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PCOS: PCOS and fertility From: embryo (anonymous@obgyn.net) Tue, 25 Mar 2008 12:03:46 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Tracy: "Re: GYNECOLOGIC: Ventrosuspension" Previous message: William F. von Almen, II, MD, FACOG: "Re: PREGNANCY: PIH, IUGR & Steroids" Next in thread: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: PCOS and fertility" Reply: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: PCOS and fertility" Hello, I am a 24-year old young woman with PCOS, otherwise healthy, not overweight, no insulin resistance/Type II diabetes. My free testosterone level is fine, but DHEAS is high (14.7umol/L), ratio of FSH:LSH is 1:2. I had teratoma removed from one of my ovaries in 2002 and have recurrent cysts if there is no periods. I don't have periods unless they are chemically induced, and no ovulation as tested by Day 21 progesterone level. I don't have acne, maybe few pimples from time to time. I got married recently and we are trying to have a baby. I am a PhD student and at the moment unfortunately, cannot afford expensive reproductive treatment or fees that fertility clinics charge. My general obstetrician prescribed me Clomid alone which didn't help, and by help I mean induce ovulation (my progesterone levels were 1.6 nmol/L on Clomid (50mg alone). We tried metformin(1000mg) plus Clomid (50mg), which seemed to induce ovulation (Day 21 progesterone was 10 nmol/L), but I didn't get pregnant. Given what I described above, what in you opinion should be the next step? Should I try with the same regimen another couple of months or go to more agressive treatments? Any advice, comment from your side is greatly appreciated. Sincerely, Natalie Next message: Tracy: "Re: GYNECOLOGIC: Ventrosuspension" Previous message: William F. von Almen, II, MD, FACOG: "Re: PREGNANCY: PIH, IUGR & Steroids" Next in thread: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: PCOS and fertility" Reply: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: PCOS and fertility"

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