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Re: clomid appropriate for me?
From: Dona (anonymous@obgyn.net)
Mon, 17 Dec 2001 20:32:27 -0600 (CST)
Hi Lynn,
With elevated testosterone and DHEAS and cystic overies it most
certainly sounds like you have PCOS not just PCO.Misscarriage is very
common with PCOS because of low progesterone and would be another
indication of PCOS not PCO.I would ask for the 3 hour IGTT and see if
you are insulin resistant.Sounds like you might be IR do to the fact you
have been having weight problems.
Clomid has been shown clinically to work very well with woman with PCOS
and work even better in conjunction with Glucophage aka Metformin.I
would go ahead and take the clomid and if it dosent work this cycle and
you do not ovulate then I would ask the RE to let you take Metformin
along with it.
Even though you have ovulated on your own in the past you are not
ovulating every month and that is why cysts are present.You might want
to pick up a couple of books on PCOS. Dr Samuel Thatcher's "PCOS the
Hidden Epidemic" is a very helpful book and explains PCOS very well.
Good luck,Dona
>At Mon, 17 Dec 2001, Lynn wrote:
>I have been seeing an RE since this summer. He has diagnosed me as
>someone having PCO but not PCOS. He refuses to give me the PCOS
>diagnosis because I ovulate regularly (although he says, looking at one
>CD21 progesterone test, not well) and have always had regular periods. I
>have been trying to conceive a second child since 11/99. My son was
>born in 1/97 after only 5 months of TTC.
>
>The symptoms I have of PCO(S) are: elevated levels of testosterone (56),
>elevated levels of DHEAS (254), hirstutism, overweight, cystic ovaries.
>I have normal LH/FSH and cholesterole levels. My blood pressure has
>always been low. My thyroid tests are all normal.
>
>After several consultations, the RE put me on progesterone suppositories
>and agreed that I could spend the next six months working on a diet and
>exercise program. I did that, lost 20 pounds, became pregnant and
>miscarried. Now we are contemplating clomid which was the RE's initial
>recommendation. However, I am concerned since I *do* ovulate. The RE
>feels clomid will give me a "higher quality egg." Is this something it
>really does? He does not want to test me for insulin resistance, feeling
>I likely don't have it (not sure why he says this).
>
>Our infertility insurance runs out at the end of December and today is
>CD3. I am picking up the clomid today but have not yet made the
>decision to take it. Any thoughts??? I am very frustrated since I am
>not clear what treatment options would be best for someone like me.
>
>Lynn
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