Post # 1
So, I just got back from OBGYN and here’s the low down:
Last month I went to see him because I feared I wasn’t ovulating (was on CD 80+). He ran a panel of bloodwork, and I went in today to get the results. He told me then that I would likely be put on clomid.
Today, he told me he wanted to run more bloodwork because (get this) my LH level came back at 24. He said that the normal “resting” level was 5. And that typically he sees mid-cycle levels around 15. WTF? How is mine SO high, yet, I’m not ovulating? (neg OPKs across the board, and no temp spikes that stay high –lots of ups and downs…)
So, he ran more bloodwork today. Checking just FSH LH and progesterone. I should get those next week.
He says that if my level is still high, I won’t respond to clomid, and I have to go on something else (he didn’t name it, but I take one a day for one week, then 2 a day, then 3 a day) and he said after I’ve been taking it 3x a day for about a month, THEN we can look at clomid.
I’m super upset. I was so hoping to get started on this path, and now it seems like I have to wait again. I know in the grand scheme of things, a couple of months isn’t long, but I was hoping to get preggers this summer. Looks like that might not happen.
I almost cried in his office when he said he wanted to run more blood work.
Anyone else been in this position that can shed some light for me?
Post # 3
If I had to guess, I’d say that sounds like he’s probably going to put you on metformin (the 1 a day, 2 a day, 3 a day bit sounds just like how they started me on metformin). I haven’t dealt with the same, but I DID have to work hard to get my wacky hormones back in step for 17 months before they finally got to a point where I was ovulating and cycling on my own. I’m lucky in that respect because I know a lot of ladies that just can’t ovulate on their own.
If it IS metformin, I can tell you 2 things: First off, it doesn’t seem to work for everyone. 2nd off it DID work wonders for me and while I’m still ttc (I’ve had 2 mc’s now) the metformin has been instrumental (along with a change in diet) in helping me to lose 68 pounds, get my hormones back on track, get my cycles going again (I went 17 months without ANY natural cycles – af or O), get my cholesterol into normal ranges for both good and bad cholesterol.
Did he mention the possibiltiy of PCOS or anything else that he suspected might relate to what you are dealing with?
*hugs* I know how hard it is to keep waiting and going for tests and being in limbo about it all. I hope you get answers soon and can get back on track.
Post # 4
No, I haven’t, but I just wanted to send you some love! It sucks to have a setback like this so early on. 😛 The good thing is that it seems like he has a treatment plan for you.
It makes sense to me that a consistently high LH level would keep you from ovulating. Just like it’s the drop in progesterone that brings on your period, I believe it’s the spike in LH that signals your body that it’s time to ovulate. If your level is always high, your body isn’t getting that signal.
When will you figure out what he’s prescribing you? I’m wondering if it could be metformin since you had DHEA levels and LH levels out of range.
Edit: Looks like @dodgercpkl and I had the same idea. FWIW, I started with 500 mgs (1 pill) and phased up to 2000 mgs (2 pills) over the course of one year.
Post # 5
thanks ladies. I’ll know more next week when I call for the results of the second test. I wondered if it was metaformin.
Post # 6
- Wedding: June 2011 - Sydney, Australia
I agree with the others; the gradual increase sounds like Met. Works wonders for some; not much for others. 😉
Post # 7
So what’s the time line for metformin? How long till I work up to 3x a day?
Post # 8
- Wedding: June 2011 - Sydney, Australia
Mine was increased quite slowly. 500mg for 3 months, then 1000mg after another 3. I’ve been on 2000mg (slow release, two tablets per day) for the last nearly 2 years!
Post # 9
Mine was 2 weeks of 1, 2 weeks of 2, 2 weeks of 3 and then finally 4 per day (2000mg total per day)