Hi PCM
As a fellow PCOSer I can certainly sympathise with your plight. Please do not feel bad, I certainly needed medical help in order to conceive with regards to my PCOS, many PCOSers do.
At cd45 it is unlikely that you have ovulated this cycle. Would strongly suggest that you not test for the time being. Besides which seeing repeated negatives can be soul destroying.
I would certainly go by your gynae's advice to lay off temp charting; you would end up with a chart that is akin to the Rocky Mountains which would be damn nigh impossible to interpret.
The problem with using OPK's with PCOS is that these measure the levels of LH. With many PCOSers this level is elevated to start with so the kit would be reading the excess level rather than any ovulatory surge. Hence my counsel not to use them at all. They may be helpful for others but certainly not for this condition.
Do you currently know what your LH/FSH levels are?. At a guess I would say that your LH is far higher than your FSH. The LH levels need to come down.
Am a bit confused really - why did they do ovarian diathermy first off?. That seems a bit extreme if this was done first of all without trying anything else. Normally its clomid first off then one of the other treatments like that one you have had.
As you don't really have any cycle to speak of I would go by calendar days with their agreement of this beforehand. If though you are uncertain of when to take the clomid you should speak with the hospital beforehand. Normally clomid is taken from days 2 to 6 of a cycle.
To be totally sure of what's happening when you;re on the clomid you need to be monitored by the hospital regularly. One day 21 test is not enough, you need to be seen far more regularly than that. I would have words with them with getting more monitoring done. You also need ultrasound scans (internal ones) to check that an egg is leaving the ovary. Without these measures you will have no way of knowing whether its working or not.
I was not sure whether to write the next bit or not but..........it may come to pass (hope not but this does happen) that you may become clomid resistant and thus this may not work for you ultimately. Clomid encourages the ovaries to work harder. I would therefore ask the cons asap what plan B is if this fails. You need to know.
I would also say that if you can stay within the correct weight range for your height this will also help. Excess pounds are a bugger to shift with PCOS and this can exacerbate the PCOS symptoms you have.
The more you learn about PCOS the better off you will be when it comes to making treatment decisions. You need to be assertive and ask lots of questions. Do not be fobbed off.
Verity is a very good UK based website when it comes to PCOS and would suggest you read that as well - www.verity-pcos.org.uk.
I wish you well, will try and keep track of your progress.