Post # 1
I’m semi-new-ish and have been wanting to ask this question for a bit.
Background: I got diagnosed with the early stages of PCOS (Poly Cystic Ovarian Syndrome) about a year ago. I recently went in to have another monitory ultrasound done and they said things have only vaguely progressed (yay!) but I do have cysts and the largest is 2 cm. These are not by any means “big,” but they do have the ability to grow/change/etc.
Situation: They told me that going back on birth control would possibly help regulate my hormones and keep my cysts “in check.” We are not getting married for another year and 3 months, but we do know we’d like to TTC as soon as we’re married (due to this infertility issue as well as another). So in my head I’m thinking “Why would I go back on BC for a few months if I’m just going to go back off of it in less than a year?” We are also not actively NTTC (not trying to conceive.)
Basically our philosophy = if it happens before the wedding, we’re happy about it because we’re worried about having children naturally anyways.
Question: What would you bees do? If you had known fertility complications and will be actively trying within a 2-year range, would you bother going back on bc? Especially if you’re not really trying to prevent anything? (TMI Note: He does pull out, but we’re not normally using any sort of actual preventative that often)
Sorry so long – I think I just need to know if others would see the situation the same way I do? Or if there is something I am overlooking? Thanks!
Post # 3
I think it really depends on how you and FI would handle having a baby before the wedding. Are you okay with giving up and or making sacrafices for your big day? Do you feel financially ready to have a baby?
I have a fertility issues and have been told that I most likely will not be able to get pregnant on my own. With that being said I am not ready to go off birth control and take that what if chance because while DH and I would be very exciting we also may not be financially ready for a baby since we just bought a house.
If the birth control is control to assist with your health problems then I would say give it a try unless you want a baby now in which chance you wouldn’t want to do anything to prevent pregnancy.
Post # 4
I would go back on birth control. It will help keep your PCOS in check and keep your hormones at a good level. Then you can stop a few months before you start TTC. If you don’t go back on it I would be afraid of the cysts getting larger and causing more problems.
Post # 5
Talk to your physician.
He/She can put you on metformin and spirolactin instead of birthcontrol to control your hormones and this will allow you to ovulate normally.
It is highly unlikely that you ovulate on your own right now anyway because the cysts from PCOS are swollen follicles that haven’t released an egg into the perineum. So you will want to be medicated to control your hormones.
If you talk with your doctor they will control your hormones with meds other than BC.
Post # 6
@roxy821: Thanks for responding so quickly! 🙂 I am sort of freaking out.
Yes, we would give up our “dream wedding” to have a baby together. We do feel financially ready, but yes we would make some cuts from the wedding, change how the atmosphere will be, include our possible child in that case, etc. Financially I feel like we are fine. Knowing us, we would drastically cut wedding costs in order to give the baby even more, which I am fine with that affecing the wedding. We’d be married either way, right? 🙂
They said the hormones from BC will assist in “keeping the cysts in check.” I asked (since I have been off BC for 6+ months for the labtests, etc, and just to see how my body works ie how often I have a natural period) if that had anything to do with the development and she said no, that it will progress naturally. So I was a bit confused. Guess I need to do some research on that.
Post # 7
@FMM: Thanks! I hadn’t even thought of that option. That sounds much more like what we are going for – regulating the PCOS while still not trying to prevent anything. I will definitely be talking to be Dr about that instead of BC.
Edit: I do get a period every 2 months naturally; I’ve used the 6 months off of BC to monitor that and see what my body is naturally doing. It is pretty regularly that I have one every two months, due to one of my ovaries having much more cysts than the other. The one with less cysts I assume is still properly functioning. <– This contributes to our wanting to get pregnant fairly soon after our wedding.
Post # 8
@FMM: All good points.
But even if your doctor wants to put you back on birth control, that’ll be fine, because it’ll keep your hormones regulated and decrease some of the other problems with PCOS (like possible hirsutism/hair growth that you probably don’t want for your wedding day). The reason many women are unpredictable after birth control has to do with wonky hormones determining ovulation, which are problems anyway in PCOS, so the pill won’t make them worse.
When it comes time to conceive, your doctor will take you off birth control and check your hormone levels. If it seems like you’re not going to ovulate naturally, they can give you medications to help you ovulate. I did a rotation in reproductive endocrinology and infertility, and we had 90-95% success in getting our PCOS patients to ovulate. Then they had the same chance of getting pregnant as anyone else.
Right now, your main concern should be your health and feeling great for your wedding, so I’d follow your doctor’s advice for now and then just follow up closely after the wedding to see what else needs to be done. Good luck!
Post # 9
Er, i’d go back on the birth control. You can go off it in a year and 3 months, and there’s lots of research to indicate it doesn’t take long for your cycles to come back normal. Plus, it’ll keep the PCOS in check.
You could also talk to your dr about getting the cysts’ fluid removed–I’m not sure how it works, but it has been mentioned to me before.
I have endometriosis and we will be trying to conceive this summer. I’m staying on birth control right up until we start trying, per my doctor’s orders. She said there is no reason why i need to give it a few months to “get out of my system” considering my situation. Also–she said she gets lots of patients who get knocked up the first month or two off BC because it’s possible your body overcompensates its egg production.
Aaaand pulling out is not going to help you avoid pregnancy. Sperm exists in pre-ejaculation fluid, and it only takes one persistant little bugger!
Post # 10
@Miss OBG: Thanks. I really just needed to hear that spending a year on any sort of hormones will help much more than it will hurt our chances later. It’s kind of a tricky balance – knowing you want children, knowing your body is complicating this for you, and I kind of feel like I was jumping at any chance to keep that desire alive.
I will definitely be going back onto something to help control the hormones, though I am leaning more towards the other hormone treatments that @Future Mrs. Martin suggested, because of the things I have heard re: BC and TTC. When I went off BC the first time, it took several months for me to even have a regular period. This contributes to my worries.
Post # 11
@ejs4y8: Yes, we’re aware. 🙂 I remember that from undergrad biology. The thing is like I’ve mentioned before, we aren’t really trying to prevent anything, we’re just waiting for the wedding to “actively” ttc.
I do think I will be talking to the Dr more specifically about regulating the hormones in a way that isn’t actively trying to prevent pregnancy.
Post # 12
Well as long as you’re okay possibly getting pregnant before the wedding!
If the cysts are in a bad spot (like, on an ovary), they could be snipped off, too, so don’t forget about that.
Post # 13
FYI, metformin does increase fertility, so if you were to start taking it, please note the the likelihood of becoming pregnant now does increase (which is fine it you want a little one soon or be pregnant on your wedding/honeymoon). Also, many patient experience pretty bad GI problems, like diarrhea, with this medication, but for many it does decrease after a few weeks. Be sure to discuss what the best treatment option is with your doctor of course 🙂
Post # 14
I have PCOS, and I have been on metformin for 3 months. My cyst is still the exact same size, has not grown at all, but isn’t going down (2.9 cm) I would definitely go on metformin, because if you start it now by the time you actively start trying you will have been taking it for a good amount of time giving it time to work. I’m not a doctor, but I’m in the same boat as you and that’s what I would do.
Post # 15
@angela2011bride: Thank you for that perspective. 🙂 We aren’t really sure which way we’ll decide now, we’re going to talk to the Dr in the next few weeks and figure out what is best for us.
Are you TTC or just sort of preparing to TTC like we are?
Post # 16
We just decided last week to start TTC. But, I’m still not ovulating, so we’ll see what happens. I guess a little of both… 🙂