I also have been diagnosed with pcos and am normal/underweight.. my RE didnt' think i was a candidate for metformin becuase of my weight, but i will do anything to get that BFP so i just ate a very low carb diet this month.. and then around O time didn't eat hardly any carbs (it just about killed me!) but i ovulated better than ever this month! good luck! : )
2 months ago my doctor said I have mild PCOS and has put me on Metformin since then. I have been ttc and he said that will help in avoiding miscarriage whenever I conceive.
I have PCOS as well. I had doctors keep telling me "you're too skinny to have PCOS" until I finally packed on 60 lbs and then they decided to check me out! I had a chemical pregnancy last month (miscarried after 3 days) so I started looking into other things before this cycle's treatment/IUI. I am on Metformin as well, and I have been for nearly two years now - I'd definitely ask your doc about it. I went from gaining a couple pounds a month and going months without a period to having a relatively "regular" cycle (about every 35-40 days) and I stopped gaining weight. I think I read that 40% of women with PCOS have no weight gain at all.
My RE automatically put me on progesterone suppositories, since women with PCOS usually have low progesterone levels and that can result in miscarriage. At the very least, they should be monitoring your progesterone all along after ovulation to check if you need them.
After the chemical pregnancy I started to do some research, because I'm scared of miscarrying again as well. If you google it, you can probably find info too. I've been reading a lot about Vitamin D and Calcium and how they are helpful regarding fertility and PCOS (I just googled Vitamin D fertility pcos). In fact, my sister's friend is an endocrinologist (not a reproductive one though) and he just went to a conference about PCOS and that's where I found out about it - apparently Vitamin D is low in PCOS patients and very beneficial to fertility. The calcium is generally lower too, and you need calcium to properly process the vitamin D. If you get a lot of sun, you may be OK cuz that's where people get the most vitamin D from - I don't get much sun.
I've also been taking baby aspirin (81mg). It is supposed to help with blood flow to ensure a healthy womb and good circulation for everything else involved in pregnancy.
If you are on clomid - please make sure they are monitoring you properly. I had to kick and scream to have mine do so (eventually I changed doctors). If they aren't, I'd say definitely get a new doc. They should be doing a minimum of one ultrasound per clomid cycle, but preferably two. They should be doing one at the beginning to make sure that you don't have any residual cysts from the previous cycle (at minimum) and optionally, they should do another after you ovulate to make sure you did. They should ABSOLUTELY be drawing blood 7 days past ovulation to get your progesterone levels to confirm that you ovulated. When I was on clomid, I had to beg them to do this. They didn't do it the first month, but the second month they did and it turns out I did NOT ovulate, even though everything I was monitoring led me to believe that I did. So who knows if I actually ovulated the first month either? It is extremely important to make sure these drugs are working, and if they are not doing that, then you should move on to another doctor that will.
Good luck!
- Amy
I have PCOS and my RE put me on Metformin. As I understand this is one of the best medications you can be on for PCOS. I would suggest asking your doctor about it.