Tips for TTC with PCOS and Hypothyroidism?

posted 3 years ago in TTC
Post # 3
Member
359 posts
Helper bee
  • Wedding: July 2011

commenting to see what others have to say.. I have hypothyrodism (but not PCOS as far as I know).

 

Also… good luck on your TTC journey!

 

Post # 4
Member
3119 posts
Sugar bee
  • Wedding: August 2012

I don’t have either, but there are a ton of women on these boards with PCOS who frequently share their stories (and successes) about TTC. I bet they’ll jump in. 

As for what to take, there’s no such thing as too early to start taking prenatals! Before I got pregnant I was just on the Target brand of prenatals for several months. 

Post # 5
Member
221 posts
Helper bee
  • Wedding: September 2013

I am hypothyroid (along with hashimoto disease). My Endo has just said that we need to make sure my thyroid level is 2 or under and to take prenatals. I’m also taking evening primrose oil Because I’ve heard it can help with conceiving. Good luck! 

Post # 6
Member
3378 posts
Sugar bee
  • Wedding: October 2010

I’m both Hypothyroid (Hashimotos) and PCOS.  Have they checked your thyroid antibodies to make sure that you don’t have Hashimotos in addition to just hypothyroidism?  If not, I’d make them check.  Hashimotos is a bit of a tough beast to master.

I’d have them check your vitamin D levels as vitamin D deficiency is often associated with PCOS and can affect ovulation.  I’d also say that BC doesn’t “treat” PCOS at all.  At best it’s a bandaid that covers up the problem and makes things look normal.  My experience with it is that when I came off of it (I was only on it for a bit over a year), my hormones went from being tenuously in balance before BC to being completely out of balance after BC.  It affects everyone differently ofc, but because of my experience (and the articles that I’ve read about PCOS and BC), I’m not a fan.  

Just so you know too, cysts are not a symptom of every lady with PCOS.  I currently have no cysts, some ladies never have, and yet we all have PCOS, so if you do have an u/s and no cysts show up, that doesn’t mean no PCOS.

Do you know if you have insulin resistance?  It’s fairly common with PCOS (regardless of whether it’s “fat” or “thin” PCOS), and if you do then I’d recommend asking for metformin, and or myo inositol, and cutting down on processed sugars and simple carbs in your diet (if you eat any to begin with).  Those are two great ways to combat insulin resistance.  If they haven’t tested you for it, definitely have them test you.

Also, progesterone issues (low progesterone or progesterone deficiency) are very very common with PCOS.  Make sure your dr is checking your levels to see if you ovulate and if so, to make sure your progesterone is high enough to support a pregnancy.

After BC, I had 17 months of nothing.  No natural cycles whatsoever.  Somewhere after the first year, I found out I had PCOS, went on metformin, changed my diet in the ways I mentioned above, lost 40 pounds, and by month 18, I was pregnant for the first time.  I have other issues that I’ve also been dealing with and sadly I lost that pregnancy and the next 5 due to those other issues (progesterone being one of them).  BUT because of my efforts, my PCOS is under control and so is my Hashimotos.  I am blessed to ovulate on my own and seem to be very fertile despite the PCOS.  I’m in my 7th pregnancy and this one’s a sticky bean!  🙂

Post # 8
Member
9 posts
Newbee

To clarify, hypothyroidism means that you have insufficient thyroid hormones. This can be due to a number of causes (post-surgical, iodine deficiency, etc) but is almost always (in north america) due to autoimmunity (i.e. Hashimoto’s). The value of checking your antibodies is just to confirm that this is the cause of your hypothyroidism; however, it’s 95% likely to be since iodine deficiency is exceedinly rare. Consider having them checked once to confirm and then leave it. Knowing your antibodies during pregnancy is not helpful. There is inconsistent evidence as to whether antibodies affect pregnancy and there is nothing you can do to lower them anyway. Keep your TSH under 2.5 and watch your TSH carefully during pregnancy. 

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