PCOS and Ovulation Problems
(Buffalo, NY, USA)
I have had irregular cycles ever since I started menstruating when I was 12. At my first GYN appt. when I was 18, the doctor offered to put me on birth control to "regulate my cycle." I was young and didn't know better, so I accepted. I stayed on the pill for about 3 years & my chest grew 3 cup sizes, but the doctor assured me that had nothing to do with the pill...yeah, right!
When I got engaged, I switched doctors and he diagnosed me with PCOS about 8 years ago. I have cystic ovaries, excess facial & belly hair, low progesterone, my LH & FSH levels are the opposite of what they should be, and I have a very irregular cycle. I'm 29 years old, 5'2", 142 lbs. At my heaviest I was 175 pounds, but was able to lose weight through diet and exercise.
My current GYN put me on 200 mg Prometrium from 3-12 days post-ovulation (or starting on day 25 if my mucous charting didn't show a clear ovulation. When we started trying to conceive in 2009, he added in Tamoxifen or Femara as an ovulation inducer for days 3-7. He has also had me go in for regular follicle studies (transvaginal ultrasounds to measure follicle growth.)
The story was almost always the same; a number of follicles would be growing, usually there would be 1 that emerged as "dominant," but the follicle wouldn't rupture. All of a sudden it would just be gone, with no sign of ovulation. After a year of this plan, I was also put on Metformin because of studies showing that pregnancy was achieved more often when Metformin was used in conjunction with the ovulation inducers.
In December 2012 my doctor did laparascopic ovarian drilling as well as a hysteroscopy. During the hysteroscopy, some polyps were removed from my endometrium which were later found to be pre-cancerous. I was put on heavy duty doses of progesterone (Provera) to reverse the endometrial hyperplasia, which thankfully worked. My labs are now clear.
I finished the Provera treatment in April 2012 and also weaned myself off of the Metformin. I didn't take any medication from 4/19/12-9/27/12 to see what my body would do on its own following the surgery/Provera treatment. I had cycles that were 44, 50, & 44 days in length with no ovulation being apparent.
My doctor just put me back on the original Prometrium cycle and I'm starting another follicle study on Monday with no additional drugs.
For the last 3 months I've been working with a woman through Nature's Sunshine supplements. She had me do a Candida Cleanse, an estrogen cleanse, and some other supplements including Flax Seed Oil. Just recently (within the last month) I have started changing my diet. I've eliminated white sugar, HFCS, white flour, & soy. I've been limiting my carbs, eating more healthy fats, and found a source for raw cow's milk which I've been consuming daily.
Do you have any insights into what is up with my body? What would be your suggestions for me? I heard you present in the Joyfully Pregnant Summit about getting saliva hormone testing done. How would I go about doing this? Sorry this wound up being so long...I feel like I wrote a novel!