Need some help preparing!

So I’m going to my initial consult with my fertility specialist on Wednesday, had my scan and AMH bt. I don’t believe I ovulate, cycles very long (40-59 days) Been TTC for 9ms Have PCOS Take metformin and myo inositol Thinking I wanna try letrazole Can anyone give some important questions they asked or think I should in my consult? Thanks ✨
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Has metformin and inositol helped regulate your cycle ? My cycle is also irregular too like yours and I’ve started metformin and inositil just over a month ago! But I’m still late this month! Last period was march 7th!

@Arosa sadly not helped mine at all, been on for 3ms and late all of them xx

@Kacie aww no! I’m trying to eat better too along side and exercise etc and see if it helps! Let me know how your appointment goes!

@Arosa Yh deffo, one thing that they have put me on now which you could discuss is progesterone at end of cycle to bring on period x

I’m gonna try this medication for a few months and diet if it doesn’t help then will defo go back to my gynae and see what else to do! I hate not started my periods on time!

Hello! If the metformin and myoinositol aren’t helping your cycles, it may not be an insulin resistance problem which is causing your long cycles. Have you had your insulin tested? Also Have you had a hormone profile done? This would be a good thing to request so you can understand your levels of androgens (eg testosterone) lutenising hormone (lh), follicle stimulating hormone (fsh) and estrogen. Increased androgens often cause a domino effect of an increase in LH, which means the ratio between LH and FSH can be off (even if your levels are within the ‘normal’ range, the ratio might not be correct). This needs to be in a really delicate balance for you to ovulate each month. Once you know all this info, you can look at ways to get those hormones into balance which will hopefully improve PCOS symptoms and hopefully lead to ovulation (with or without letrozole!)

@Lara hey! Thanks for such a detailed response! My diabetes blood test was very low so don’t think there is an insulin component but Gp wanted to try it to see if many help! I’ve had bloods done - progesterone low and so is oestrogen, androgen high

PCOS usually has three components going on, insulin resistance, adrenal issues, and inflammation that all Piggy back on each other and can be greatly helped with dietary changes... Cut down on carbs, increase protein and healthy fiber. Usually you're low in magnesium too... anyone tried this route? there's so much lifestyle info out there that can turn it around

@Kacie No problem! If your progesterone is low you may want to consider asking your doctor if you need to supplement it, as this will be vital for ensuring any fertilised eggs implant. And for Estrogen, ask them to check your vitamin D levels too - vitamin D is super important for helping your body product Estrogen so if this is low that is a really easy one you can start supplementing. For the high testosterone, consider drinking spearmint tea (can decrease testosterone levels by up to 30%) and looking in to other natural ways to bring it down, as there aren’t many medical treatments that can help with this.

@Meghan magnesium, zinc, vitamin D, iodine and selenium are all really important for regulating PCOS for various reasons. Consider supplementing if you don’t get them all from your diet, alongside the diet changes you mentioned!

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