started new thread as I'm getting lost!

[purple]

How is it going? Any BFP yet?
Btw I'm really sorry you miscarried at 9w

Thanks I only just ovulated so just entering the TWW.

I also had a waterbirth (at home) with my 2nd and hope to be able to do it again, it was pretty amazing.

[atomic sagebrush]

Oh gosh sorry I think this post got bumped away from me. Since I go from oldest to newest sometimes a "hot" thread always stays "new" to me and ends up that I don't see it for a while, terribly sorry.

SO, referring to first post, I'm sorry that I didn't get back to you sooner.

Your doctor is saying one thing (that it's not low estrogen) and then one minute later saying the exact opposite (that you can bleed at any time and it is not AF, but lining coming off because of an imbalance of hormones, THAT IS LOW ESTROGEN causing that.)

What most doctors would do in this sitch, and I understand she feels beyond her pay grade here and is sending you onward to someone who knows, is that they would give you estrogen to plump up that lining along with the Clomid and those two things together would fix the problem. So this is not insurmountable.

[atomic sagebrush]

I have to confess to something. this would actually be my 1st round of clomid from fertility, but I got my hands on some for last cycle took them day 2-6 at 50mg I was worried that if I went to private fertility clinic it would of cost too much and it such a long waiting list on the nhs.
I did not ovulate on or around 5-10 days after we bd every other day and did not get pg and got my af on December 2nd! (A little shorter cycle than I previously had)
which is why this time I decided to go to the private clinic and have the consultants sort it all out!
So should I take this as my 2nd round of clomid or my 1st?

Oh girl don't even worry about it, I hear this "confession" about 5 times a week. Clomid has been around since the 1960's and I believe it to be one of the safest drugs ever, probably safer than Tylenol and penicillin.

If you took the Clomid, with a shorter cycle, and got a relatively normal AF, I think you prob. did ovulate and would relly benefit from e4d because I suspect you just missed it.

IF it's consecutive (which I think it is, just want to make certain) then it's your second month on Clomid.

[atomic sagebrush]

Yes no point worrying now and just tell them on Friday, I heard lots of people say they are on metaform along with clomid but nobody has mentioned this and has not mentioned that I have insulin resilience either which is what I read it's for.
I am slender so I think it has not shown up and it's why it has not been mentioned.i don't have a problem with my weight! As quoted below.

If I am prescribed metoform as well do I need to be taking this for a few months 1st or can they both be started together?

most people don't need Metformin and it may not be right for you. I wouldn't stress over this.

[atomic sagebrush]

I found this article:

Q: Curious why you would suggest estrogen or think there would be estrogen deficiency with PCOS when it's progesterone that PCOS sufferers are lacking due to not ovulating. Adding estrogen will just make the problem worse.


A: While you are correct that many women with PCOS do produce adequate progesterone, there is more to the story. All too much that is written about this complex condition fails to discuss individual differences. Polycystic ovary syndrome is not one condition, but a group of conditions with overlapping symptoms. Different women with PCOS may have quite different hormonal patterns.

The most important factor is weight. Those women with PCOS have a different, and generally milder, condition than those who are significantly overweight.

Most of what is written about PCOS really refers only to those who are overweight. They bear the greatest burden of the condition and it is important that there is adequate information available about their problems. However, different women with the diagnosis of PCOS may have different problems and different needs.

My approach to PCOS is to separately consider each of the 4 features that can be associated with the condition.

First are skin and hair effects of testosterone: hair loss, acne, and increased facial and body hair. For women with the slender form of PCOS these are usually the primary concern.

Second is ovarian dysfunction, usually shown by irregular periods. In general, a normal cycle is between 3 1/2 and 5 1/2 weeks between periods. Longer (or, less often, shorter) intervals suggest an underlying hormonal condition. PCOS is the most common, but not the only, cause of infrequent periods. PCOS. In severe PCOS, there may be only 1 or 2 periods a year, and these may last for several weeks.

For slender women who have normal cycles but skin and hair changes, PCOS is a doubtful diagnosis.

The other features of PCOS are difficulty controlling weight and insulin resistance. High insulin levels are usual in overweight women with PCOS but uncommon in the slender form of the condition.

While anovulation is one of the features of PCOS, estrogen levels vary greatly in women who do not ovulate regularly. Especially in those who are overweight, or have very heavy periods when they do come, estrogen levels tend to be high. In slender women with PCOS it is common that estrogen levels are low. Low estrogen levels in this situation need to be addressed because of possible increased risk of osteoporosis, and even heart disease.

Estrogen deficiency prior to age 45 or 50 is associated with increased cardiovascular risk; abnormally low levels should be treated with hormone replacement, either an oral contraceptive or estrogen and progesterone. This treatment reduces health risk. The research on estrogen risks after menopause does not apply to estrogen deficient younger women.

Because progesterone protects the uterus against endometrial cancer, the lack of progesterone caused by anovulation creates an increased risk. The simplest way to address this situation is use of an oral contraceptive. For women who cannot take the pill, progesterone itself, taken for 12 consecutive days each month is an alternative.

Each woman with PCOS deserves to have her individual situation regarding estrogen and progesterone worked out, and treatment decided according. All women with PCOS are NOT alike. There is effective treatment for all women with PCOS, but no one treatment that is right for all women with this unfortunately very common condition.

Geoffrey Redmond MD[/QUOTE][/QUOTE]

I actually think this is like autism and Lou Gehrig's disease where we are looking at several different diseases/conditions that are huddling under one umbrella and it's really confusing everything. I think we have to use different guidelines when you are thin with PCOS and thus I would not recommend some things for you like Metformin that others may benefit from.

[atomic sagebrush]

On what CD do you think Oed last month? You said you took it CD2-6 but had NOT Oed by CD16? How long was the cycle? How long are your usual cycles, not on Clomid?

What CD are you on currently?

Clomid CAN cause the uterine lining to thin I some women but it is not common in women under 38 or so. How old are you?

Maybe you should ask for Femara, as it doesn't have the potential thin lining effect?

also not common on first cycle on Clomid. I am wondering if something else may be going on here. Have you ever been tested for fibroids?

[atomic sagebrush]

I definitely think something is up hormonally with those long cycles, maybe PCOS? I think 50mg Clomid is just too low a dose for you thus why you didn't O until so late. But you had a nice long LP so I doubt your uterine lining was thin on Clomid. I just really think you need 100mg to O in a timely manner. I would consider telling your dr about your past clomid cycle so that he will give you 100mg now, otherwise you could very likely have another long cycle on 50mg. Good luck to you!

Excellent point, if the LP was long that makes me question bad lining OR low estrogen

[atomic sagebrush]

Just read the short hand of that sperm meets egg plan and it says to bd every other day? Bd every other night Sways blue? I want to sway pink.
If bding every 4th day what do you start the day af has gone?

I had a letter from fertility clinic saying my treat
Ment plan will be provea on Friday followed by clomid and if I'm not over stimulated then it's going to be timed bd.

Does this mean they will be telling me to use a condom until they know if I o'd?
Even if I can't bd does DH need to release every 4 days?

SMEP is for people who are ready to get pregnant. Yes, it may sway blue, but because it's used so much by people with fertility issues, it is absoutely possible to get a girl while doing it.

The reason I recommended SMEP in that other thread is because I want for people to do EITHER pink friendly sway tactics OR SMEP. I do not want you guys going over old sways or obsessing over some "perfect" frequency that will BOTH sway pink and also boost odds of conception. There is NO WAY to do that. It is either/or. Either do a pink tactic or do SMEP. The inbetweens, both sway blue and also don't help you get pregnant anyway. NOT WORTH IT. Do pink tactics like one attempt at positive, or e4d, or else do SMEP if you want to get pregnant.

Yes DH needs to be releaseing every 2-4 days. They are NOT telling you to use a condom!!!!!!! Provera will make you have a bleed that acts like a period and then youll take the Clomid. This is exactly waht I would have expected and agree this is best course of action (and actually quite happy as in the UK often they won't give Provera, I don't know why)

[atomic sagebrush]

Why is she putting you on the pill? Did you tell her you're in a hurry to TTC? Honestly the Clomid would take care of the lining, there's no reason you couldn't start it immediately.

I agree totally but it's because the doctors in the United Kingdom have either never heard of Provera or have some phobia about it.

I have no explanation other than that I have seen about 500 gals who had legit medical need for Provera who would have been given in in US, Canada, Europe, or Australia, not getting Provera for no reason whatsoever. And when asked about it some docs had never even heard of it. ???????

[maidentomother]

Yep US drs are way more prescription happy generally, with all meds.