Post # 1
I’m new to the board 🙂 Darling Husband and I have been TTC for about 3 months now and I am worried about possible PCOS/ovulation. My cycles have always been long/irregular, ranging from 30-45 days but I have never been on birth control.
About 5 years ago, my OB said I had PCOS based on long/irregular cycles(between 32-45 days), slightly overweight and hirsutism. She did an U/S but no blood panel on hormones at that time. She told me the ultra sound revealed PCOS, with the right ovary measuring 4.2cm in diameter, containing a 1.2 cm cyst and the left ovary meausuring 4.1 cm in diameter containin a 1.1cm cyst and that both ovaries were”polycystic in apperance”.
Fast forward 5 years, I went to an OB 3 months ago just to re-check the PCOS diagnosis. She ran bloodwork and did an U/S. According to her, everything was normal. The bloodwork showed a slight elevation in prolactin, which she re-ran and was normal the second time. However, when I read about PCOS, one indication was the FSH/LH ratio being elevated. Mine were within normal limits but the ratio was 3:1 . Other than that, everything else on bloodwork looks . normal(testosterone, DHEA-S, TSH). My OB never told me about the 3:1 ratio, that is what I have figured out myself after doing reaseach. She did run an U/S which she said revealed perfectly healthy ovaries with no indication of PCOS.
I have been using OPKs to track ovuation(will start temping next month) and I have been getting a positive OPK between days 21-24 for the past 3 months with my cycle starting between 14-17 days after. I have asked the OB about re-evaluating my bloodwork to which she said she saw nothing to worry about.
Has anyone had a similar situation? Could cysts on my ovaries just dissapear in 5 years with no medications? Is the LH/FSH ratio enough of an indication of PCOS and why doesnt my doctor think it is?? I am thinking of getting another opinion for PCOS but I’m not sure if the OPKS are indication enough(especially 3 months in a row) that I am infact ovulating like I should. I know I’m getting anxious about TTC and am jumping way ahead of myself! 🙂 I am looking for any advice/support! Good luck to all of you!!
Post # 3
I don’t know if this helps but PCOS can go away. I was given a diagnosis as teen based on labs and US. Went on the pill for ten years and didn’t really worry about it. Came off around my wedding in June. Had 2 irregular cycles (40 ish days) along with bad acne and hair growth…thought I must still have it but my next 3 cycles were 27-31 days. We started TTC and I was pregnant in 2 months. I used OPKs on the cycle I concieved and got a positive on cd 18. I was never tested for PCOS after the first time but my OB now does not believe that I have it as I wouldn’t be having regular cycles, not to mention getting pregnant quickly.
Post # 4
Also, I was really worried about having trouble getting pregnant. I actually talked to my PCP about it and she was going to start me on metformin and retest me based on my 49 day cycles but like I said…we got pregnant!
Post # 5
@mrsdrdunn Thank you for your reply! : ) My cycles are still pretty long(30-45 days) but my Dr. doesnt seem to think theres any cause of concern! Makes me feel better that you got the same diagnosis and then reversed!
Post # 6
A ratio usually double or higher is indicative of hormonal issues…Now, whether that is PCOS alone by the high lh to fsh ratio is hard to tell for sure.
It is very good though your other hormones are in check- due you have high estrogen or low progesterone? And normal ovaries are a very good thing too. Some people find after losing weight, it doesnt cure their PCOS but can make their cysts and other symptoms go away. Have you had your thyroid checked either? Your TSH obviously, but also your total and free t3, t4 and your antiboides to make sure you dont have hashimotos or graves, as that can also cause ammnerea.
Also, they suggest sometimes going on the pill if you do have PCOS as that can mask your symptoms and going off of it, as soon as you do, you have a higher chance of conceiving vs. waiting a few months and your body can get back to its “old state” of high androgens.
Good luck! Hopefully you get some answers!
Post # 7
I dont see that she tested for progesterone but I see that TSH reflex free T4 and estrogen was normal. However, she didnt check on a specific cycle day, it was random. Do you know if that makes a difference? I had thyroid checked not long ago which was also normal 🙂 I’ve heard that about BC but I’ve never been on BC.
Thankyou for your reply and feedback!
Post # 8
“A diagnosis of PCOS can usually be made if other rare causes of the same symptoms have been ruled out and you meet at least two of the following three criteria:
– you have irregular or infrequent periods – this indicates your ovaries do not regularly release eggs (ovulate)
– blood tests show you have high levels of “male hormones” (androgens), such as testosterone (or sometimes just the signs of excess male hormones even if the blood test is normal)
– scans show you have polycystic ovaries
As only two of these need to be present to diagnose PCOS, you will not necessarily have to have an ultrasound scan and blood test before the condition can be confirmed.”
According to this, you would have met the criteria years ago. However, you no longer meet the criteria. They’re not entirely sure what causes PCOS, so it seems possible to me that it has improved. Symptoms can also improve if you lose weight… have you lost weight since then?
PS OPKs are a good way of predicting ovulation. I know it’s hard, but try not to second guess them, especially at this stage!
Post # 9
Yes! Thats what my first doctor said, I do have facial hair(but then again im Asian so Ive got thick black hair! lol) Actually I’ve gained weight in the last five years, not much maybe 5-7lbs.
I was SOOO happy to see that 🙂 on the OPK and the fact that its around the same time for the past month(CD 21-23) is a good sign? I get my cycle 17 days after the +OPK. I guess that makes my LP 16 days. Im still trying to figure all this out so pardon my lack of knowledge!
Thanks for your reply and feedback!
Post # 10
past 3 months ^^ (positive OPK)
Post # 11
Mrs.Dew: Well, it’s definitely good if you have regular ovulation (which a positive OPK around the same time each month would indicate).
I’m in an odd situation myself, because whilst my ovaries are polycystic (you can see this on US), my doctor now does not think I have PCOS… so I’m a bit more of a medical mystery! It seems more straightforward for you though. Also, in PCOS then most of the problems conceiving are due to anovulation. Positive OPKs mean things are already looking good for you!