polycystic ovaries but no other symptoms of PCOS? Next steps?

[inconceivableme]

I ovulate normally and have no other PCOS symptoms but scans found polycystic ovaries when we first had infertility tests done four years ago. 1 IVF round later, we have one son and want to try for a sibling again. We did FET in November, got pregnant and miscarried just before 7 weeks. DH's semen analysis was all fine last month and my day 21 test this month was 58 so ovulatory, though AF has been threatening for a day or two now and I'm on CD32 now so timing of the day 21 was a bit out. Is the result still valid? Should we try naturally for a few months or do another FET cycle asap? We have 2 frosties remaining. Thoughts please?

It would depend on quality of embryos (blasts)
But they were frozen when you weee a yr (or more) younger so may be more likely to work.
I aould probably fet then if unsuccessful ttc naturally while in the wait for ivf.

Were you on metformin for the last fet? As mc rate is higher with pcos.
I would also see if they would check thyroid levels, as sometimes people have that with pcos and again that can increase mc rate.

Thanks for replying naty. ( I think we met on another thread while I was doing my FET?)

My embryos were frozen over 3 years ago, when I was 34. I'll be 38 later this year.

They transferred the best one on the last FET. I'll have to check the grades....

I've never taken metformin. As I have thin PCO(S), or so I thought. I thought metformin was just for those with weight and ovulation issues. Had no idea about it helping reduce miscarriage risk! I'll insist on it for next FET in that case.

I have a 3BC and a 4 B/C B left. (The first letter measure for the 4 is somewhere between B and C grading, hence the B/C).

The one I miscarried was 3BB.

My son was a 4BB.

Sorry, I meant my son was a 4AA!!!

They're all blastocysts, obviously. They weren't super-fast frozen though as my clinic didn't offer that service at the time.

Would the cost of storage of more blasts be less if added to existing ones? Maybe you could add more and pick the best from all?
I have thin pcos and as i think i have insulin resistance and at risk of ohss they give metformin as it may improve egg quality, and then for first 7 w of pg until HB seen.
How much difference it would make to a FET i dont know as embryos are already created so i guess that would depend on whether pcos only has the affect up to fertilisation or also on implantation etc. i think i would have used it for a fet (if id had any frosties)

Not sure on storage costs.

Am in a dilemma! For personal reasons I want to avoid having lots of unused frosties, but I obviously want another child even more!

I know success rates drop a lot once you're 38 so if we do another fresh cycle it makes sense to do it sooner rather than later.

But my frosties are good and were made a few years ago, so also makes sense to use them first. Hopefully a fresh cycle won't be needed.

I had mild OHSS on my fresh and was hospitalized with a burst ovarian cyst at about 8/9 weeks pregnant. Was super stressful as we thought I was miscarrying...

That is difficult, i was going to say put both in in fet, but your success rate of implantation is 100%? So that could mean twins. Maybe they could suggest chances of these ones implanting as they are lower grade.
It might be difficult to work out what dose to put you on, with ohss and then now few yrs older.
I was put on same lowest dose at 34 after ivf at 32 and was at risk for ohss both times 20+ follicles. Next time though 6m later cancelled with only 3 follicles. Upped dose and then too many again still only on 150 a day.
At least fet is low risk, if it takes only month or two then your age wont have increased that much for another fresh cycle.

My last and only previous FET took longer than expected as I failed to down reg sufficiently on elleste tablets only, my clinic's usual FET protocol. I had to stop the cycle, take norethisterone to induce a bleed (horrible stuff which I hope never to need again!) and then start afresh using burserelin injections. With the injections I still took 3 weeks to down reg and it was another 10 days before embryo transfer.

Yes, 100% implantation rate. That sounds way more positive than I feel right now!

Do you think my progesterone result for this month is still valid if it turns out to have been taken 10 days before my period? Test was done on 2nd Feb and period looks to be starting now...

On my fresh cycle I did short protocol, no down reg, stimmed for 10 days on Gonal F 150. Got 13 eggs (or was it 12?) and 100% fertilisation rate and all went to day 3.

We were v keen to avoid twins on the fresh cycle and the last FET but feel less concerned now. I know the risks for both mum and babies of course.

My understanding is that metformin is used for other insulin rated disorders as well, so I think whether PCO or PCOS insulin is affected?

Sorry I meant insulin may be affected whether PCO or PCOS

I've booked LH, FSH and oestradiol tests at my clinc tomorrow. Trying to decide whether it's worth getting AMH tested too, as we're undecided on another fresh cycle.