PCOS & Ovulation Induction: How Can You Ovulate With PCOS?
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- čas přidán 27. 06. 2024
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Fertility doctor, Natalie Crawford, MD answers your questions about ovulation induction with PCOS. Learn more about polycystic ovarian syndrome - what causes the cysts? What can you do to improve your PCOS? What are the differences between metformin, clomid (clomiphene) and letrozole (femara) for ovulation induction? What questions should you ask your doctor about PCOS?
Answered in this video:
1. What is PCOS?
2. How can you ovulate naturally with PCOS?
3. What lifestyle changes are best for PCOS? Is there a PCOS diet?
4. What is clomid?
5. What is femara or letrozole?
6. Is clomid or femara better for ovulation induction with PCOS?
7. Is metformin helpful with PCOS?
8. Do I need to be on metformin if I have PCOS?
Articles reviewed:
www.nejm.org/doi/full/10.1056...
www.nejm.org/doi/full/10.1056...
*I am a doctor, but not your doctor. The information in this video is educational and not medical advice. Please ask your doctor medical questions. You can schedule an appointment with me at Fora Fertility (info@forafertilityaustin.com) if you live in Texas and would like to be seen as a patient.
Other resources:
Fritz and Speroff, Clinical Gynecology Endocrinology and Infertility, 8th edition, 2011
www.asrm.org/globalassets/asr...
Azziz R. Introduction: Determinants of polycystic ovary syndrome. Fertil Steril. 2016 Jul;106(1):4-5. doi: 10.1016/j.fertnstert.2016.05.009. Epub 2016 May 26. PMID: 27238627.
www.acog.org/womens-health/fa...
#fertility #PCOS #nataliecrawfordmd
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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
My heart is breaking knowing that I have to do THIS MUCH research just to figure out how to get my body working 😔
I feel you
In the same boat my friend
@@Genevieve4373 I finally gave up and went to my ob. About to start my second medicated cycle
I know how you feel sis!!!!
I feel ya 🥺
Letrozole and Metformin got me pregnant after 7 months of being on it. I responded really well ovulated every month I was on it. Now 13 weeks pregnant! I’m so excited!
Congratulations, just so I’m correct you took both together? How many mg of letrozole and metformin did you take ? Im currently taking 1,000mg of metformin . Thanks
@@Kai-su2xt thank you! I took 1500 mg of metformin and 5 mg of letrozole. I don’t ovulate at all without letrozole. We tried just metformin first and it didn’t work so my doctor had me on progesterone to bring on a period then letrozole. Ovulated every month on it. My body really took to the letrozole
@@scottishgirl1100 thanks so much. Last question how long did you take the metformin before you started the letrozole with the merformin?
@@Kai-su2xt no problem :) my doctor wanted me to try for 3 months on metformin alone before starting letrozole
Congrats & wish you the best!!
I'm one of the lucky ones who cleaned up their diets, lost weight, exercised, totally eliminated sugar. I was still single, not even trying to conceive. I was just doing all those things once I learned that I had PCOs at 29 to help my body conceive when I meet someone valuable and when I'm ready to have kids. I know it sounds weird, but I was getting my body ready. I've been irregular all my life. But all these changes really help clear up my skin and improved my cycle.
Fast forward, I met my husband at 32, also took stuff like vitex and conceived 2 healthy kids out of the blue, we weren't even trying. I was just off the pill. If it happens, fine, if not, fine, no pressure.
They are both great surprises. My son is now 4. My daughter is 18 months. 2 kids is more than I could ever dream of so I'm good. Almost 39, I won't push my luck. I am well aware that I was lucky and that a lot of women are struggling to conceive naturelly. I'm truly grateful everytime I look at my kids. I am praying for the ones who are trying. Good luck. Try to do all the things she mentionned, lose weight, clean up you lifestyle. It won't hurt. Fingers crossed you'll conceive soon.
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS
What life changes did you adopt...i am 24 and My irregular cycle started 8 months ago when we started trying for pregnancy... everything was normal before.... I am diagnosed with pcos a month ago... What should i do... What did you do can you tell please
@@farwataqi7427 Are you a patient too if yes I'll advise you reach out to Dr iyaremoses on CZcams to order his natural herbs medications works perfectly with no side effects
I am a man whose wife have PCOS, milion thanks to you Doctor, for explaining what can be done and what this syndrome/disease is! Thank you!
Getting off birth control also makes you temporarily very fertile although doctors aren't sure why. Also, I have PCOS but lifestyle modifications don't help enough to cause frequent enough ovulation. I've gone 9 months or more without having a period
Thank you for saying “there is noting wrong with you” because a lot of the times our doctors and medical professionals tell us “you can’t have babies, you are infertile, you need to go see an infertility doctor, PCOS never cures” so thank you for giving hope! Happy New Year from CA, may all for us be happy and blessed in 2023! 🎄
Pregnancy?
As someone who has PCOS, thank you for being so thorough in your explanation. There’s a lot of info (sometimes conflicting) on PCOS, so it’s helpful to have some basis to the “why” and “how” part of recommendations.
So I just want to put this out there. I had undiagnosed PCOS for all my adolescent life. I had 1 period when I was 12 and no more after that instead of believing I was a virgin and there might be something wrong with I was made to take pregnancy tests. I ended up with endometrial cancer because of the build up when I was old enough to get my own insurance. Ignorance is powerful. So I appreciate what you are doing by informing people. You and people like you are helping make a huge difference. I went through all the treatments you mentioned and then had to do 6 rounds of ivf to finally get pregnant with my daughter.
God is great
I have pcos and periods are so irregular I had only 1 time period in 2022....and ignoring this....gonna die soon...
I also had undiagnosed PCOS my entire adolescence. Plus too much prolactin. I was always chubby, could never lose weight. My first period I had when I was 13. Then I had 2 more until I was 19 and they figured out what I was suffering from. I wish I had gone to the doctor but I honestly never knew it was an issue, until I got abnormal hair growth and acne. We need to educate girls about their bodies. This lacked in sex ed.
You are the only Doctor that I've watched in my entire her on CZcams who explains things about medicine and stuffs about PCOS so clearly!
So glad to hear that!!
Me here waiting patiently for my gyno appointment that takes months here in Canada doing all .y research here. Thank you for the information!!! Really answering all the questions my family doctor doesn't have.
I have PCOS for years.. I expected that I will be having trouble being pregnant. I got married Dec 2022 while currently taking metformin.. got pregnant next month (January 2023) 😅
I am so happy for you.
Pls tell me what your lifestyle was like.
Did you take any other treatment?
I'm a medical student and this video was absolutely amazing, thank you for such a clear explanation of this!!!
Thank you!!
I'm sure you get lots of great feedback, I just wanted you to know, my wife has been diagnosed with PCOS, and I've watched several videos. Yours by far are the most informative and straight forward for me to understand as a man LOL So I just wanted to thank you for putting these out, and thank you for your thumbnail labelling because I had no intentions of sifting through rando videos looking for answers, so seeing PCOS made my life easy :) Keep up the work.
I'm so glad to hear that! Thank you!
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
I think it’s awesome your researching in support of your wife!
OH MY GOSH!!! This is exactly what I needed. There is SO MUCH vitriol around "natural ovulation".
So glad to hear this!
Really appreciated the information here. I've watched dozens of PCOS videos and this was the best one.
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
This was super helpful! Thank you !!!
I appreciate her so much! She gives hope
Thank you so much for this video. I was just diagnosed with pcos; I had been suspecting I had it for a while. It's really helpful to hear this information before it comes up with your ob so you can truly understand what your signing yourself up for. If you have any more info, I'd appreciate more videos. Thanks again so much
I thought it might be worthwhile to say that while Metformin may not do as much directly for getting pregnant, it did help me to lose weight when I had been trying for a long time. With insulin resistance/PCOS losing weight can really be difficult and for me Metformin was/is a very helpful solution and in that way was also very helpful in my fertility journey.
My wife has been trying to deal with PCOS for for almost our entire marriage of 24 yrs. We eventually went to adoption after trying for eight yrs and two yrs after diagnosis. I do have questions about the almost 0% of desire and the thinning of the inner lining that she was told has been happening over all these year’s. I’ve tried to research to have an better understanding and try to not stress her more than she has been over the year’s.
Yet another super informative and insightful video! Thank you 🙌🏻
Hi! Mini Ava is so cute! Thanks for this video! I enjoyed it!
Thank you so much Dr. Crawford! I'm going to be going on my first letrozole treatment soon after being on metformin for about five months with PCOS and after a leep procedure. My husband and I sure would be so excited if it works. Your videos really help to get a straight forward explanation about what's going to occur.
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
Did it work?? Update please
I've seen alot of videos about pcos and this one is the best one I've seen through last few years!! Thank you so much for sharing your knowledge in a way for us to understand better!! I've seen many videos on it but every one talks more about the women with irregular cycles being too long. Can you please do a video on pcos irregular cycles that come each month but too soon. I've been diagnosed with pcos but my periods are too short being only 21-26 day cycles. Thank you again for explaining everything so well
Very well explained! On my 3rd cycle with letrozole hoping for good results. Thank you for all you videos Doc.
Hi there
Can you please give any update?
Update
Hello hannee we’re you able to conceive with letrozole
I didn’t know you could get this for pcos my mum and sister both take it coz they had breast cancer
Thanks for this! Have you ever seen a woman with PCOS that ovulates regularly, but maybe has “weak” ovulation and thus difficulty getting pregnant. Thanks for this video!
I’ve been wanting an answer to this as well!
I was also wondering this!
Yes especially if ovulating on different days or a short luteal phase - like it’s almost normal but not quite (see luteal phase defect video)
Yes I did.. I have pcos and iam getting periods regularly.. Am doing yoga 🧘♀️.. And yes dieting
@@NatalieCrawfordMD what is the treatment for this ?
Hi Natalie!! I LOVE your channel and podcast! As someone with PCOS who is trying to conceive, I am eating up all the videos and episodes to learn as much as I can. Are you still planning to do a live video for PCOS questions? I hope so! I'd be first in line! In case you don't...I am going to jot my question here, and maybe you or someone else might answer :)
I am curious about follicles that have remained on the ovaries for an extended period of time. When PCOS ovaries try to ovulate but don't, does the vault just keep releasing eggs? How long do the follicles stick around? AND when clomid or femara is taken and one of the follicles finally grows large enough to release an egg, is there any indication that there is a higher chance for genetic abnormalities? Thank you and love love love the work you do!
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
Could you think there is any connection between my having pcos and a pituitary adenoma? Would be curious to hear your thought on pituitary tumors and their impact on reproductive health. Just subscribed!
Wow I have never had anyone explain PCOS so well. Thank you!!
I take metformin and progesterone. Also my doctor put me on diet and I fast 16 hours a day.
I really hope it works
Hi! Thank you for the videos. :) I have neonatal hypothyroidism and potentially pcos, do you think metaformin would help me too?
Can you do a video discussing hyperprolactinemia and infertility?
Well explained Doc. THANK YOU
Glad it was helpful!
Thank you for this helpful video ❤️
I hope you can talk more about unexplained fertility, assisted pregnancies after 40, POR / DOR, Empty follicles syndrome...
I have learned so much from you than 12 years of me trying to go to doctors and trying to figure out infertility issues.
Are you still taking patient?😅
Thanks doc! 💖 from Philippines
Thanks for this video, very helpful! Do you know much about Ovasitol? My GP recommends Metformin for me but I’m hesitant because of the likelihood it’ll work/ side effects from it. I’ve heard good things from Ovasitol and am curious about your thoughts please 😊
I would love to know this as well! It took weeks of being on metformin for my headaches, nausea, lack of appetite etc to go away. I've been on it for 3 months now and still have the stomach upset daily. I'd love to know if ovasitol would be a better option
I’ve had very irregular periods since my very first period. I’m the “thin” type pcos. I was overweight a few years ago, I cut out flour and went “gluten-free” (wheat free) and lost all that extra weight and am now a normal weight at 38 years. I only have 1 or 2 periods a year. It’s frustrating! I’m going to see a doctor to help treat my ovulation because my husband and I want to ttc one more time. 🥰 My pregnancies are very spaced out like 6-7 years because of these ovulation problems!
My doctor gave me Metformine but it made me really sick 😭
I was really worried that it armed my chances for the next IVF.
The timing of your video was perfect for me 🙏
Ask your doctor for metformin extended release. I got super sick off normal metformin too but the XR doesn’t hurt my stomach.
@@kristing1350 it's a shame I didnt see your answer earlier, my puncture is on tuesday so it's too late but it's going fairly well so 🤞
please do a video about lifestyle tips
Could you make a video on mittelschmerz and discuss if there is any relationship between ovulation pain and PCOS and/or endo?
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now....
Omg I wish to know this too
Thanks for the great information, I love your videos.
Could you do a video on using Soy isoflavones for long cycles while TTC to bring ovulation forward. I have heard so many success stories but I am a little scared to try. I have 35-45 day cycles and have never ovulated earlier than day 20 so would love to shorten that to get more chances!
Thank you for this video, I have many of the symptoms of PCOS and now I'm starting to plan to have a biological kid. I was happy to hear you talking about the vegetable protein choice. I'm already doing that since I am vegan (even though it is for ethical reasons it was beautiful to hear you say that!) I'd like to add that being a bit overweight myself, this vegan lifestyle it's been helping me to lose weight and my period has regulated to the point of having 1-4 days of difference between cycles, as opposed to the difference of 8-12 days I had 4 years before. This video was very insightful and helped me understand more about how the brain works and reacts, so thank you for the time and effort to do this :)
Would love to hear your specific recommendations on inositol!
Did know you could use letrozole. I will ask my gynaecologist about it. My mum and sister take it for breast cancer.
Thanks for this video it's real helps me a lot.i hope you read my comment Im pcos 10yrs ago but now i dont have a pcos if i dont have it do i ovulate now naturally or not? I hope you do a video regarding this so we can understand more 😊😊😊 thank you and Godbless Doctor
Can you do a video on empty follicle syndrome? Or if there is even such a thing.
So I just recently got diagnosed with PCOS after TTC for 10 months with no luck. I ovulate every month and have egg white discharge during the fertile window but my cycles are around 40-42 days. What would you do for a patient with this? Tsh is also high so starting levothyroxine soon.
I'd ask your dr to put you on a natural thyroid hormone. Levo SUCKS. They'll probably resist because levo shows "normal, bloodwork ranges but you'll feel like crap. The natural is harder to regulate on bloodwork levels but you'll feel great!
I have always had a period every month & getting an LH surge every month, but nothing was happening. I was just diagnosed with pcos this week. Starting letrozole, metformin & cabergoline now since my prolactin was a little elevated. Hoping this finally helps us conceive. Thank you for this very informative video!
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
Have you been able to conceive ??
@@rachelveektaw4349 my period was delayed after starting metformin for some reason. Skipped all of June. Cycle just started, so now I’ll start taking letrozole on cycle day 3. Hoping it happens for us soon.
@@rachelveektaw4349 Are you a patient too if yes I'll advise you reach out to Dr iyaremoses on CZcams to order his natural herbs medications works perfectly with no side effects
@@janieesparza1491Hii have you conceived yet ?? My Dr gave me Letroz to take on the 3rd day of my period upto day 7 ( 5 tablets per month) . And Fertisure tablet every night after dinner .
Thank you for all your videos! I was wondering if you could answer this.
I have ovulated in the past and have had LH surges. I have recently had a miscarriage three months ago and got the go ahead from my doctor to start trying again. This cycle I have yet to have an LH surge and it says that I should be ovulating. Should I be worried?
I have a doctors appointment in 4 weeks and I want to ask my doctor about getting on letrazole, I’m currently on day 46 of my cycle and haven’t ovulated (checking BMI & LH). My doctor gave me medroxyprogesterone to start my period but the thing is I’m not sure if I should start it now, wait a few more days to see if I ovulate, or wait until my appointment that way I can start taking letrazole as soon as my cycle starts over.
What would you suggest?
I was blessed with a baby twice 💕 with the combo! I have 1 , 11 yr 1, 6 yr hopefully 🙏 for baby 3
Good luck!!
What's the combo?
What about myo-inistitol? Have there been any studies on pregnancy rates for pcos while taking inistitol to treat pcos?
Super helpful for a better understanding of all of these, currently waiting for my period I will be starting my first cycle of Letrozole 🤞🏽
Good luck!!!
Have you been able to get pregnant with letrozole
Has anyone ever been told they can’t get pregnant because both Fallopian tubes are positioned abnormal, as in both not sideways position instead are up? I’m wondering how common or uncommon my situation is
Hi Dr. Crawford! your videos have been really informative and helpful. I would like to understand do people diagnosed with PCOS always have it (meaning ever since their first menstruation their ovaries release more eggs each month thus messing up the hormonal balance)? Do the symptoms simply show at a later time for some than others? If someone had a successful pregnancy before but now is showing symptoms of PCOS and having difficulty conceiving again, what are the chances that PCOS only developed after the first pregnancy? And what factors could’ve caused the development if it is new? Thank you so much!
I want to know this too this is my story I never had pcos had normal periods before then 4 years later after 1ST pregnancy I ended up having pcos
How do you ask your doctor if it is a brain issue of not producing enough FSH? I don't know yet if I ovulate or not.
I just got diagnosed with PCOS and I have my ultrasound to check for cysts in a few weeks.
Hi! Just found your channel ❤️ I started seeing a fertility specialist and found out I have PCOS, uterine fibroids, thick uterine lining (for a year now), bleeding for most of the past year and the fertility specialist sighed very loudly while discovering the third thing 😳 hahaha!!! So I was wondering what causes all these things to happen all at once. I unfortunately don't know anyone who has all the same issues as me.
Me i do
@@KayandMartin9194 I want to say yay... But, it doesn't seem like something to celebrate lol
Eat clean and organic, no or low GMOs or processed foods. Maca root helps fertility issues. Exercise and get good quality sleep, plenty of water, and keep stress low. Evening Primrose Oil to adjust hormones.
I have PCOS, hypothyroidism, and IIH (idiopathic intercranial hypertension) and am not ovulating :(. I have tried all these tips - but what level should my TSH be at ? My dr says is fine but I think it’s high. Could my IIH be causing infertility as well? I’m on metformin, synthroid, progesterone and letrozole
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
I've been on metformin 4 months and haven't ovulated since but I always get my period
It's best to try natural remedies before any prescriptions. Eat a clean organic diet, no GMOs or processed foods. Take Maca root for fertility. Evening Primrose Oil soft gels for hormones and immune health. Get plenty of water, good quality sleep, and exercise. Keep stress low.
I’ve been tracking my ovulation this month and I’ve only gotten flashing smileys and no static smileys. And my strips that I use all read low. Does that mean I didn’t ovulate or have a problem ovulating? I have a ultrasound on the 16th to check my ovaries and everything. I don’t have pcos that I know of but I am having irregular cycles.
Just checking in. What did your doctor say after the ultrasound?
Hello I was curious if you have ever heard of Ovasito|® instead of using Metformin
What about if your menstrual cycles are very long?? I ovulate but then keep menstruating for 1-2 months sometimes and have already been diagnosed with PCOS.
Hi my name is Andres my wife is 33 weeks pregnant we went through IVF but now she was diagnosed with gestational diabetes my wife will start take insulin do you think by her taking insulin will harm the baby?? Thank have a great day
I had pcos and it was confirmed last yr, I was never ovulating. Then I went on a 59 day bleed, it seemed scary but actually my blood count never dropped compared to women who had regular cycles. That 59 day bleed started in July, I went to my OBGYN and she said she sees it. Sometimes the woman’s body begins to regulate with sudden changes. The only thing I did differently was I lost almost 30 pounds in two months. I also was eating foods without sugars and all whole food -organic. I had no blocked tubes, no cyst, I do believe it was a brain thing not ovaries Becuz they were fine as well. No thyroid issues. Sure enough like my OBGYN said track to see if cycles kept coming I would then only have a 3-4 day cycle and when testing I’m now seeing my high fertile days. Currently TTC and praying hard for this months.
Can any of these medications you talked about cause cancer or have a certain % of cancer risk? Thank you!
Hello! I have PCOS and I’ve been on Chlomid for 3 months. We tested my progesterone on cycle day 21 and it was 58ng/ml …. The chart says that would be a women in her 3rd trimester! I’m on the 3rd day of my period rn and haven’t gotten a positive. My doctor had no answers as to why my number was so high. Do you have any ideas???
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
Do you know if ovasitol is also good for getting pregnant on PCOS? I am currently taking it and not on metformin.
All Clomid and MetForman got me was a Pulmonary embolism witch is a blood clot in the lung and almost killed me I was 23 at the time and haven’t been able to get pregnant yet (29 years old now)
It's best to try natural remedies before any prescriptions. Eat a clean organic diet, no GMOs or processed foods. Take Maca root for fertility. Evening Primrose Oil soft gels for hormones and immune health. Get plenty of water, good quality sleep, and exercise. Keep stress low.
Can you please make a video about how PCSO affect pregnancy, after someone is able to conceive?
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
I was diagnosed with pcos ten years ago. Back then I was not interested in starting a family. But now I am. I was given clomid but did not conceive. I ate less and less and lost about one stone and a half. But the slimming is quite slow. I do however have regular periods but when I do an ovulation test it never comes positive or is confusing. I have taken supplements but still no joy. Should I just get down route of IVF as I am 41 and worried about the biological clock? Any advice is welcome.
So I have really regular periods, to the day, and I’ve had my thyroid checked too, and I’m 8 years I’ve only been pregnant once and it was chemical. I’ve had another GYN say the same, if periods are regular, you should ovulate. What is the likelihood you aren’t ovulating if your period is regular?
My question as well
I have the same question
I have the same question also I have my periods every month and its regular
My daughters doc said she would give her Letrozole if the Clomid didnt work after 6 cycles. Well she only ov once on the Clomid. She just went to the doctor and now she said she didnt say that.. that Letrozole wasnt FDA approved for infertility so she wont write it now. She said she could try Clomid again in May since you can only use 6 cycles a year of Clomid. She also upped her dose of Metformin from 1000 mg a day to 2000 mg. She has been BBT for a yr now. She has only ovulated 3 times, once naturally, once on clomid alone and once on metformin alone. She is so frustrated. She was already keto, lost 80 lbs and even that didnt make her ovulate.
Letrozole is a breast cancer drug that’s probably why. My mum and sister take it and both had breast cancer
And what about myo-inositol? I have (lean) PCOS and was able to conceive twice (one baby and currently pregnant), and I think this helped me a lot getting better ovulation! I didn't need ovulation induction (took 7 months - 4 cycles... - for my son and just one cycle this time). But maybe I was just lucky!
Curious about this too
Which myo-inositol you used?
Yes I wonder also about inostitol as it will have less side affects than presciption medication.
I would also like to know which myo-inositol 😊?
That is true. There are new suplements that are coming with myo-inositol that is helping reducing the insulin resistance. You mentioned you did not need to induce ovulation, did you Change your diet and added gym to reduce the insulin resistance? Is your cycle now regular without myo-inositol?
The weight thing drives me nuts. 34F and was finally diagnosed yesterday. I have never had normal cycles nor have I ever been over weight. In fact my lack of typical physical attributes, other than acne, prevented drs form taking me seriously. I am also hypoglycemic. Everything online blames weight and diet. Thank you for putting out informative non-patient blaming information. I will be going over what my dr thinks is best for me at my next appointment, as we only just got the results back from my ultrasound.
same!! i was slightly overweight as a teenager but i lost about 40 pounds and still haven’t had a period. my blood work came back perfect, i was seemingly healthy. we did an ultrasound and without a doubt i am polycystic. i am also vegetarian (mainly plant based) so my diet is also great. everything online says to lose weight but if i do then i WILL be unhealthy. it’s somewhat comforting to know people share my struggles, but i am very sorry at the same time that you do
What causes the ovaries to over produce follicles? Can this be considered a birth defect? Is there something after birth that can cause the ovaries to do this? Are there some peer reviewed studies about the over production of follicles in the ovaries that you are aware of? Thanks for the great videos!
For people with POCS, it os belived the cause behind it is insulin resistance. That is why some doctors starting tackling the insulin resistance first through organic diet, weight training and sometimes a medicine that Will reduce the resistance.
I have PCOS and had been put on birth control to help regulate my periods, in the past. However, I got a blood clot in my leg and two in my lungs, and now I can't be on any type of hormonal aid at all. Im on blood thinners now and will need to switch to a blood thinner shot when I do eventually concieve. Is there anything I can do to help my body ovulate and conceive without hormonal aid?
Is it possible to ovulate earlier in your cycle with pcos ?
Hi, I have small cysts on my right ovary, I am very regular for my period lasts 3 days and the 4th it starts going away, I weigh 152 lbs I do have my triglycerides pretty high which I am now going gluten and dairy free basically eating better, they wanted to put me on birth control but i don’t want to, would I ever get pregnant I am 22
Is it possible to have regular monthly periods and have PCOS? thank you so much♡
Yes, loss of periods is just 1 out of 3 of the possible criteria. But you wound have to have cysts on your ovaries and Hyperandrogenism ie facial hair, acne etc
@@scottishgirl1100 thank you♡
This ❤️
is there any reasons why my OB is not recommending clomid to me yet? i’ve been on metformin for over a year now but i still have no period and ovulation. i’m trying everything i can think of to conceive before paying for infertility help.
Pls how can I can I can I boost my hormone and ovulation .
I'm currently on progesterone, 500 mg of metformin (daily), and 5 mg of letrozole (Cycle Days 3-7). Been TTC for a year now. So far no luck with ovulating :/
Eat a clean organic diet, no GMOs or processed foods. Take Maca root for fertility. Evening Primrose Oil soft gels. Get plenty of water, good quality sleep, and exercise. Keep stress low.
Hang in there. I’m doing the same things ❤️
Out of curiosity, why can't ongoing ovulation medications cure PCOS? I don't understand why ovulation induction medication is only given for ovulation purposes when TTC with PCOS rather than on an ongoing basis if ovulation is what the body is 'supposed' to do in healthy individuals and why they can't cure the condition in certain cases if it's done on an ongoing basis and you get rid of those accumulated partially matured follicles in the ovaries by doing this. Can you clarify the causal mechanism of why PCOS cannot ever be cured through that approach if the partially matured follicle accumulation in the ovaries is causing your PCOS symptoms? Thanks.
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
I had pcos my doctor prescribed metformin and clomid and I got pregnant but I lost the pregnancy at 8 weeks, I have not gotten pregnant for almost 4 years I will be 39yrs should I try letrozole and metformin since I conceived before with metformin?
Can you get a hysterectomy for pcos? I have 3 children. So I am not looking to get pregnant. I just want to get rid of the symptoms.
I’m currently taking metformin and letrozole together. My follicles haven’t grown at all after increasing my dose. What do I need to do to help follicle growth? This is my 1st fertility med treatment cycle with possible IUI, but if no growth by my 3rd ultrasound it’ll be cancelled.
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
It's best to try natural remedies before any prescriptions. Eat a clean organic diet, no GMOs or processed foods. Take Maca root for fertility. Evening Primrose Oil soft gels. Get plenty of water, good quality sleep, and exercise. Keep stress low.
My mum took letrozole for breast cancer didn’t know it can be used for pcos
Thanks so much. I wish you were my gynae. Cysts are the bane of my life. Currently have 2 simple cysts which my doc says we can wait and watch. Can I exercise and do ab crunches with cysts. Thank you so much
go watch the ovarian cyst video!
Hi mam thank you for your explanation
I am taking letrozole 2.5 mg and metformin1000 mg and prenatal tablet
I am 73 kg
So I am in weightloss journey too
My question is
Can I do low impact workout daily
Excercise will affect to get pregnant
Please reply mam
@@amritha825 thank you so much for ur care 🙏🏻
But I am not in India now
I have PCOS, and I have a clockwork period! Eggs are still not being released so it’s hard to say what exactly is happening. But I have all other symptoms of pcos it’s so frustrating.
I’m going through the same, Bella Bella. I have an appt with my OBGYN to discuss it. It’s a good thing these videos are posted because they help you to know your options, when your own doctor does not recommend them. I feel watching this video has given me insight to have a better discussion with my GYN. Good luck to you in your TTC journey.
Update***- just had a transvaginal ultrasound and have 2 subserosal fibroids and corpus luteal/physiologic cyst on both ovaries. Have a new appt with OBGYn to discuss next steps with TTC. 😓
That's exactly what I'm going through😢
Hello! Please answer this question for me 🙏🏻
I have PCOS (
Exactly what I'm going through too. I have regular period but not ovulating. Doctor said I have Picos. I don't know what to do
@Claudines Empire switch to a better ob/gyn like the doctor on this video. A doctor shouldn’t just tell you you have PCOS & not help you, because there testings & medicine out there that can possibly work for you. Not every title “MD” is the best. Good luck
Yes, sometimes people with POCS might have their periods but not ovulate. You can talk to your doctors about inducing ovulation
If a person has POCS and as a result suffers from hormonal acne, would using birth control as a treatment of symptoms also help clear up that acne?
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
Recently declared pregnant! Had HCG test on day 11 and result 182, then tested again on day 15, and result was 2207! Why so high? Is that normal? ! Could it be twins?
I had FET transfer of 5AA embryo.
Looks like twins 🙂 good luck dear 💐🌻
Please bless me I'm trying to be pregnant since 2years 😔
@@mayurim2836 Turns out to be singleton. Much much blessings to you in your journey to motherhood!
No matter what, trust in the Lord! He is life and the only one who can divide and multiply cells to create a beautiful bouncing baby! Surrender all to him and you will see him work in your life, wether baby or any area of your life! Be in peace my dear!
@@janjoy9759 Thank you so much Jan. It means a lot to me. I trust on God. I believe he will give me baby in the Devine time... me and my husband eagerly waiting for that special day when I can see BFP 🥰
Thanks for explaining everything. Great information and more understanding. I was wondering if you could talk about uterine fibroids and Endometriosis. Or the have another condition starts with A, sorry I can't remember the name. I am trying to get pregnant but I history of uterine fibroids and 9 years ago I had a miscarriage with fibroids . Not sure if that cause my miscarriage but around the time I was starting to bleed and they side one side look like I on my period and the other side pregnant. Then they couldn't tell if I was pregnant with twins because they told me I had a mass. The baby I know had a heartbeat and was growing so far. I was 14 weeks and 5 days miscarriage four days before that they said that mass supposedly was a uterus fibroid size of 4cm/5cm growing with from my hormones. Just the baby on ultrasound was good baby was moving heartbeat was 154. Then Bam! Right before my Dr appointment I passed the baby and went to the Dr and had a horrible smell of infection it wasn't there before I was all cleared 4 days ago. I was wondering if it was from the fibroid that caused it? I didn't get to much of information from my Dr at the time. Like she was hiding something or idk. They technician who does the ultrasounds was given me more info then the Dr. I know she wasn't supposed to but she was upset that the Dr not given me more info that I need when I was questioning her. I did had a D&C the next day after the miscarriage. Now I am 35 hoping to conceive and keep the baby full term. But also been told maybe I am going through premenopause I do get hot flashes some months. I just want to have some better understanding.
I just got Diagnosed with PCOS and I do have poor ovulation. Doctor is having me on metformin and letrozole. Since I’m 33 she told me she didn’t want to waste time . So I have 3 cycles to try this medication and if I’m not pregnant then I go to a fertility specialist. I just start metformin today and when I start my cycle I’ll do the other. Wish me luck ❤️
Today is my day 6 of talking the herbs treatment a I got from Dr iyaremoses on CZcams, his herbs medication is the best am free from PCOS.
Hey mama have were u able to conceive with letrozole
@@rachelveektaw4349 unfortunately no. I did 3 cycles and I didn’t conceive. Now my only option is IVF. So we are taking a break and saving money so we can afford IVF. I was devastated of course when it didn’t work.
So while we save for IVF I might consider adoption as well. So most likely have one adopted kid and one of my own once I do IVF. How’s your journey so far?
I take birth control then I ovulate and then I started vitex I just hope that it helped me get pregnant because I've been trying for 2 years straight and I did not get pregnant if you know can you please help me I did not try clomiphene on metformi I don't know if he's going to have me metformin I have another woman say that I use prenatal vitamin and vitex
Hi Natalie, as a 48 year old woman with pcos, is it too late for me to conceive?
So my genes gave me clomid earlier this year but no luck with getting pregnant. My latest visit he did homogeneous tests and said everything looked normal but my eggs work slow and no way to medically fix that. I have no idea what that means but i do have cysts and fibroids and also struggle with very irregular periods.
It is so frustrating not knowing what is wrong and the no medical way to fix it makes you want to lose hope.
Please what is the work of prenatal drug use for
Hii ... I just have facial hair ... No weight gain or cysts on ultrasound .. cycles are regular . But I m ttc for 1 year but had no luck ... Can you plz guide me a bit ... I need your help .. I am 25 .
I found out that I had fibroids and the doctor told me there’s a 50/50 chance of getting pregnant as they are not sure. I was pregnant and I miscarried at 3 months. I want to remove it but I’m scared too because I head after you remove it you might not get pregnant anymore. So a friend told me about Dr breeze who gave me root and herbs that that helped me to completely shrink my fibroid and I conceive after months I have a baby girl now..
I have to see the gynaecologist as I had regular periods all my life then they just stopped suddenly and I have 3 children my doctor told me I have pcos. Waiting to see the gynaecologist coz having pelvis pain and pee a lot.