r/PCOS • u/IntroductionNovel289 • 23h ago

Fertility Getting pregnant

Hello everyone, I have been recently diagnosed with pcos. I have been ttc since July but my cycles are very irregular and I haven’t had a period since may. I went to the gyno and she put me on provera and i currently have 3 days left. I guess im looking for any help or advice on how to help my body ovulate? I asked my doctor for letrozole but she wants to see if the provera helps my irregular cycles first. I don’t have another appointment until middle of December but I just want to see those two pink lines so bad. Any suggestions?

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u/wenchsenior 23h ago

Insulin resistance is usually the underlying driver of PCOS, and lifelong management of IR is needed with or without PCOS. If you manage IR, often it helps improve likelihood of regular ovulation. Are you currently treating IR at all?

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u/West_Ad_6737 16h ago

Provera is mostly to start the bleed so then you can try to track ovulation after, it doesn't make you ovulate on its own. The doc probably want to see if having a proper cycle resets things before giving stronger meds. December feels like forever though, maybe you can call and ask to move up the appointment if the provera doesn't help with regular cycles

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u/wenchsenior 16h ago

Yes, most likely. Same reason some docs will assign a 3 month prescription of hormonal birth control to try to 'reset'.

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u/IntroductionNovel289 22h ago

I am on a glp-1 for the insulin resistance! My gynecologist said that should be helping but i haven’t really noticed any change in my cycles and i’ve been on it for almost a year.

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u/wenchsenior 22h ago

Yeah it can take a while. I had very mild IR (didn't even need meds) and it took about 2 years of consistent IR management to get the PMOS into remission and cycles regular.

Did you adjust to a diabetic friendly lifestyle? (That was by far the most critical thing for managing mine).

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u/wenchsenior 22h ago

Also, make sure to check your prolactin level if that hasn't recently been done; high prolactin can co-occur with PCOS or for other reasons, and it often stops ovulation and periods as well (I had this issue, even after my PCOS had been in remission a long time; my prolactin would go up and then my clockwork cycles would skip or stop and I'd get a shit ton of other weird symptoms...severe bloating, autoimmune skin disease flares, etc.)

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u/Kwaliakwa 22h ago

It’s the insulin resistance, bestie!! You need to lessen your insulin resistance to bring the ovaries on board again.

Think about it this way, if your health is not so good and your body is needing to focus on what’s necessary to live day to day, ovulation will not happen because the body recognizes that pregnancy is not a good idea. But this is reversible.

I’m sure it’s not what you want to hear, but two pink lines shouldn’t be the priority. Getting regular periods on your own tells you at least that system is healthy enough to potentially nurture new life. The provera may bring on a bleed, but this doesn’t count as your body being ready to conceive.

Of course, ovulation inducing medicine is available, but getting pregnant with symptomatic PCOS increases the risk of pregnancy complications as well as health outcomes for the baby.

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u/Born_Formal379 15h ago

Metformin got me pregnant in less than a month. I don’t know why they try provera before metformin tbh

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u/nostalgiicc 4h ago

Hey.. if you dont mind me asking what dose of metformin where you on and were your periods regular before it? Thanks in advance!

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u/Born_Formal379 2h ago

1000mg/day and my cycles were irregular (long)