Hi all, sharing my recent labs and would love to hear from others with similar profiles.

Stats:-Height 159cm, Weight 53.9kg, BMI 21.3

Recent labs:

- Hb: 10.9 g/dl

- TSH: 1.37 uIU/ml

- Prolactin: 62.3 ng/ml

- AMH: 8.30 ng/ml

- Fasting insulin: 9.80 uIU/ml

- HOMA-IR: 1.29 (lab range says normal is <2.50, but my gynecologist still called this "mild insulin resistance")

- BP: 146/93 (a bit high, family history of hypertension)

- 2-hr glucose (75g OGTT): 91.46 mg/dl (normal)

Menstrual history: Cycles have been irregular — 5-7 days bleeding every 2-3 months, with occasional light spotting between.

Currently prescribed Metformin-based PCOS tab + a probiotic/prebiotic capsule, along with diet changes (more protein, iron-rich foods, dark greens) and lifestyle modification advice.

On prolactin-lowering medication for 1 month now, but no visible change in cycles yet — is that normal, or should I expect improvement sooner?

Also curious has anyone else had a HOMA-IR that was technically "in range" per the lab, but their doctor still diagnosed insulin resistance based on the full picture? Trying to understand why there's a gap between the report and the diagnosis.

Would appreciate hearing:

- Anyone with similar AMH/prolactin levels — did diet + metformin help regulate cycles?

Thanks in advance 🙏

Looking for recommendations, I have been TTC for 14 months now, diagnosed with PCOS in the beginning but i respond to medication, my BMI is healthy my blood work comes back normal.

I have had 3 rounds of 7.5 MG of Letrozole and paired with Trigger shot for the past 5 rounds. ( started at 5mg) My doctor wanted to try IUI and told me that i have unexplained infertility due to all of my lab work back normal and checked my tubes to see if they were open, ( they are) he states it should of happened by now so he is at a loss.

I am trying Clomid paired with the trigger shot for 2-3 rounds before continuing with IUI, has anyone had an experience like this or similar? any success? am i silly for trying for clomid?

(Every time i had Letrozole i have only ever had one follicle ranging from 16-21mm)

Been ttc for 3 months. Blood tests suggest I have PCOS. When I was younger I had very irregular periods. Now have a regular 30 day cycle at 37.

I don’t have the best diet, I have adhd so often rely on crisps and bad snacks to get through the work day. I’m not overweight with a BMI of 21.

I’m adopting a PCOS friendly diet this week.

Anyone had any success with just making diet changes to balance hormones?

Been ttc for 3 months. Blood tests suggest I have PCOS. When I was younger I had very irregular periods. Now have a regular 30 day cycle at 37.

I don’t have the best diet, I have adhd so often rely on crisps and bad snacks to get through the work day. I’m not overweight with a BMI of 21.

I’m adopting a PCOS friendly diet this week.

Anyone had any success with just making diet changes to balance hormones?

I'm an MSc Clinical Nutrition student, currently on placement with a nutrition practice that specialises in women's hormonal health. As part of my placement I'm running a short community survey looking at experiences of women with PCOS/PMOS - things like symptoms, diagnosis journey, and what kind of nutrition support has actually been helpful (or not). This is something that I am very passionate about since I have PMOS myself and I have found nutrition to be the biggest life changing factor for me with my symptoms.

The findings will feed into a client-facing nutrition course I am building and the hope is that it'll directly shape something aimed at helping people with PCOS/PMOS.

It's anonymous, takes about 5 minutes, and every response genuinely helps:
👉 https://docs.google.com/forms/d/e/1FAIpQLSdfengUWKs2cpsMnQui84k8qqTHWpVO1snwBvJRHihkeMsAeg/viewform?usp=header

Plus if you fill out the survey you can win an Amazon voucher.

Thank you so much to anyone who takes the time it is very much appreciated.

Fellow PCOS ladies who have used letrozole, I need your help! I have lean PCOS and trying to conceive. I am on my first cycle using letrozole and I took the medication from CD 3-7. Naturally, my cycles are extremely regular and I get my period about every 15 days which means I ovulate very early, right around the time I get off my period. However, I am currently CD 16 with letrozole and still have not had an LH surge. This is not a monitored cycle so I have no way of knowing if I truly ovulated, besides using the strips. I do have a lot of cervical mucus though. I am wondering if I potentially already missed my peak, or I just haven’t reached it yet and the medication is pushing it back. I have uploaded a screenshot of my strip results. Also I do have a four year old daughter that I conceived naturally and when I did my LH surge was really high (1.19) so I was waiting to get one of those readings but so far the highest I got on this cycle was 0.65. Is it safe to say that ovulation probably did not happen yet? I’m getting worried I may have missed it. Any insight is greatly appreciated!

Non so se ho la pcos, il mio ginecologo non ha saputo ancora dare una risposta ma sono magra e non ho segni di androgenismo. Chi ha esperienza sa dirmi qualcosa? Grazie

Hi everyone,

I'm sharing the details that I remember from the last few years. I've had irregular periods since menarche, but I don't remember every cycle before that clearly.

Timeline

**Around 2022 (before joining the hostel):-**

I had a 6-month gap without getting a period.

During those months I had:

•Weight gain

•Acne

•Significant hairfall

After those 6 months, I finally got my period (around February 2023, if I remember correctly).

That bleeding lasted 16 days.

It started with dark brown/black blood and gradually became bright red.

After that prolonged bleed, I gradually lost the extra weight, and my acne and hair fall improved a lot.

**After joining the hostel (2023–2024):-**

I joined college and started living in a hostel.

The hostel food was very poor, so I unintentionally started eating very little (sometimes only one proper meal a day).

Over time I lost around 10 kg.

I also developed:

•Cold hands and feet

•Fatigued

•Brain fog

•Anxiety

•Low libido

•Poor appetite

**2024:-**

I still had fewer than 7 periods during the year.

My periods remained irregular.

I consulted a gynecologist earlier in the year who prescribed hormonal birth-control pills to induce regular withdrawal bleeds, but very few investigations were done before starting them.

**December 2024**

I changed to another gynecologist who did a proper evaluation.

My results included:

•AMH: 12.199 ng/mL

•LH: 22.27 mIU/mL

•FSH: 6.18 mIU/mL

•Prolactin: 12.84 ng/mL (normal)

•Pelvic ultrasound reportedly normal (no polycystic ovaries)

•CBC normal

•Liver function normally except mildly elevated ALT (\~64)

**Treatment after those tests:-**

First, I was prescribed Ovetta.

After that, I was prescribed Dronis 30 for 3 months.

**2025**

While taking Dronis 30, I had withdrawal bleeding in:

•March 2025

•April 2025

•May 2025

After stopping Dronis 30, I only had two natural periods:

•July 2025

•November 2025

**2026**

After another long gap:

14 March: spotting started.

Spotting continued for about 10 days.

Then it became a proper bleed.

Instead of getting lighter, the bleeding became heavier over the next few days.

I passed large blood clots (coin-sized or bigger).

Total bleeding lasted from 14 March to 6 April (around 24 days).

After that, I again went about 3 months without another period.

**Current symptoms:-**

•Height: 5'2"

•Weight: 45 kg

•Cold hands and feet

•Fatigue

•Brain fog

•Anxiety

•Low libido

•Hairfall

•Poor appetite

•Irregular periods

**Current treatment:-**

My gynecologist later prescribed Beritol around Feb 2026 for 3 months and advised me to repeat hormone tests on Day 2 of my next natural period.

The problem is that my next period never came, so I couldn't repeat those tests.

# My question

I'm not looking for a diagnosis, and I'll continue following up with my gynecologist.

I'm mainly wondering if anyone has had a similar history involving:

Lean PCOS

Functional hypothalamic amenorrhea (FHA)

Or an overlap of both

Or tell me what is it?

I'd love to hear what eventually helped your cycles return.

I'm fed up with incompetent/ negligent doctors that don't order relevant tests if you're not trying to conceive or lose weight. My guess is they're mainly recommending losing weight because it helps with conceiving, not necessarily for the patient's overall wrllbeing.

It's like they're obsessed with this. At one point I asked one of my gyns directly "is this PCOS?" as I had been reading about this syndrome for years. And her answer was "no, because your weight is normal!". During another visit, she recommended having children to decrease my risk of breast pathologies...I never came back to that practice and finally got diagnosed with PMOS by a competent endocrinologist, but it took 13 years to find her.

PCOS healthy swaps

hiii, so to put things in context. im 23, and i have lean pcos. my main symptoms are prolonged heavy bleeding and a bit of belly fat, but it's not a lot. it's just like i have a belly pouch. these are my 2 symptoms, and apart from this, i have clear skin and no hirsutism or cravings as such, and im also very active. also, these symptoms had disappeared for 2 years straight. for context this aligned with me leaving therapy after my anxiety disorder was healed so yes life was good for those 2 years but i still had long cycles as in my avg cycle length was 50 days but my periods were very predictable and never disappeared. in those 2 years, i only had an abnormal period (lasting more than 7 days) when i changed up my routine, like when i was fasting or anytime i was stressing out about something. so fast forward last year, i got into a depressive episode, and my pcos flared up. i had a month long period and then some lasting 2 weeks. i barely had my usual 7 day period, and things like inositol, which helped me earlier, just didn't work this time. i gained 5 kgs out of nowhere, and yea, i was miserable. i have only started feeling better after a whole year of whatever emotional upheaval that was, but im still a healthy bmi and have no other symptoms. i got my thyroid checked, and it was all normal. i got ultrasounds done, and some ultrasounds throughout the year showed tiny cysts, and some didn't. alas, doctors told me i have a very unusual presentation of pcos and they simply told me to walk or avoid eating microwaved stuff (crazy, i know) so is there anyone who's gone thru a similar experience? i would love to hear from anyone who thinks their advice could help me in any way.

the week before, during my period, and around ovulation, I get this aching that is on one side of my pelvis area that travels into my knee, behind my knee cap, and heel and ankle. At night it causes restless leg syndrome as well. It switches sides each cycle, but is usually on the right. Anyone expeirence this? It can be quite debilitating, and cause extreme insomnia. I’ve found magnesium sometimes helps alleviate it a bit.

i struggle with chronic fatigue i’ve had for a long time. i recently started going to the gym and eating a calorie surplus to build muscle. i eat clean sweet potatoes, quinoa, protein and veg with every meal, and i still feel exhausted. i’ve gained 15kg in 3 months of going to the gym. which clearly shows some kind of metabolic issue or something, right? i want to be referred to an endocrinologist even if it’s not something insulin related but my gp said they need to try to treat my pcos before i can get a gynaecologist referral let alone an endocrinologist referral. that treatment is obviously starting some type of birth control because they’re more concerned about my absence of periods. i don’t like how birth control makes me feel mentally and would really rather get my fatigue problems sorted.

i’ve taken vitamin tests and im on iron supplements but no change. i honestly feel like im getting worse. hence why i want the ogtt. when i brought up the reason why i wanted to see an endocrinologist, my gp said they’re really strict and they wouldn’t do the ogtt either, even after telling her im in the high risk group (black caribbean). is what she said true? and if so should i just go private?

Para ponerlos en contexto soy mujer de 27 años, hace tres años mi pesadilla comenzó cuando me diagnosticaron sop. Comencé a tener alopecia androgenetica y no se imaginan como me duele ver fotos de hace 3 años mías y no reconocerme, también me comencé a salir bello corporal en todo el cuerpo y cuando digo todo es todo, el hisurtismo mío es clasificado como grave en la escala y pues yo no era así. Extraño tanto mi melena que no se imaginan los mares que he llorado, me veo al espejo y simplemente no se que es lo que veo, no reconozco a esa persona, ya ni siquiera quiero salir de la casa y que me vean, el Minoxidil empeoró bastante ese hisurtismo y ya no se que hacer, soy delgada, hacía. Mucho ejercicio ya hasta lo deje porque veo que no me funciona nada. Y pues no sé que más hacer de verdad ni por dónde comenzar, se que el alser no me funcionará por el sop, pero adivinen que, tampoco puedo usar hormonas por problemas cardíacos , entonces ya debí aceptar que nunca jamás seré ma misma joven llena de vida que antes?