Straight off the bat she suspected PCOS as it made mention in the letter to the GP that the FA Dr noted 10-11 antral follicles in each ovary. That + My low response to the clomiphene, and my issues with my weight (Even though I am not obese, I keep gaining, and have always struggle to lose it). She asked if she could do a scan, which she did.
I had -atleast- 12 follicles/cysts on the right ovary, and at least 11 on the left, but it was hard to see as there was a large amount of fluid around it. She saw evidence of Adenomyosis - endometrial tissue in the muscle of my uterus. She said for Day 21, my lining was on the thin side and very uneven, already coming away, and that my uterus was inflammed. She said there's a corpus leutem type body on my left ovary and a follicle that could have ovulated, but that the tissue is pretty dense and that it's unlikely I've ovulated on any cycle, even with the clomiphene.
So moving forward, she has started me on metformin to get my weight back under control and help regulate my cycles in the mean time, has written a letter to the surgeon doing my Lap (?whenever it may be...) asking him to add in a hysteroscopy, d&c and ovarian drilling. If they don't add it, I will have it done as a separate private operation. I've also had blood taken for testosterone studies, AMH and CA-125.. She said it is likely my AMH will be elevated, and that from my previous blood results my LH/FSH are elevated and in line with me having PCOS. So, yeah. But at least we know now. After all the surgery is done, we will go see her for treatment.
I'm pretty PO'd, considering no mention of the possibility of PCOS was made at my consult with FA, and I feel like I've wasted a lot of time and $$ with them.. My new specialist agreed with how I felt about the progress of my treatment, and I feel much better about moving forwards overall and was very thankful for how the appointment with her went.
So now it's just a waiting game until I get a surgery date, and then we can start trying again. Until then, I will just take my cat pee pills, and work on losing some weight and being healthy.
If anyone has any info or advice they'd like to share, I'd love to hear it smile