PCO/Clomid

[rahrah1]

Hi there - just looking for people that have PCO or using clomid, to find out more information.

Background: 31, had 2 x pregnancies, both ended in M/C. Last pregnancy lasted 24 weeks and subsequent neo-natal death . Took one and half years to conceive with last pregnancy. Been to see consultant today who has advised PCO (not a bad case, but looks like ovulating late) that is effecting ovulation. Found a small defect in uterus (horn shapes), but nothing that would effect fertility. He has recommended Clomid, and I'm see my CRM consultant later this month, so may get prescribed it - so would be good to understand if its right for me, prior to seeing him.

Has anyone else had similar problems? as although they have now found an issue in regards to fertility this does not account for the M/C, especially so late.

Had other tests, which are all clear: Blood clotting, genetic tests, bio tests, baby was healthy - no abnormalities.

Any one???

Sorry have no knowledge but thought I should bump this for you. Bump. Think of you. Not that that helps...

Hey Rahrah. You know, not knowing is really hard to accept but looking at it from another side: It's absolutely great that they didn't find anything ....

I'm sure there will be people about later with plenty of useful information rahrah!! Hang in there.

why dont you hijack this thread here and see if they can help

Thanks guys, I could always just get back to the Hut where I belong... hehe..

Good idea about the clomid gang...

Hi Rahrah,

Clomid encourages the ovaries to work harder. It should only be prescribed if ovulation is not happening regularly if at all. Its often a first treatment for women with PCO or PCOS.

PCO is only slighly different from PCOS; this means that you have the cystic follicles on the ovaries and not other symptoms associated with PCOS. PCOS is a very individualistic disorder and affects each woman with it very differently.

There is no such thing really as mild PCO; you either have this or you do not. High levels of LH can also be implimented in miscarriage.

I would ensure that your LH and FSH is carefully monitored through blood tests and these should be done on a regular basis. Same with internal ultrasounds. If clomid is given, you must be monitored whilst on it otherwise there is not indication as to whether it is working or not.

If your LH levels are very high you may not be given clomid at all (as it won't help).
Do ensure that you manage to stay within the correct weight range for your height as weight gain can exacerbate symptoms and become hard to shift.

If you become pregnant again you should be monitored carefully throughout.

Ask lots of questions of them.

I wish you well

Thanks AttilaTheMeerkat - the holy book of fertility knowledge!! (bless you)

It is all very strange. Prior to being pregnant I had pretty regular periods. 28-31 days. Only time I did not have periods as regulary is when I was under weight. Weight is a little bit higher now (ok.. extremely higher!)
I also get PMT, which is inconsistant with PCO.

When I went for the scan yesterday I had not yet ovulated and was on CD19. So that is pretty late. He also said that the quality was poor, but had one big egg... (does this is sound about right?)

I also had a bad pain in my side. It is the exact pain I had when I was pregnant. Which got progressively worse, especially in the later weeks.

I'm going to the fertility clinic or do you think its best to go and see a PCO specialist.

I dont want to be taking clomid if it is not going to work on me, do they routinely test you first for LH levels... or is it the usual hit and miss rountine?

Thanks agin xx

Hi Rahrah,

They ought to at the very least test your LH and FSH levels and compare them before handing over clomid. Any good place worth their salt would see and test you on a regular basis. If on clomid you should be monitored with internal ultrasounds (to see that an egg has left the ovaries) and blood tests (comid can affect hormone levels).

One unruptured follicle could cause pain - was the follicle diameter measured?.

Hopefully the clinic will have people who know something about PCO. I would ask them lots of questions and if you are not happy seek out another fertility unit.

Let us know how you get on.

Thanks AttilaTheMeerkat, I have written down all the tests you advised and started some research. Will go will lots of questions.

Is a unruptured follicle a good thing or a bd thing?

Yes it was measured, as he kept asking me to keep still. He put it on disc for me, but me and my husband can not seem to get it to work on the computer.

AttilaTheMeerkat - the knowledge queen are you there....

Hi Rahrah,

I at you calling me knowledge queen!.

Its not totally bad but with PCO it may not contain an egg.

Can you remember how big the follicle was?. Ideal size for such a thing is around 20mm.

You need to be scanned every couple of days to see what progress this makes.

I did not ask the size... How stupid... I will ask when I go to the fertility clinic at end of the month, as it's on disc.

Thanks for getting back to me XXX