Ttc 14 months

[jessdarhen]

Hello ladies, I'm new to mumsnet and I hope this is okay to post? I've been ttc for 14 months with no luck, I do have 2 children whom of which took me years to conceive also! Only problem is I was having very regular cycles back then! Recently I've been having very long cycles or just no period what's so ever, I'm thinking I'm not ovulating then? Altho I've gotten smiley faces and dark opk lines but no period and I'm not pregnant :/ I've been to my GP and they won't help me said it's timing and il be fine as I've had two kids previously :( I'm at my wits end and I want to be tested for pco or hormones incase they are out of wack! Do I have a right to ask for blood tests and them to look into it further? Also can I take Myo inositol if I don't have pco or pcos ? I will it do more harm then good? Sorry for the long post I just feel so alone and not sure what to do! This baby is so wanted so desperately. Ps dr said i poss have secondary infertility I don't even no what this is! I know I'm very lucky to have the 2 I have and I really am but that don't take away the pain for wanting my third and last child x

Hi @jessdarhen how old are you? Have you had any surgical procedures before- d and c or c section?

It’s a bit odd that you’re getting the LH surge but no period, are you ovulating? If you do temperature tracking you’ll usually see a temperature rise after you have ovulated.

You won’t meet the referral criteria as you have children, but I don’t see why your Gp can’t do some baseline blood tests:

Day 3 of cycle: LH, FSH, TFT's, testosterone, DHEA, sex hormone binding globulin, PRL

Day 21 of cycle/ 7 days before expected menses: progesterone

Hello @gardenlady543 I am 28 years old and my partner is 31 he's had tests done so we know it's not him, I had my tsh tested two months ago and it came back completely normal and I had a progesterone done back in jan and was 19 so really low but my gp still hasn't done anything about it, all I want it some bloods to rule out pcos? When I had my ultrasound with my son they told me I had cysts on my ovarie the left one but again it has been ignored, my periods were spot on before my son and we're fine after up till January this year I've just misssed periods and or not ovulating :/ I'm having peaks and smiley faces but no period! No I've had no d&c no sections I have had two cervical biopsy's though? I'm not asking my GP to help me get pregnant I'm just asking for some answers and meds possibly ?

@jessdarhen I understand that, I think it may be a case of understanding the referral stuff so you can present things in a way that means your Gp will investigate though.

The reason I asked about surgery is because people can get a condition called Ashermans syndrome where people don't have periods due to scarring and adhesions in the uterus, usually caused by previous surgery but it can be caused by IUDs and low grade infections.

Progesterone between 15-30 is equivocal, over 30 is needed to confirm ovulation.

For PCOS, you generally need 2 out of 3 of the following:

• Polycystic Ovaries on Ultrasound (>= 12 Antral Follicles in One Ovary or Ovarian Volume >= 10 cm3)
• Clinical Hyperandrogenism (Ferriman-Gallwey Score >8) or Biochemical Hyperandrogenism (Elevated Total/Free Testosterone)
• Oligomenorrhea (Less Than 6-9 Menses per Year) or Oligo-Ovulation

I would suggest asking your Gp to do some bloods for infertility/PCOS and go from there.

@Gardenlady543 thank you for your advice I really do appreciate it :) I just feel fobbed off by some of my gps so will indeed get a different opinion, yes il ask for some pcos bloods! As like I said no periods or very very long cycles it's so weird to me as last year they were fine! I've never been on any contraception I don't smoke or drink, I've been taking vitamins for 14 months also just feel like I'm broken.

Let's hope they help me this time

Bless you @jessdarhen if you can get those hormones tests then that might be helpful. But it sounds like you probably meet the diagnostic criteria with your cycles and the previous US showing polycystic ovaries. There are some treatment options if you do have PCOS, if you have a search through the old threads you'll probably find a wealth of experience on the subject.

I got tests and diagnosis with irregular but not absent periods 33-45days, excess body hair, spots and I don't have polycystic ovaries but I have a follicle count of 33. My hormones are in normal range but my LH is double my FSH and apparently I am atypical presentation. However, ttc 20 months #1 so my experience of being listened to straight away i think was something to do with not having had a pregnancy befire