Pcos

[89bec]

Hi, I was diagnosed with pcos at 19 (now 31) we have been ttc for 2yrs now. I have had 2 different types of medication to get me ovulating (clomid/letrozole + a small dosage of metformin) none of which have worked. I have an appt on Monday and from what I gathered from my last appt the next step in our journey will be injections. I know I'm being negative but my gut feeling tells me that this won't work! As much as I would love to conceive naturally I just know I will end up having IVF and I just want to get on with it now. My fear is that I will suggest this to my consultant and he will say no to ivf and give the injections a go which I will obviously but I just feel I'm wasting my time. Does anyone else feel like this and get frustrated. I don't know what to say on Monday that won't make me out to be stupid by saying "my gut instinct"
Hope someone can make me feel slightly better 🙌

Hey, sorry to hear you're struggling!

You have every right to suggest different things and see what the consultant says. Have they mentioned ovarian drilling/ diathermy to you? wondering if that is something that would help though aware it is more invasive.

I think sometimes we have to just trust them and "go with the flow" even though it can add months on trying different things out. You can ask him why he's suggesting the injections, what benefit they have compared to what you've had already, and whether realistically he thinks it will work. You could also ask to be added to the waiting list for IVF now, if its long, as you can always come off it if things work out on the injections and they insist on you trying that first.

Good luck, let us know how you get on x

Thanks for replying, my consultant did mention that a while a go but I think he would push me to do the injections over the drilling!

I know I'm going to trust them, it can just be so frustrating when you know your own body but you have given me some questions to ask when I speak to him and hopefully I'll be added onto IVF waiting list whilst also hoping for the best from these injections 🤞 x

I would try and determine whether you are a suitable candidate for ovarian diathermy. Whilst waiting for the funding for the injectible drugs it was suggested I have diathermy surgery. It worked!!.

IVF should not be tried until all other treatment avenues have been exhausted; I would certainly consider diathermy first before IVF as it is less invasive overall (with PCOS also there can be an increased risk of ovarian hyperstimulation and it will not address the problem of the cystic follicles).

Another vote here for diathermy! I had mine in October and whilst the recovery was about 2 weeks (I had adhesions removed at the same time), compared to friends who are going through IVF I feel like ive had an easier time than them.

Worth asking if you’re a candidate for it just incase- they can look for other things like endo and at your tubes at the same time.

The diathermy has worked for me too!

Great to hear diathermy has worked for you both! It has given me so hope and I will definitely be asking my consultant about it on Monday. I will also do my research between now and then!

Thank you both for your advice 😊

@AttilaTheMeerkat

I would try and determine whether you are a suitable candidate for ovarian diathermy. Whilst waiting for the funding for the injectible drugs it was suggested I have diathermy surgery. It worked!!.

IVF should not be tried until all other treatment avenues have been exhausted; I would certainly consider diathermy first before IVF as it is less invasive overall (with PCOS also there can be an increased risk of ovarian hyperstimulation and it will not address the problem of the cystic follicles).

Hope it's okay to join. Can I ask, did you have cysts on your ovaries?

Course it is 😊. No I don't x