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Discussion Starter · #1 ·
She did a sonogram to see if I was pregnant, and thats a no. And then looked at my ovaries and my uterus. She said that my follicales looked larger than normal and that I had quite a few 'ripe' ones, more than normal. She said it could possibly be PCOS, but she said that I have no symptoms for it other than larger than normal follicales (sp?). So she took some blood and gave me progestrone to jump start my period. She said she is running nearly 12 tests on my blood to check on nearly every level of hormone I have! Hopefully this is just a fluke and the pills will get my period going and I'll have this behind me. She tried to give me peace of mind, though, in case it is PCOS and said it was the easiest form of infertility to treat because they can give me medication to make me ovulate. But it seems from what I've read on this board, PCOS is a nightmare and I am petrified at the prospect of having it! Again, she said the chance was slim and it didn't look like it, only my tests can prove yes or no, but I hate she threw that word out there! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Sorry you weren't pregnant!!
 

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I was given progesterone today after a long cycle too, though mine hasn't been nearly as long as yours. At least we both get to move on and try again! Don't stress about the PCOS mention, it sounds like your doc thinks it's unlikely. It's nice that she can run so many blood tests at once though, so you can rule a lot of things out once the results come back. Mine would only test me for abnormal thyroid & prolactin levels.<br><br>
Good luck, hope you get to O finally once you start a new cycle!
 

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I don't know what to think of the whole PCOS thing. I was diagnosed by us (had a missing IUD) and was told to expect trouble conceiving and then conceived the next month with dd. We are now expecting another. So who knows -- maybe you can have the multiple ripe follicles without the hormone/fertility problem.
 

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Longhorn, I hope you get an answer soon, this must be frustrating!<br><br>
Not to derail but about PCOS - anyone else feel this diagnosis has become kind of a catch-all term for medical professionals for non-specific cycling issues?<br><br>
True PCOS is associated with insulin resistance, long annovulatory cycles, high androgen levels. Not to play doctor but I do seem to see a lot of folks on this board and a couple others who's dr.'s throw out PCOS buuuuut....it doesn't make sense based on what they're describing and they're experiencing.<br><br>
Just something I've been thinking about.
 

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Discussion Starter · #6 ·
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<div>Originally Posted by <strong>OhMel</strong> <a href="/community/forum/post/10693799"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I don't know what to think of the whole PCOS thing. I was diagnosed by us (had a missing IUD) and was told to expect trouble conceiving and then conceived the next month with dd. We are now expecting another. So who knows -- maybe you can have the multiple ripe follicles without the hormone/fertility problem.</div>
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Can you have multiple rip follicles and be perfectly fine? Can anyone explain the problem/benefit of ripe follicles? I'm confused! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Ugh! I am so bummed. I don't understand how I have clock-work periods and now someone is telling me I may have PCOS. I saw my ovaries on the sonogram and I even saw an egg! She said herself that most cysts are the size of the tip of her pinky and that my ripe follicles look to be half the size of her pinky. What does that mean?! Why would I not ovulate because of that?! I'm so confused. And will me taking progestrone pills and thus forcing a period cause my next cycle to be normal and me actually ovulate?<br><br>
Thanks for the hugs everyone, I just feel so defeated right now<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> It doesnt help matters any that my brother and his wife just found out they were 13 weeks pregnant and while I was sitting looking at a sonogram screen at my troubled ovaries they were taking a first look at their baby <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">:
 

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I'm experiencing a similar situation. My last AF was 11/7/07. I saw my PCP and she said that I'm currently infertile b/c I'm not ovulating <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">. She also brought up PCOS, but I don't have any other symptoms. I had an ultra sound a few weeks ago which said everything appeared normal (relief). My PCP also gave me a prescription for Provera which I reluctantly took (I would prefer to do everything naturally), but I'm feeling desperate. I am expecting AF any day now. My PCP also mentioned prescribing Clomid after I get AF from the Provera and have blood test done (checking TSH, FSH, LH, free testosterone, CMP, progesterone, & Prolactin). Has anyone used Clomid before? I'm also thinking about trying acupuncture (but I just bought a house so I'm tight on $$$).<br><br>
Good luck Longhorn & WoodlandFairy!
 

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Discussion Starter · #8 ·
Also, why is it a bad thing to have many ripe follicles? Isnt that a good thing? She said most women have a few and that I had double what most women have. Doesn't that mean I have many ripe eggs ready to come out? If thats the case, why doesn't my body ovulate?! WTH?!<br><br>
Astar, she is doing the works on my bloodwork too. Testing me for nearly 12 different things. I'm going to start taking the progestrone today. She seemed super optimistic though about the PCOS, she said 'it was the easiest form of infertility to treat' but I have heard of many women never being able to get pregnant when they have PCOS. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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Im so sorry to hear your not pregnant girl. Hope all this goes away to where you can reach happiness in this area. :-( Warm thoughts coming your way. I know NOTHING about what you are going through...I suppose its good I did join the site...Im learnin something new already!!
 

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Let me start by saying I really don't know much about all this. What I do know is because I have a friend who has done egg donation. First she is given a medicine to shut down all hormone production. Then they give her a "stimming" (stimulating) med. The so multiple checks by u/s to see how many mature follicles she has and how big they are. What you are describing reminds me of what she descibes at this point in the process. Finally before retrieval she gets a "trigger" med that makes her ovaries relaease the eggs.<br><br>
I wonder why the Dr. couldn't have given you the "trigger" med. and told you to go home and start BD? Maybe the risk for high order multiples would have been too great. I wish I knew what the "trigger" actually was. I will try to find out for you. Maybe you just have low levels of it Hopefully, your blood work will come back with something that is easily solved.
 

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Discussion Starter · #11 ·
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<div>Originally Posted by <strong>Kabes</strong> <a href="/community/forum/post/10694454"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Let me start by saying I really don't know much about all this. What I do know is because I have a friend who has done egg donation. First she is given a medicine to shut down all hormone production. Then they give her a "stimming" (stimulating) med. The so multiple checks by u/s to see how many mature follicles she has and how big they are. What you are describing reminds me of what she descibes at this point in the process. Finally before retrieval she gets a "trigger" med that makes her ovaries relaease the eggs.<br><br>
I wonder why the Dr. couldn't have given you the "trigger" med. and told you to go home and start BD? Maybe the risk for high order multiples would have been too great. I wish I knew what the "trigger" actually was. I will try to find out for you. Maybe you just have low levels of it Hopefully, your blood work will come back with something that is easily solved.</div>
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Thanks for the explanation! I just didnt think that ripe follicles and infertility could be used in the same sentence! How can numerous ripe follicles be a bad thing? I don't think she suggested a trigger shot because I didn't go in there because we were having trouble getting pregnant, I went in there because we want to start TTC in May and I hadn't had a period since Christmas.<br><br>
I'm still waiting for someone on this board with super-mega knowledge about the fertility process to explain this to me! I'm so lost! I just want peace of mind! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">
 

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Wow, look at all those typos! Sorry about that. I wish I knew more. . . . hopefully the super-mega knowledge mama will come along soon. Best wishes to you.<br><br>
Oh, have you posted on health and healing to find out ways to "invite" AF? I pretty sure there are things you can do like drinking parsley leaf infusion. Really I don't know much about that either but I've heard some things floating around.
 

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Discussion Starter · #13 ·
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Kabes</strong> <a href="/community/forum/post/10695026"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Wow, look at all those typos! Sorry about that. I wish I knew more. . . . hopefully the super-mega knowledge mama will come along soon. Best wishes to you.<br><br>
Oh, have you posted on health and healing to find out ways to "invite" AF? I pretty sure there are things you can do like drinking parsley leaf infusion. Really I don't know much about that either but I've heard some things floating around.</div>
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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Thanks for the advice! I want a more holistic approach, but I'm afraid to wait much longer....maybe I should wait on the progestrone pills, but then again I already took two....
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you. I have PCOS, and you're right, it's no picnic but you can survive with it. Most of the time, PCOS is obvious from the beginning.
 

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Longhorn-- first <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">. It is a positive sign that you have no symptoms of PCOS (besides 2 wonky cycles and questionable cysts/ multiple follicles). As someone who's been through a fair amount of testing at this point, I can say the waiting is really hard (the waiting for the testing and then the waiting for the results). I hope everything comes back okay <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">.<br><br>
Now... onto some of your questions...<br><br><br>
The quote below, <a href="http://www.infertilityphysician.com/androgen/pcos.html" target="_blank">from infertilityphysician.com</a>, may help explain how someone with PCOS can have (and often, in fact, does have) multiple follicles:<br><br>
"A woman is born with all the eggs she is ever going to have - approximately 1 million at birth. From that point on until she goes through menopause at approximately age 50, many eggs each day begin to develop but never go anywhere. These eggs die and are absorbed by the body. If you care to do the calculations, it averages out to about 100 to 150 eggs per woman per day.<br><br>
As the eggs develop, in a structure called the follicle, small amounts of fluid begin to accumulate. If the egg goes on to full maturity and ovulation, the follicle becomes quite large (about 1 inch in diameter) and contains about 1 teaspoon of fluid. By definition, because it contains fluid, the follicle is a cyst.<br><br>
In addition, each month during the normal ovarian cycle, many follicles begin to develop but never go on to full maturity and ovulation. Nonetheless, many of these immature follicles also acquire some fluid within them.<br><br>
In order to make estrogen, the cells of the follicle take androgen from the surrounding ovarian tissue and convert the androgen to estrogen. Furthermore, it is important to keep in mind that in order for the follicle to grow to full maturity and produce estrogen, the egg must be alive and healthy. If the egg dies, the follicle loses its ability to produce estrogen. However, the cells surrounding the follicle continue to produce androgen even though the egg has died.<br><br>
Under normal circumstances, the amount of androgen produced from the dying follicles is not of major consequence since the estrogen produced from the healthy ovulating follicle is so great. However, you can now begin to appreciate that if a woman does not ovulate, there is no "dominant" follicle producing large amounts of estrogen but there are many half-developed follicles that are producing androgen. Also keep in mind that these half-developed follicles may have accumulated some fluid. Therefore, in a woman who does not ovulate, the ovary often has many small half-developed follicles producing increased amounts of androgen. You will recall that I also mentioned that any structure in the body that has fluid in it is called a cyst. Therefore, an ovary that does not ovulate properly has multiple small cysts in it. In other words, it is "poly-cystic". "<br><br>
That said, if you click on the link I provided above, the article begins by explaining why Poly-Cystic Ovarian Syndrome is actually a misnomer-- you can have cysts and not have PCOS and you can have no cysts and have PCOS (the article is way too long and complicated for me to sum up).<br><br><br>
As far as why one of the PP who went through egg retrieval and had multiple follicles was given a trigger shot and why you were given a medication to bring on AF:<br><br>
To my rudimentary understanding, during egg retrieval the whole point of stimming meds is cause the ovaries to produce more *mature* follicles than the body would produce on their own. The doctor involved monitors the number and size of the follicles very carefully via US before giving the triggering shot to make sure, on the one hand, that there are enough mature follicles to make retrieval worthwhile, and on the other had to make sure that the ovaries haven't become <a href="http://en.wikipedia.org/wiki/Ovarian_hyperstimulation_syndrome" target="_blank">overstimulated</a>. For women who are undergoing egg retrieval to be followed by embryo transfer, I *believe* (but don't quote me on this) that their uterine lining is also monitored by US to make sure it is the right thickness for implantation.<br><br>
Trigger shots are also used for women who are not ovulating on their own (often in combination with Clomid or injectible stimulating agents and often with IUI), but the point is, they are reserved for women with *diagnosed* fertility issues where their use is necessary. AND, usually in a cycle that has been monitored (for the above mentioned reasons). In your case, since your uterus has not shed it's lining in ~2 mos (I can't remember exactly how long you said its been), most MDs -- if you were in a situation where an HCG trigger shot was warranted-- would want you to "start with a clean slate" (for lack of a better phrase).<br><br>
I hope all of that makes sense. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 
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