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Posted 30 September 2019 - 05:02 PM
I came off the pill in April (after 15 years, most recently on microgynon 50).
My cycles have been 38, 41, 38 and 31 days. I used OPKs last cycle and this cycle but haven’t had any positive results. I’ve also done BBT for two months but they’re all over the place despite taking on waking. Due to the length of cycles I had a blood test to check for testosterone, prolactin and TSH to investigate PCOS. The blood test results were all normal. I will be doing an ultrasound as well later this week.
I’m just wondering what is next if there’s no sign of PCOS and therefore no explanation for the anovulation? I’ve only seen a GP and have no idea what next!
Posted 30 September 2019 - 09:56 PM
OPKs aren’t 100% Unless you are testing every couple of hours 24 hours a day you can miss the surge. So don’t panic yet . After the ultrasound if all looks normal they will probably send you for timed blood tests - where you get bloods drawn repeatedly through the cycle to check on your progesterone, oestrogen, LH etc to see what your cycle is doing. It would help too if you stayed charting yourself - taking your vaginal temperature and checking cervical mucus daily . If you end up at a fertility specialist soon then they will find that informative as well.
It took 9 months for my cycles to become regular with proper length follicular and luteal phases post coming off the pill. It’s common unfortunately.
Posted 01 October 2019 - 07:01 AM
Can you share you charts for temping?
I agree this would be helpful. While taking on waking is somewhat helpful, this needs to be at the same time each day (FF used to flag mine if more than 15-20 mins out), after the same period of inactivity (not getting out of bed an hour before to wee).
Are you temping orally or vaginally? Orally is notoriously unreliable.
How often are you using the OPKs. During a surge, I had to test three times a day to catch it. Once in 24 hours and I would miss it entirely.
I am familiar with the signs of annovulation, but also only have one ovary so I knew what the cause was.
Posted 01 October 2019 - 07:40 AM
i agree with OPKs i had to test at least twice a day when i used them as I was only doing the once a day as "recommended" but must have always been missing my ovulation peak.
Once i did the two a day i found the surge. Mine must be super quick so was over within a few hours.
Posted 01 October 2019 - 09:25 AM
With your hormone levels even if they are within the normal range, their ratios to each other matter more and it also depends on which day I your cycle it is so one test may not be that informative.
Given you have come off the pill it may still be kicking you around.
Maybe see a naturopath who specializes in fertility
Posted 01 October 2019 - 09:32 AM
Get referred to a fertility specialist (not an ob or gyn).
Posted 01 October 2019 - 04:29 PM
I came off of hormonal contraceptives last June and my cycles were very long and irregular. All my bloods came back fine. It's very common apparently, every GP told me it can take a year for things to get settled.
My cycles are still wacked, and I'm having further testing because we've been unsuccessful in TTC and I have other gynae issues.
I hope you get sorted quickly!
Posted 04 October 2019 - 12:12 PM
Update; results of ultrasound showed 20 follicles on each ovary so diagnosis of PCOS and referral to gynaecologist!
Posted 09 October 2019 - 02:17 PM
Great to have a diagnosis so then treatment can begin :-)
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