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Conception

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Denied Clomid because PCT say I am overweight

114 replies

heartmoonshadow · 10/07/2008 16:13

I am really upset my GP thinks Clomid is the answer to my infertility. Shesent me to an infertility clinic who took one look at me and said go away and lose 4 stone come back in 6 months. I had a bit of an arguement with the doctor asking him about equal opportunity laws - he said it is PCT decision. Which reading between the lines means it is a way of saving money. Anyone know a PCT who will allow Clomid to overweight women. If so I will ask doc to refer me to them.

thanks

OP posts:
thebecster · 10/07/2008 17:08

No worries

I educated my then GP about how diet affects PCOS - they seem to know very little about it! When I told her what I had done she was like 'Oh yes, of course that would work...' But she wouldn't have known to suggest it to me.

Definitely read the Colette Harris book - when you have you'll know more about how to treat PCOS than your GP does! But in the meantime, try to eat 6 tiny meals a day rather than 3 big meals. Avoid sugar and artificial sweeteners like poison. Always eat some protein with every meal. Try to get your 5 a day from veg rather than lots of fruit.

minouminou · 10/07/2008 17:06

It's not about how you fit into today's "weight demographic", it's about you as an individual, and whether the treatment will work effectively with this excess weight, and how a pregnancy will affect you
no-one's denying you anything, or calling your personality or parenting skills into question
what the consultant has done is asked you to go away, lose some weight that then have another crack at it with ENHANCED chances....he wants you to conceive, it's just that his judgement and experience is telling him that you need to get some of that weight off to have that enhanced chance

hanaflowerisnothana · 10/07/2008 17:04

This reply has been deleted

Message withdrawn at poster's request.

NorthernLurker · 10/07/2008 17:04

I don't think anyone has said you are overweight by choice have they? I think some really useful suggestions have been made - and nobody (including the doctors) are 'judging' your ability to be a mother based on your BMI. The issue here is whether your weight is affecting your ovulation. I am sure that the doctor you saw today would have said exactly the same things to a woman who came to him wanting Clomid who was 4 stone underweight. Weight can affect fertility - if it doesn't then great but if you don't know whether it is or not - and that's your position - then you have to try losing a bit and see what happens. I know how hard it is - I really do.

wannaBe · 10/07/2008 17:04

can you swim?

Swimming is excellent exercise and you should be able to do it even with your hip.

lulumama · 10/07/2008 17:03

no-one has said you are fat so you should not be a mum ! nor has anyone said only thin women make good mothers.

what people have said is that losing weight could help you get pregnant without intervention or make the intervention more likely to work

that is a totally different thing, and you are being quite defensive.

i am sorry you have struggled with your weight for so long, and i do hope you get the treatment you need, or even better, get pregnant naturally.

thebecster · 10/07/2008 17:03

I actually refused Metformin as I preferred to go with lifestyle change. You can show them all if you stick to a diabetic diet for long enough.

heartmoonshadow · 10/07/2008 17:02

Becster I did not know about the fresh fruit thing - why is this not a widely known fact? My GP has never said anything about it.

Thanks for the tip

OP posts:
thebecster · 10/07/2008 17:01

Doh! Messed up the link - try again

this book

heartmoonshadow · 10/07/2008 17:00

Yep weight is very affected by PCOS, guess who has to prescribe the metformin - you guessed it the hospital - who have said no today.

OP posts:
thebecster · 10/07/2008 17:00

HMS - if you have PCOS, it's worth going for a GI diet/diabetic type diet. If you stabilise your insulin levels that can help stabilise your hormone levels. This will help you to lose weight and therefore be a better candidate for Clomid, but also might help you conceive naturally.

book www.amazon.co.uk/PCOS-Diet-Book-Nutritional-Polycystic/dp/0007131844/ref=sr_1_1?ie=UTF8&s=boo ks&qid=1215705441&sr=8-1 is very helpful

Ironically the fresh fruit you're eating might not be the best thing for someone with PCOS - protein is your friend, sugar is your enemy, including fruit sugar. It will be much harder to lose the weight initially for you than for someone who doesn't have PCOS, but your PCOS symptoms should alleviate the more weight you lose. I found weightwatchers the best diet to be compatible with PCOS.

wannaBe · 10/07/2008 17:00

4 stone overweight is unhealthy.

You may not have high blood pressure or collesterol at the moment but your heart is already working harder than it should. add another 2/3/4 stone of pregnancy weight into the occasion and the additional weight you are carrying around goes from 4 stone to 8 stone and is seriously risky for your health.

if you are overweight the risk of high blood pressure in pregnancy increases signifficantly, which in turn increases the risk of pre-eclamcia which in turn increases the risk of premature delivery/c-section.

These risks aren't made up by the nhs so they can justify refusing treatment, they're real risks.

Even if you take a potential pregnancy out of the equasion, losing weight will make you feel 10 times better about yourself.

Join weightwatchers, watch what you eat and drink, do some exercise and in 6 months you could be a whole new person looking forward to a life as a mummy.

heartmoonshadow · 10/07/2008 16:59

Sorry to be so defensive but there is a big issue here that appears to be coming over. It seems that it is percieved that I am overweight through choice. I eat a fairly healthy diet, I do not eat crisps cake or rubbish except for special occasions like birhtdays or Christmas. I have my 5 portions of fruit and veg a day I trim the fat off meat, I drink diet pop - in one form or another I have dieted for over 20 years.

I am unable to do high impact excercise due to the fact that I have a pin in my hip that prevents it.

I am going to have a go at losing weight but I feel it is harsh for others to judge me purely on my BMI.

A comment was made saying that PCT should not fund a treatment that is less likely to be a success. Why am I percieved by some to not be as deserving of a chance being a mum as a person who can eat what they like and never get fat?

Hopefully losing weight will help me to get pregnant and if it does then great but I am fairly happy as I am. I fit into size 18 clothes which in today society is not that big, there are larger clothes on the rack.

Sorry to rant on but I am feeling rather raw at the moment as though being overweight means I am not a suitable candidate for motherhood.

OP posts:
lulumama · 10/07/2008 16:56

4 stone off, or even 2 stone off could make the most massive difference to your fertility and to the kind of pregnancy you have.

also, if weight affects fertility, i think it is reasonable to encourage weight loss, they have not refused to treat you, just delayed to give you time to get some weight off.

it would be remiss of teh PCT to fund treatment for a drug that would not be necessary or would work a lot better if the patient was not as overweight.

is your weight affected by the PCOS?

bran · 10/07/2008 16:56

Lauralou1, if you have PCOS has your GP mentioned Metformin to you? It's a drug that is used for type 2 diabetes but it has been used in the last few years for women with PCOS who have trouble loosing weight. It doesn't actually make you loose weight but does help your body respond better to dieting.

lauralou1 · 10/07/2008 16:53

hi hannahflowerisnahana

are you on clomid ?

Dropdeadfred · 10/07/2008 16:52

Nothing wrong with eating choccy if you exercise to burn it off...

minouminou · 10/07/2008 16:50

Just think, this is something which is at least partly under your control, no consultant telling you what to do...you lose your weight by yourself for yourself
start today, and who knows...you may not need any intervention at all by the time the 6 months are up.

Beetroot · 10/07/2008 16:50

you need to stop being in denial!

go on - start today!

heartmoonshadow · 10/07/2008 16:48

Hi girls,

I know what you are saying about a healthy pregnancy etc. But I have to say recently I have had a myriad of tests done blood etc as we all probably have and they have all come back perfectly within a normal range for cholestrol etc. I think my GP was upset she could not call me a diabetic - she was shocked at how clear the bloods were for Cholestrol etc and redid them. So inside I am pretty healthy. I also have according the specialist today a perfect hip to waist to bust ratio - by no means a perfect weight but a very good chance that I do not store fat on my major organs - I am hour glass shaped. There is just a case of a me being half a day instead of 1 hour!

I am just depressed and the problem with that is ........ it makes me want to eat chocolate!

OP posts:
NorthernLurker · 10/07/2008 16:47

I suspect the PCT have this as a criteria because being overweight can affect fertility. Why would you expect them to pay for a drug - which is not without side effects - when there is another factor that you could tun in your favour instead. You should get support with this though - ask your GP to refer you to a dietician. What about exercise? I find cycling a fabulous way of exercising - I get to sit down and I get everywhere much quicker!! Good Luck - I hope you get pregnant very, very soon

Beetroot · 10/07/2008 16:47

weightwatchers

Beetroot · 10/07/2008 16:46

lighterlife

lauralou1 · 10/07/2008 16:45

hms my consultant has refered me to a dietician one on one as he doesnt think group sessions agood enough i have my first consultation with her on wednesday why dont you phone you fertility clinic and ask about something like that they dont seem to understand that it is a lot harder for people with pcos to lose wght

hoold are you ?

Beetroot · 10/07/2008 16:45

well you need ot get support

lighterlife
your doctor
weight watchers

you can do it
and you will feel so much beter for it