Is mild PCOS even a thing? Worried about fertility impact post MMC

[Orlahoping]

Hi all. I am a month post MMC, after taking 5 months to get pregnant when we started TTC last year.

I had some hormone tests which showed slightly elevated testosterone (2.0 vs. 1.8 as highest normal range) and prolactin (514 vs. 496 as highest normal range). This is consistent with what they were in 2019.

At the time my GP said it isn't PCOS as I have no other markers. Scans didn't show PCO and I have no excess hair, acne, weight management difficulties etc. My AMH tested within average ranges for my age.

However recently I spoke to an acupuncturist who said it sounded like I had mild PCOS. I'm now a bit hyperfocused on that and wondering if there is anything I should be doing. However I also don't want to stress myself out any further if I don't need to. I'm nearly 38 and the miscarriage I had has really shaken me and made me feel like time is running out. I don't want to be contending with my age as well as potentially other complications.

My husband is very anti-acupuncture and therefore thinks I should just listen to my GP. However, I don't think GPs typically know very much about fertility either.

Feel worried, panicked and in danger of going down a rabbit hole. I found 5 months of TTC to get my first pregnancy absolutely awful and I just want it to be over 😭

How long are your cycles? For example, mine were 22-24 days, and I ovulated on day 13 or 14. They said I had mild PCOS. It meant I had lots of small eggs, that needed a bit of a boost to reach the size to fertilise properly. Also, I had low progesterone and a short luteal phase of 8-10 days (see cycle) meaning I may have had a few early miscarriages.

In the end, when I got pregnant. I had to have progesterone suppositories for the first trimester to support implantation and the first 3 months until progesterone is shored up.

Thanks for replying @SpaDaysAreMyFave. My cycles are 27 - 29 days. Usually ovulate day 15 - 17, so my luteal phase is slightly short.

Last time I had a day 21 progesterone test it was 36

Hi, do you have irregular periods? Trying for only 5 months at the age of almost 38 is pretty good to be honest.
I agree that GPs don't always know much about fertility issues, I've had the same with my GP, but I would also question your acupuncturist's qualification to speak on the subject. I don't know if you can have a 'mild' case of PCOS, either you have polycycstic ovaries or you don't?
Do you take any vitamins/supplements? You could look in to that?

5 months at your age is pretty good, there's no reason it won't happen again. I wouldn't take advice on fertility from a GP or an acupuncturist. If the acupuncture helps you to relax, perhaps keep going from that perspective. Otherwise I'd focus on healthy lifestyle, and keep busy elsewhere in your life, make nice plans with your partner etc.

@Girlfolk they're usually regular to within 2 days with the occasional odd one.

I am taking probably too many supplements tbh!

@Rosesanddaisies1 honestly probably focusing as little as possible on TTC is the gets thing for me. I just want to sort of exclude all the issues before I do, but I think that's just impossible and leads to me doing things that stress me out more...