PCOS w/metformin & Clomid while ttc after a miscarriage & one live birth?
OPKs do not work for women with PCOS. If a woman has PCOS her body may continually produce false LH surges that are not indicative of impending ovulation. An OPK only tests for the occurrence of the lutenizing hormone (LH) surge that precedes ovulation. It does not indicate whether you have definitively ovulated afterwards. Just because you have a menses does not mean that you are ovulating. You can have anovulatory cycles- a cycle in which your body does not release an egg- and still have bleeding. The only way to know for sure if and when you are ovulating is for your doctor to do bloodwork on certain days of your cycle and ultrasounds. You can also chart your waking temp. If you are seeing no clear thermal shift when charting then you are not ovulating. Your temp charts are much more reliable in determining ovulation then a OPK. Clomid is used for many reasons. It is used for people who do not ovulate at all or for women who ovulate sporadically. Clomid is also used lengthen a short
Wow! You sound like me. Ok, it’s ok to take Clomid even if you ovulate, but if GETTING pregnant is not the problem, I don’t see that you really need it. But I know that the body produces a certain chemical that aids in the embryo attaching to the uterus, and women with endometriosis and some other fertility issues are often low on that chemical, which can cause early miscarriage. As far as your BBT, ignore the directions from the box. Make sure you take your temp every morning before you set foot out of bed. Also, use the OPK with your second urine of the morning. Take the Metformin before bed as it will make you nauseous, but it will also help you to lose weight (which is always a plus). And, PCOS women are usually overweight, but all it takes is losing 10% of your body weight and you will find yourself pregnant. The one and only way I have ever been able to lose 10 percent of my body weight was with Nutrisystem, and I ended up pregnant just a few months into the program.
clomid is for those who have trouble ovulating. It’s not only for those who never ovulate. Even though you’ve had your period every month it doesn’t mean you have been ovulating. With your BBT being all over the place I have a feeling you aren’t. You won’t have any increase in multiples anymore than other woman who take clomid. Clomid only raises those chances slightly. The metformin will most likely be what helps you carry to term. Woman with PCOS have a miscarriage risk of more than 50%. Metformin has shown to reduce that miscarriage risk to that of a normal person. Your dr will most likely have you continue the metformin till the 12th week.
Clomid also helps to know when you are going to ovulate so it may helpful in that way also. A lot of miscarriges with PCOS are due to the insulin resistance. The metformin is very important there because it helps regulate your insulin. It is also helpful in losing weight. My doctor had me stay on the Metformin through the first trimester to reduce the change of miscarriage and birth defects. I think the chance of muliples with clomid is 10% with or without problems ovulating prior to taking it.
