PCOS Clomid or try weight reduction first?

[cheezypeas]

Hi All,

Long story short. I have 5 year old dd and having been trying for number 2 for 18 months. Having hit a brick wall with GP, I went private and consultant thinks I have PCOS. Scan showed womb lining was on thin side for mid cycle and left ovary was polycystic. Prior to this appt, I felt I had luteal phase issues and findings at scan supported this.

I am awaiting some more hormone tests to confirm diagnosis but Clomid was mentioned. Thing is I am overweight BMI of 30 and have started on a mission to get my weight down. With DD I conceived after 4 sessions of acupuncture and at a lower weight than I am now. I am not overly keen on taking Clomid, particularly at the moment when I am not in the best shape physically. So, I guess what I am asking is whether anyone with PCOS has managed to conceive solely by reducing weight/improving health?

We had MFI so no chance naturally.
How old are you?
I would try to get weight down. The cycts could go away.
Also if you did end up on ivf it is more successful with lower bmis (nhs often wont refer over 30)
Have you had thyroid checked?
People have said clomid can thin the lining (but i dont know maybe yours is thin from not ovulating.)
To confirm pcos you usually need blood tests on cd2 or 3.
Maybe he mean you have the cysts.
A weight loss of i think 5% can make a difference.
We just had failed icsi and unlike first successful cycle i was 9lb heavier bmi about 23 but hadnt been eating so well or walking as much as i did last time.
Metformin can get some pcos people ovulating (i noticed some ewcm from it)

I'm 34. Yes thyroid checked and all OK.

I have tests booked for day 1-4 of cycle to confirm diagnosis of PCOS but scan definitely showed cysts.

I think I'll work hard for next 3-4 months to get weight down and perhaps have acupuncture aswell. With a bit of luck I might fall pregnant naturally but if not, I'll be in a better shape to try Clomid.

Thanks for reply :)

....and just to add, I've had at least 1 chemical PG and I suspect more, so am ovulation at least some of the time.

I was diagnosed with pcos in my teens and weight was not an issue at all! As I've got older weight has def become an issue.

My bmi was 32 and I hadn't ovulated for 18 months. I lost half a stone - started ovulating regularly - not a 28 day cycle but not 18 months and fell pregnant within 4 months.

My consultant advised me to get my bmi down as this would increase the chance of chlomid working and this was our only chance on the nhs.

Thank you :) I am not sure whether my private consultant would desctibe clomid at current weight but in any case it sounds like it would be a good plan to get my weight down. I know that usually you only get 6 months worth of clomid so to give myself the best chance I need to be in better health.