TTC with PCOS. Please help.

[ttc_pcos_10]

I am 21 and was diagnosed with PCOS in October. My husband (29) and I have been "actively" trying to conceive our first for two years now, but we've been married and not using anything to stop it from happening for three years. In the meantime, his brother & wife have had two children and all of our friends are having children. It is very depressing, and he has an 8 year old son already, so that makes it hard and makes me want one even more.

We went to the OB/GYN a week ago and had blood work & a vaginal ultrasound done. She offered us two options. 1. Metformin & Clomid     and    2. Referral to an infertility endocrinologist.

She is afraid I'm too high insulin-resistant and Metformin & Clomid will fail. She said she'd start with 50 mg for three cycles, then 75 mg for three, followed by 100 mg for another three cycles. She recommended we go straight to the endocrinologist since this could take another year of trying and have a possibility of not working. Has anyone who is very insulin-resistant still had luck with these meds? We received the paperwork for an endocrinologist appointment, and the paperwork asks a lot of very detailed questions that kind of scared my husband... so now we're back to discussing the options and trying to decide.

The OB/GYN told us insurance will not pay for the endocrinologist or clomid. With both ways we are paying out of pocket something, so should we try the medications first or go straight to an endocrinologist?

We're trying to weigh out the options and decide. If anyone can give us any help or advice from experience, we'd really appreciate it!!

Thank yoU!

[tammie1984]

I def. suggest the RE.  Most of them do take common isurances but not all procedures are covered. I have PCOS as well and was married for 5 years. We saw 2 REs and did 2 IUIs which were only about 600 out of pocket and insurance covered the rest and then one round of IVF which ran us about 7000 out of pocket.all of which failed for us but I still know LOTS of women who have had success. I wouldnt waste anytime with an OBGYN if I were you. I hope that this helps :) Good luck to you

[marievet]

is RE expensive or affordable?

[Jenny5]

I would go directly on the RE. They have more experience for PCOS and will help you more. I started the same as you with my regular GYN and i didn't even ovulate not even once on 100 mg of clomit. THe RE started me on injections which are more effective. Also call you rinsurance so they would clarify you what policy they have for infertility. Good luck

[wanabb]

alright i was curious and did it for you, your state says they are not required to offer infertility coverage but they are required to offer coverage for IVF.  but you have to have 5 years of ttc. look it up it gives more details.

[wanabb]

I would go straight to an RE i wasted over a year with an OBGYN.  Also call your insurance yourself and find out exactly what's covered my OB told me the same thing and a year later when i finally called myself... they covered all my appointments, ultrasounds and meds just not IUI of IVF.  Give your insurance a call and find out the truth oh and clomid without insurance is only around $20 a cycle (depending on which pharmacy).  

I don't have fertility insurance either but they have also covered two rounds of follistim injections so far.  You have an endocrine syndrome it's a medical problem and most insurance companies treat it that way.  Also some states have mandated fertility insurance even if your policy doesn't say it.  do a google search for mandated fertility insurance by state.  My state is one that's mandated however i work in another state that isn't.  good luck hun.