40 and PCOS – clinic recommendations?

[MoonPieHazySky]

Hi all!

Just had a single round of ICSI with NHS, resulting in BFN 2 weeks ago.

Now looking to self fund and hoping to get some recommendations for clinics with expertise in similar clinical profiles.

I had extremely high AMH at baseline (110). ER resulted in 20 mature eggs, 13 fertilised, 1 5-day blast.

The NHS clinic were fairly conservative with stims and triggering early due to the risk of OHSS with high AMH.

Any recommendations much appreciated!!

Did u ever see nhs gynae ?
Have u ever taken metformin and / or myo inostol for pcos ?

Hows your BMI?

With pcos you often have deficiencies in
Iron / feretin
B12
Zinc
Vit d

^ have u had all those checked ?

Hi, thank you!

BMI normal, around 20

Have had anemia before, so do sometimes take iron (need to get checked again in case I’m all topped up!)

Take vit D and B vit complex but no zinc. (But do eat a lot of nuts and veg).

I’ll ask for a check up on those.

Thanks! :)

Hi, thanks for replying!

Never taken metformin, do take inositol (which got me ovulating and made my periods a bit more normal)

Have you had glucose etc checked ?

Metformin plays a role in making the environment good 4 a pcos pregnancy

No actually! I’m surprised when I think of it that this hasn’t been offered (I understand I’m at greater risk of T2 diabetes)

Def ask gp for it

Thanks! I’ve seen people talking about continuous blood glucose monitors recently – I’m wondering if that’s something you can access via GP. Will ask.

I do try and avoid simple carbs but know everyone reacts differently to different foods.

Thanks, I wasn’t aware of this! Is that via regulation of blood sugar or some other mechanism?