What are the reasons for not ovulating if hormonal problems have been ruled out?

[ForeverOptimistic]

I have just had my blood test results back from the GP which confirmed what I knew anyway that I am not ovulating. They also tested me for hormonal problems and early menopause which have both been ruled out.

My GP will now refer me and I will have a scan and most likely be prescribed clomid.

I'm unsure as to why I am not ovulating as I got pregnant almost straight away with ds. Does anyone have any ideas?

TIA

Bump.

Also if I have PCOS would this have been picked up by the blood test?

Hopeful bump.

I'll be back in a few hours just in case anyone responds.

Thanks.

PCOS can't be accurately diagnosed from blood tests alone, but if you are not ovulating this may be an indicator - this would be determined by a Day 21 progesterone test. It may be possible to visualise the cysts on your ovaries during an ultrasound scan, but I think that can be down to the skill of the sonographer. When I had my scan to try to confirm PCOS, the sonographer could not see any cysts and couldn't actually find my left ovary. However, in regular scans through subsequent fertility treatment, my consultant could easily point out the cysts to me and remarked that I had very large ovaries (common in PCOS apparently), so God knows how the previous woman managed to miss one!

My PCOS was finally confirmed after a laparoscopy. It could be that you have PCOS as it doesn't make it impossible to fall pregnant naturally (hence your DS). Hope that you get some answers soon.

Don't know much but didn't want you to go unanswered - have they checked whether you're anaemic or checked your thyroid levels? What's your usual cycle length?

My GP thought I didn't have PCOS and he was wrong. You need to see an ob-gynae, a GP simply doesn't have the expertise to diagnose PCOS (or many other fertility complications). Demand a referral, and if they won't give you one on the NHS see if there is any way you can afford to go private - we spent less than 500 quid on private treatment to get my PCOS and DH's low sperm count diagnosed and treated. I firmly believe that left to the NHS we would not be parents now.

Secondary infertility is horribly common and the NHS probably won't help you as you have fallen pregnant once without assistanceand have a child and therefore "can't" have fertility problems. That's just the way their protocols work .

Just read your OP properly - Clomid may be taking a sledge hammer to crack a nut if the problem is PCOS, although it may well do the job it is not without potential side effects. Zita West's website may be helpful, have you looked at that?

sorry to be blonde but does not ovulating mean your not having periods?

In my experience, if you are anovulatory (ie don't ovulate) you can still have occasional bleeds but they are very irregular and not true periods.

sorry to agree with other posters here but i was also tested for pcos by blood tests by my GP as I was having problems ttc. twice she told me i did not have pcos. fast forward a few years and i attended a fertility clinic to be told that both of my ovaries are very polycystic. i rarely ovulate. it is also very possible to have bleeds when not ovulating which was confirmed when i was on clomid. I was scanned regularly and was not ovulating. i always had a bleed eventually although sometimes it took a while. clomid did not work for me at all but think its quite individual. its good you got a gynae referral just to rule it out- it may not be but at least with a clear look you will get some answers hopefully

Thanks for advice everyone. I have been referred so will have to wait and see.

I do have periods but they are irregular. I conceived my ds straight after coming off the pill 5 years ago. I never bothered going back on the pill but I wish I had now.