PCOS / recurrent miscarriage

[Teafortwo2019]

Hello

We started trying at the end of last year, and so far we've had;

Jan - chemical pregnancy
March - early pregnancy miscarriage - natural
July- twin miscarriage post heartbeats being seen at 11weeks / d&c
October- 9 week miscarriage at home naturally after no heartbeat
December- currently 6 weeks pregnant

I've recently been diagnosed by a fertility doctor - PCOS, due the extreme amount of eggs seen, my bad skin and love of carbs without being able to loose weight.

I have a very typical cycle of 28 days however have two ovulation days most months... I know it's unusual.

The doctor has discharged me and told me to loose weight (bmi 32) and said no carbs and pretty much good luck...

I very much appreciate being seen my this doctor but feel as if it doesn't add up? My hormone levels came back ok and there was nothing wrong with the last babies chromosomes.

The doctor wasn't hopeful that the current pregnancy would be viable and said I should concentrate on losing weight ready for March time when the quality of egg would have improved by?

Any insight or experience would be greatly received.

@Teafortwo2019 I'm sorry that you've had such a rough year! Congratulations on your current pregnancy. I cannot believe how disparaging your doctor was about it, that must have been terrible and I hope that you still have hope!

I have PCOS too - it is a complex syndrom where often symptoms and root causes vary from women to women. You can also present with polycystic ovaries on a scan (which it sounds like you may have) without actually having PCOS so a scan is not enough to diagnose. If you are ovulating regularly that is a great sign as non or irregular ovulation is the main cause of infertility for people with PCOS (myself included).

I'm quite shocked that your doctor just told you to lose weight without wanting to investigate your currently pregnancy further. Was your progesterone tested? PCOS women can have lower progesterone rates in pregnancy that can cause miscarriage - the baby only starts making their own from about week 10. If it wasn't tested, I would recommend asking your doctor to test progesterone weekly and if it looks slow to ask for progesterone supplements - these are taken vaginally as suppositories. It sounds like you also may be better off going to another doctor considering yours was so dismissive?

In terms of weight loss - your doctor is right that a low-carb diet can help manage PCOS as PCOS bodies can't process carbs properly and over-produce insulin, which then gets converted into male hormones like testosterone and throws our hormonal balance off. Insulin resistence can also explain weight gain, esp around the tummy area, in PCOS women. You could definitely look into increasing your protein and veggie intake and ensuring your carbs are low GI ones like sweet potato, brown rice, etc. Supplements like Infolic Alpha are also good for helping to manage insulin resistance.

Sending you lots of good vibes and hope. This is a new pregnancy and there is every chance in the world that it will be successful xxx