I've been on birth control going on 5 months.. I plan on taking it another 2 more months after and then my husband and I want to try to have a baby. I also have P.C.O.S. So my question is.. how many people have successful stories.. and how many haven't? What would my chances be? Please no sarcasm. Thank you for your time :)P.C.O.S and Birth Control..?
I have pcos I tried 2 yrs to conceive but it was worth the wait. I was on metformin and clomid. Now my son is 2 1/2 yrs and I have been trying to conceive for 6 months I am on the met and a high dose of clomid. If you are overweight try to lose a few lbs. When I lost 30# thats when I got pg. Try some of the trying to conceive forums. It really helps to have the support. BC will help you actually because after stopping it your periods will be regular. I would track your cycles and figure out when you are ovulating. There are sticks you can get to show when you are ovulating or you can watch your body's signs.P.C.O.S and Birth Control..?
i have pcos but no success story yet. i am only on metformin but hope to add clomid as soon if doc okays it at my next visit.
you should visit soulcysters.net for success stories and lots of other info.
what i would say is that some women with pcos have a cycle or two that is ovulatory after coming off the pill so start trying as soon as you get off of bcp's. i would not try for longer than 6 months without seeing a specialist. once you stop the pill, i wld track my bbt to see if you are ovulating.
Polycystic ovarian syndrome (PCOS) is a condition in which there is a hormonal imbalance within the ovaries. Normally the ovary produces:
Oestrogen (the female hormone)
Testosterone (the male hormone) and
Progesterone (the pregnancy hormone)
Progesterone is only produced after ovulation or an egg has been released.
In this condition, oestrogen may be produced in normal amounts, testosterone may sometimes be produced in excess and progesterone may not be produced every month because the woman may not ovulate every month. There may be an imbalance in the amounts of oestrogen versus testosterone that may prevent ovulation. We are still unsure as to why women develop PCOS. In some women it may run in families, in other women it may only occur if they are overweight and will then correct itself once they lose weight.
Women who have PCOS may have the following problems:
infertility due to lack of ovulation
excessive or male pattern hair growth (hirsutism) due to imbalance between oestrogen and testosterone
irregular menstrual cycles (cycles which are either less than 21 days or more than 35 days apart)
heavy bleeding due to lack of ovulation
obesity
Most women will present with the problems of abnormal bleeding, hirsutism, infertility or less commonly with obesity. Some women with PCOS may have a higher than normal miscarriage rate if they become pregnant.
Diagnosing PCOS
The diagnosis of PCOS is made primarily on the woman鈥檚 presenting history and examination. The diagnosis can be confirmed on ultrasound or by measuring the woman鈥檚 hormonal levels. If the ultrasound and the blood tests are normal it does not mean that the woman does not have the condition. However, it has also been found that women who do not have problems with their periods or of excessive hair growth can have ovaries which on ultrasound have the appearance of being polycystic.
How is PCOS treated?
The treatment of a woman with PCOS will depend on the presenting problems. For example, the problem of hirsutism will prevent treatment for infertility.
If a woman presents with irregular heavy bleeding, the oral contraceptive pill (OCP) is the treatment of choice, both to regulate the cycle and to prevent over growth of the endometrium (lining of the womb). Progesterone can also be given to replace what is not being produced monthly. If hirsutism is the problem it can be treated using the OCP as well as with drugs that act against testosterone. If these drugs are used it is most important that the woman use a reliable form of contraception as they may cause genital abnormalities in a male baby if the woman becomes pregnant.
If infertility is the problem then clomiphene citrate (CC) (Clomid or Serophene) given orally for 5 days early in the menstrual cycle may induce ovulation. Ovulation can be induced in 80% of women using CC and pregnancy rates approach those seen in the normal population (20-25% per month) provided that there are no other factors affecting fertility. The commonest side-effect with CC is hot flushes. The multiple pregnancy rate with CC is 5% and the majority of these multiple pregnancies are twin pregnancies.
If CC fails to induce ovulation at maximal doses or if the woman has tried CC for up to 6 cycles in which she has ovulated but has not become pregnant, follicle stimulating hormone (FSH) at low doses may be given. Prior to using these drugs the treating doctor will want to (if she/he has not already done so) make sure that the woman鈥檚 Fallopian tubes are open and that her pelvis is normal, by performing a laparoscopy and hysteroscopy. These drugs are given by injection and when the woman uses these drugs she needs to be monitored using blood tests and ultrasounds to make sure that the drugs are not causing her to develop too many eggs. The aim when these drugs are used is to cause only one egg to develop (similar to in a natural cycle).
Nevertheless, the multiple pregnancy rate may be 20-30% with 80% of these multiple pregnancies being twin pregnancies.
Weight loss is also of paramount importance. The disease process may be reversed with loss of weight and there is also evidence that the higher miscarriage rate may decrease to that in the general population with weight loss. A dietician may be required.
An operation called ovarian drilling, performed at laparoscopy, can also be used to treat women with PCOS. This operation is usually reserved for women who want to be pregnant, and who have not ovulated on CC. In these women it may be used as an alternative to HMG or FSH. During this procedure the ovary is cauterized by drilling into it in a number of spots. We do not know exactly why this procedure works. If the operation is successful the effect may be long lasting.
In a small number of women, PCOS can be a very severe disease in that it can lead to the development of diabetes with all its complications. If the doctor suspects that the woman has this type of illness, she may need to undergo testing to make sure that she is not currently a diabetic. If diabetes is diagnosed weight loss, diet and the possible use of tablets may be necessary.
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