Cycle thoughts?

[TaytumJ]

Here I am again, CD 53 and no O or AF. At this point, I'm guessing I'll need some medical intervention to conceive. I'm getting +OPK and everything, just no temp rise to confirm I am actually ovulating.

Just looking at my chart(s) going back to October, I feel like I can clearly see a moment where my body wants to ovulate, but just can't. I feel like I get so down and haven't even wanted to DTD lately - no real sex drive either. At this point, just going off chart (I know I'll probably need to do more testing with OBGYN) would anyone say this is low progesterone? I want to go into my doctor's appointment away of my options at this point. Just any advice of what I should be looking for/suggesting to my doctor would be great. I would just hate to go in there and have them suggest something, only to find out it's not even remotely close to helping me.


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[Dreamofpink]

I'm on my phone so can't see signatures, but are you breastfeeding at all?

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[djmommy]

DO you have any PCOS symptoms?

[nuthinbutpink]

PCOS is the first thing I would suspect. I would seek medical help for sure.

[TaytumJ]

Thanks for feedback, guys! I'm not BF as this is our first, and I suspect some PCOS, but I don't have many symptoms. Not overweight, lots of facial hair/acne ect., but I do think I have some cysts, although my GE was never every concerned with them. Last U/S I had in January I had one "larger" one on left ovary, but not a ton.

If it is PCOS, what do you ladies feel my best option would be?


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[XXforhubby]

I would start off by telling the doctor what is going on and showing him your charts. It is very clear that you are trying to ovulate, but you are not. I would let him decide what to do. He may want to give you progesterone to bring on AF, then either give you Clomid or Femara (this depends on the doctors preference). I would also expect blood work and maybe a scan to check out your levels and to see if you have any cysts. You may also need Metformin as well. This is what they did for several of my friends that had PCOS or were not ovulating on their own and had a randomly long AFs. Only one of my friends needed a trigger after one round of Clomid alone didn't cause her to release the egg like it should have.

I don't think it's best to go in with an agenda that you slowly bring up, if you don't like what he may propose as that could shut him down altogether. Every person is unique. This WILL happen for you- I just know it.

FX and GL that you get answers soon and your long awaited BFP!




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[purple]

I had a super long cyle when ttc #1, it was over 6 months so I got referred to a fertility specialist. The test results showed I didn't have PCOS but the ultrasound showed polycystic ovaries. I had a borderline high FSH level (9 or 10) but it wasn't tested on day 3 and when it was later tested on day 3 it was normal. I have no idea why my cycle go so screwed up. Anyway, the Dr prescribed provera to bring on AF and then clomid to make me ovulate and then I conceived DS1 first cycle.
I still don't know why I had that long cycle.. maybe I have PCOS but I'm not overweight, don't have excess hair (I do have some acne) and my blood test didn't indicate it either.

I guess just go to your dr and explain that your cycles are really long and they will do the tests and work out what is the best option for you.

[TaytumJ]

Thanks for your stories and support! I feel like everyone I know/everywhere I look, everyone is ovulating, even if they're not getting a BFP. I just feel so...hopeless. It's hard when your ovaries have one job and they can't even do that!

I just know there are so many options out there, so it's hard to know what will happen/won't happen so I just want to be prepared.

Your story gives me a lot of hope Purple! I'm hoping with only one round of something we can make magic happen. I suppose it's better to at least know WHY I'm not getting pregnant, instead of timing everything perfectly and still nothing. So trying to look on the positive side, but some days it's hard!


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[atomic sagebrush]

NO, that is not low progesterone. IT may be low estrogen or high prolactin. You are supposed to have low progesterone prior to ovulating. You WANT low progesterone before ovulation or it will inhibit you ovulating.

Don't go in suggesting anything to your doctor. I think it annoys them to such extent that it affects their judgement (they'll tell you to go home and wait another 6 months) and/or can sometimes start them off in the wrong direction (one time I went to my doctor and thought I had an ulcer and he was like "oh yes I agree" and gave me this super strong medicine that made me very sick, when I didn't even have an ulcer to start with!!)

Just go in, describe what is happening, and then they will run some tests that wil indicate what our next move needs to be here.

[atomic sagebrush]

I think this is related not to PCOS but to your coming off the BCP (If I am remembering the right person - you came off BCP to TTC, correct??)

I have seen this happen with some regularity with women who have been on BCP and most of the time all you'll need is Provera to bring on a bleed, at which point you may O on your own or you can be given Clomid or Femara to initiate ovulation. It is a really easy fix so please don't despair.