26-Mar-13 18:46:08

GTT is glucose tolerance test for gestational diabetes. They will insist on it as your BMi is over 30. At week 28 they will make you go.in for about 3 hrs for a fasting glucose test then feed you lucozade and after 2 hours will do another to are how your sugar levels are.

Lj8893 Tue 26-Mar-13 18:48:45

Ahh I see, my midwife didn't mention that but I'm a while away from 28 weeks so perhaps that's why.

CoolaSchmoola Tue 26-Mar-13 18:50:07

I had a Clomid baby due to PCOS. I was put on Metformin to support the Clomid and my Obstetrician advised I had to stay on it to the 12 week point. I then got GD so was back on it from 26 weeks.

Msbluesky32 Tue 26-Mar-13 18:50:14

I have PCOS and we conceived naturally. I'm 38 weeks now and things have gone really well so far. The first trimester was pretty harrowing but by the time we got to 20 weeks i calmed right down. Easy for me say i know but try not to worry as the time literally flies and its such a shame to spend such a nice time worrying. best of luck with your pregnancy!

Alexandra6 Tue 26-Mar-13 18:51:45

Oh I see, I have lean PCOS so a low to medium BMI.

Am just going to be really healthy and hope for the best!

BabyHMummy Tue 26-Mar-13 18:53:16

Me too but mine told me.at 9 weeks. They normally book u in at 12 week scan

I am back next week for 20 week one so they will be on my case about it cos so far am refusing to have it! I monitor my sugar closely so hoping they listen. If not i am gonna have a row i think!!

Sorry for hijacking op!!

On the pg with pcos issue though try not to worry hun. I got caught on first time i have ovulated with a viable egg after 17 yrs of being told mine weren't viable and would need if and prob donor eggs lol. I was bricking it but am a firm believer in what will be will be. If u r pg then ur meant to be and fingers crossed it will all go well xx

Alexandra6 Tue 26-Mar-13 18:54:56

Sorry cross post, what's GD coola? I wasn't on metformin, maybe because I'm lean PCOS.

Thanks msblue do you know, I've got myself so anxious about mc, I have to remind myself there is a decent change this could end really well and then it feels really good! For a minute. And then I start googling scary stats again. Really trying to enjoy it, I do love being pregnant so far (when I'm not stressing!)

Alexandra6 Tue 26-Mar-13 18:55:39

So true, if it's meant to be it will be smile (please be meant to be!)

Lj8893 Tue 26-Mar-13 18:58:26

Oops, just flicked through my notes and yes she did say about gtt at 28 weeks!!

Msbluesky32 Tue 26-Mar-13 19:08:23

alex I can imagine. It will pass I promise and then do allow yourself to get excited, there's every chance you will be just fine smile

And keep off google if you can its the worst worrying tool I know!

CoolaSchmoola Tue 26-Mar-13 19:12:03

GD is Gestational Diabetes. As discovered by the GTT.

Many women with PCOS are insulin resistant (hence the low GI diet recommendation). Insulin resistant ancestors is one of the symptoms that make up the syndrome. It impacts ovulation so by regulating the IS and adding the Clomid the chances of success increase. Keeping it regulated during the first 12 weeks supports the pregnancy for those with IS.

Women with PCOS have a significantly. increased risk of developing type 2 diabetes post 40 due to IS, they are also more prone to developing GD. Untreated diabetes in pregnancy is dangerous, and hence the GTT.

I was induced early because of it, and was kept in as they need to monitor the baby's blood sugar for the first 24 hours.

Lj8893 Tue 26-Mar-13 19:13:05

Alexandra I'm exactly the same, for some reason I'm certain I am going to have my scan and there will be bad news. I keep having to mentally slap myself and tell myself to stop being so silly!! I have no reason to think that it's going to end badly.

Just bring on the scan already!

CoolaSchmoola Tue 26-Mar-13 19:19:27

Ancestors?! Phone glitch lol!

I know it's hard not to but please try not to worry. It took us four and a half years, three specialists, 4.5 stone slooooooow weight loss, six months drug induced menopause (Clomid caused a massive chocolate cyst as I have endo too) and six cycles of Clomid plus Metformin to fall pregnant... And the end result is sat next to me making a mess with rice pudding.

Getting pregnant is the hard part... Until they're born lol!

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