3 doctors weighed in:

How do I get pregnant? I'm 31, i've had unprotected sex with my partner for years, to no avail. I was diagnosed in my early twenties with pcos. At the time, i was a 100 pounds heavier and my periods were very irregular. I had a period once or twice a year

3 doctors weighed in
Dr. Stephan Krotz
Fertility Medicine

In brief: You

You are very much getting closer. Weight loss is the number one thing that you can do to improve the symptoms of pcos including infertility.
You can determine if you are ovulating regularly by checking an ovulation kit first thing in the morning of cycle day 11 through cycle day 17. When the kits turn positive you should have intercourse within 24 hours. Just as important, you should have a full infertility evaluation. You may have other hormonal issues or issues with the uterus such as fibroids or polyps that may interfere with pregnancy. Five to ten percent of women with pcos have other hormonal issues such as problems with their thyroid hormones or another hormone such as prolactin. In 20% of couples there may be an issue with both partners, which means that even if you have a diagnosis, your partner may also have an issue and should be evaluated. When you see a fertility physician they may also start you on metformin to help reduce Insulin insensitivity (common in pcos) and help you ovulate. As a fertility specialist and the largest referral center in houston for pcos, we would be happy to help you further. We are located in the woodlands at st. Luke's hospital. Best of luck! stephan krotz, M.D. Advanced fertility center of texas www.Infertilityanswers.Com/stephan-krotz find us on facebook!

In brief: You

You are very much getting closer. Weight loss is the number one thing that you can do to improve the symptoms of pcos including infertility.
You can determine if you are ovulating regularly by checking an ovulation kit first thing in the morning of cycle day 11 through cycle day 17. When the kits turn positive you should have intercourse within 24 hours. Just as important, you should have a full infertility evaluation. You may have other hormonal issues or issues with the uterus such as fibroids or polyps that may interfere with pregnancy. Five to ten percent of women with pcos have other hormonal issues such as problems with their thyroid hormones or another hormone such as prolactin. In 20% of couples there may be an issue with both partners, which means that even if you have a diagnosis, your partner may also have an issue and should be evaluated. When you see a fertility physician they may also start you on metformin to help reduce Insulin insensitivity (common in pcos) and help you ovulate. As a fertility specialist and the largest referral center in houston for pcos, we would be happy to help you further. We are located in the woodlands at st. Luke's hospital. Best of luck! stephan krotz, M.D. Advanced fertility center of texas www.Infertilityanswers.Com/stephan-krotz find us on facebook!
Dr. Stephan Krotz
Dr. Stephan Krotz
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Dr. Ew Moffitt
Obstetrics & Gynecology

In brief: Great

Great job for losing 100 pounds! your regular period now most likely means that your weight was playing an important role in your inability to get pregnant.
When you are not having regular periods, you probably have a problem with ovulation (releasing an egg from the ovary). Sometimes when you return to having regular periods after losing weight, you still are not ovulating normally. A good place to start is to get any over the counter ovulation predictor kit and follow the instructions in the box to check and see if you are having hormonal signals consistent with ovulation. This is information that your doctor will want when you go to see him so you might as well do that now. If you do the test and you are not ovulating, then it is probably time to go to see your ob/gyn. If the test shows that you are ovulating, then you might want to try 3-6 months of well timed intercourse before going to the doctor. The amount of time depends on how long your cycles have been regular. If you have not yet had a year of regular cycles then i would continue until you have had total of a year of regular cycles. If you already have a year of regular cycles then just try for another three months to document your ovulation status before going to see your doctor. As far as timing intercourse, all you need to do is have intercourse about every other day during the time that you are testing. When your kit turns positive, have intercourse the next day in addition to what you were doing. That will make sure the timing is good. As far as needing ivf, there are many options to helping you get pregnant before considering ivf. Usually a person like you does not need ivf. Good luck!

In brief: Great

Great job for losing 100 pounds! your regular period now most likely means that your weight was playing an important role in your inability to get pregnant.
When you are not having regular periods, you probably have a problem with ovulation (releasing an egg from the ovary). Sometimes when you return to having regular periods after losing weight, you still are not ovulating normally. A good place to start is to get any over the counter ovulation predictor kit and follow the instructions in the box to check and see if you are having hormonal signals consistent with ovulation. This is information that your doctor will want when you go to see him so you might as well do that now. If you do the test and you are not ovulating, then it is probably time to go to see your ob/gyn. If the test shows that you are ovulating, then you might want to try 3-6 months of well timed intercourse before going to the doctor. The amount of time depends on how long your cycles have been regular. If you have not yet had a year of regular cycles then i would continue until you have had total of a year of regular cycles. If you already have a year of regular cycles then just try for another three months to document your ovulation status before going to see your doctor. As far as timing intercourse, all you need to do is have intercourse about every other day during the time that you are testing. When your kit turns positive, have intercourse the next day in addition to what you were doing. That will make sure the timing is good. As far as needing ivf, there are many options to helping you get pregnant before considering ivf. Usually a person like you does not need ivf. Good luck!
Dr. Ew Moffitt
Dr. Ew Moffitt
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Dr. Leon Baginski
Gynecology

In brief: You need clomid (clomiphene)

You will need ovulation induction after you have complete blood testing to rule out underlying conditions that could cause your irregular cycles.

In brief: You need clomid (clomiphene)

You will need ovulation induction after you have complete blood testing to rule out underlying conditions that could cause your irregular cycles.
Dr. Leon Baginski
Dr. Leon Baginski
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