So many tests, so few answers!

[atomic sagebrush]

I have not been diagnosed with PCOS. I'll be 32 on Thursday. No way I missed the surge. BMI is 27.6

When you're carrying a bit of extra weight you can have PCO tendencies even if you don't have the syndrome full blown.

[atomic sagebrush]

It's tough with PCOS...have you looked into a zero interest CC? Are you on metformin? How is your BMI?

I would consider metformin or Pregnitude/inositol as an option if you can't get met. May help prevent this from happening in the future.

[ThinkinPinkin]

oct11thcycleOPKs.jpg

This was my OPK's up until yesterday. I took a pic of them today with yesterdays and today's together that I'll upload. I'm so confused. Digital OPK says no surge but 2 or 3 of these wondfo's look positive to me. Ultrasound yesterday confirmed no ovulation.

[The Anchor]

I don't think any of those are positive but I think you are SERIOUSLY close! Maybe today or tomorrow? Good luck!

[nuthinbutpink]

If your ovaries have cysts all over them, you are likely PCOS. I would go to a RE.

[ThinkinPinkin]

oct11thcycleOPKCD26.jpg

Dr called and I have two more cysts on my left ovary... one of which is 18mm so I'm hoping it's an ovulatory follicle and that I'll be ovulating in the next few days. This has already been the longest cycle I've ever had.

[ThinkinPinkin]

I'm slightly dyslexic. LOL. my BMI is 26.7 and dropping. I lost 2.2lbs over the last 5 days.

[atomic sagebrush]

FX for good news. PCO can cause long strings of pos/nearly pos OPK but hopefully this is your ovulatory follie.

[maidentomother]

Based on everything you and your dr have said and the week of dark OPKs in a row (indicating high LH levels, extremely common with PCOS, to the point that often OPKs are essentially or completely useless, since they can be close to positive or fully positive all cycle long), I definitely think you have at the very least PCOS tendencies/borderline PCOS, if not actual fullout PCO(S).

I think either you need a higher dose of clomid (very often, ladies with PCOS or PCOS tendencies O late or not at all on 50mg, and don't O in a timely manner on less than 100mg), or possibly you would do better on for femara. Even if you were heavier and responded well to clomid in the past, just being a few years older and eating the wrong diet (high carb, especially high in refined carbs/sugar) can be enough to push you into PCOS territory. I would be sure to discuss raising your clomid dose or switching to femara for next month, if you don't conceive this cycle.

Best of luck regardless!