Gynocologist appointment advice please

[Alicejj8x]

Hello everyone, in a few weeks time I am booked in to see the Gynocologist as my periods are irregular ( every 3 months) I was on the pill for 8 years, for pregnant literally as soon as stoping taking it and unfortunately ended up in a miscarriage and since then we have been ttc but AF has been so irregular. I've had tablets to help it and I also think I'm not ovulating either ( I do have the white discharge and everything ) but never got a positive OPk? But I mean atleast I am getting the discharge I guess?..
anyway I just want to know what I could expect from the Gynocologist as to tests? I should mention I have had a ultrasound in January to check my ovaries and everything and that came back all normal both ovaries were fine as were my uterus and everything..
So just wondering as to what he will do??

The gynaecologist is likely to run a range of blood tests to check your hormone levels. They will probably do a quick internal exam too.

I know that my gynae who specialises in fertility is very keen to discuss women's lifestyle: diet, exercise, stress levels etc as these have a huge impact on fertility in some cases. Not all gynaes will go down this route but mine would.

Once the blood test results are there they will discuss treatment which could be lifestyle changes or meds to induce ovulation. They should also carry out tests on your partner as it's not always the woman's 'fault' if their partner has a low sperm count.

Thankyou for this :)
I had bloods done and one of my hormones j think LH was raised but the doc said it wasn't raised enough to cause concern. All my scans have been fine and come back normal.
Yes I was thinking about getting my partner checked just incase too.. but I think where my periods are irregular it may fall down to me as we know we can get pregnant from last year when we had a MIss carriage
It's all so confusing isn't it lol x

You need a diagnosis first and foremost along with up to date test results; any test done over 6 months ago should be discounted.

If LH is raised compared to that of FSH then it can be a possible indicator of polycystic ovarian syndrome; this can also make periods irregular in nature. It can also take a skilled sonographer to spot any "ring of pearls" appearance associated with polycystic ovaries mainly because the cystic follicles are small and do disappear, only to be replaced by further cystic follicles. A polycystic ovary can also appear larger than normal i.e. walnut size.

You should also be assessed to see if there are any possible issues with the thyroid gland. Both of you anyway should be tested in tandem; it is little point in solely testing you alone.

The gynae will want to know about your menstrual history to date and could also ask you some questions relating to your lifestyle.

Write down any question you want to ask well ahead of time and if possible get your man to attend this appointment as well. This is because these can cause considerable nerves.

I had blood tests done in November so would probably need some more bloods done now and my scan was in January so would be fine for anothe scan.
I have asked about polycystic ovaries syndrome but they have ruled that out as when I went for my scan she really went over my ovaries as said there was no cysts around them or any fluid :/ I have had the bloods and the thyroid came back as normal everything did expect that LH was raised.

I was on the pill for 8 years so can't really remember befor that if my periods were regular :/.. but just have noticed there now every 3 months!? Just want to get to the bottom of this really as we are desperately wanting to start a family

You need more than one single test for hormones. Ideally they are done between days 2-5 of your cycle which is harder if you are only having periods every 3months. But you should still have had at least 2 tests.

Your partner needs a full range of tests too. Men can be slightly subfertile but if the woman is highly fertile. all is usually ok. But if the man has a low sperm count and the women is having issues too, that's what creates the problem.

Your partner could have some issues around his own fertility but you just happened to conceive at a time when you had ovulated.

They need to find out if you are conceiving or if, as can happen, you are not retaining an embryo and possibly having a very early miscarriage more often than you would be aware of.

Ahh okay yes I didn't think of that!!
I defo will be asking for lots of tests then! Why can't it be simple :(
Do you think where I am getting a lot of the ovulation discharge that's a good sign as to I am ovulating or??
Thank you so much for your advice!! Just worrying now About if I can have children x

I don't know- sorry! There is much more to conception than just ovulating. You may ovulate but unless your uterus is ready for implantation, you could be miscarrying or the eggs not embedding successfully. Have you tried charting your temp to see if it's rising showing ovulation?

" I have asked about polycystic ovaries syndrome but they have ruled that out as when I went for my scan she really went over my ovaries as said there was no cysts around them or any fluid :/ I have had the bloods and the thyroid came back as normal everything did expect that LH was raised".

Was the level of FSH checked at the same time as LH?. As mentioned before a higher than normal level of LH can indicate PCOS and it can be missed.

Also if periods are irregular blood tests can also be done according to calendar days. You can and should have a day 3 test done to check and compare your LH against that of FSH. If your cycle is 3 months apart then its likely that you are not ovulating regularly if at all currently.

I would not bother with temp charting as its not going to help you any. You can also get a temp rise in the second half of the cycle when an egg has not been shed so charting is not infallible a method anyway.

Cervical mucus is also a poor predictor of ovulation so I would not put much if any store by that.

You need a diagnosis first and foremost. You also need up to date test results too.

Yes yeh fsh level was checked at the same time and that was normal..
they have told me it's defo not poly cystic ovaries syndrome and I have asked so many times but I think I'll defo put that to the Gynocologist just incase?...
I just want this appointment to hurry up now it's making me really worried and thinking that I won't be ever able to have a baby :(
Thanks for your replies they are helping me lots :)
Yes I will defo get my bloods and tests re done to be up to date. At the Gynocologist do you get the results of bloods there and then? X

If ovulation wasn't happening Is there ways to make you ovulate for sure

There are treatments out there that can help with ovulation induction but you need a diagnosis first and foremost.

I hope you get some answers soon.

And say nothing is wrong will they give me tablets to help my period do you think?..
I've had notheristorne tablets to help before x