
Have Irregular Period. Taking Clomid. Done Hormonal Tests And Trans Vaginal Scan. PCOD?

Question: Hello,
I hope you can help me with some answers. I have irregular periods. Infact for as long as I can remember, I have always had irregular period. My period is usually between 36 days and as long as 55 days. I tried to find out the reason for this with my Gynaecologist in the past and I never got a straight answer. Instead I was pumped with drugs like Clomid, Metformin etc. One of my previous gynaecologist suggested that I may have PCOS but I am very, very confused!. I moved to the UK last year when I got married and have been trying to get pregnant which is beginning to seem like a herculean task . I have seen my GP who has done blood hormonal blood test(blood glucose level, TSH Level, LH, FSH, Prolactin, differential white cell count, full blood count) for me and everything came back as normal. I have also done a trans vaginal scan with the results as follows:
Anteverted uterus appears smooth in outline and echo texture
Well defined tri laminar endometrium measures 7.8mm
Both ovaries appear normal in size with small peripheral follicles
The left ovary contains a dominant follicle measuring 15.5mm
No free fluid, cysts or adnexal masses identified.
I really don't know what else to do and I am thinking of jumping straight to IVF . Please I will really appreciate some advice.
I hope you can help me with some answers. I have irregular periods. Infact for as long as I can remember, I have always had irregular period. My period is usually between 36 days and as long as 55 days. I tried to find out the reason for this with my Gynaecologist in the past and I never got a straight answer. Instead I was pumped with drugs like Clomid, Metformin etc. One of my previous gynaecologist suggested that I may have PCOS but I am very, very confused!. I moved to the UK last year when I got married and have been trying to get pregnant which is beginning to seem like a herculean task . I have seen my GP who has done blood hormonal blood test(blood glucose level, TSH Level, LH, FSH, Prolactin, differential white cell count, full blood count) for me and everything came back as normal. I have also done a trans vaginal scan with the results as follows:
Anteverted uterus appears smooth in outline and echo texture
Well defined tri laminar endometrium measures 7.8mm
Both ovaries appear normal in size with small peripheral follicles
The left ovary contains a dominant follicle measuring 15.5mm
No free fluid, cysts or adnexal masses identified.
I really don't know what else to do and I am thinking of jumping straight to IVF . Please I will really appreciate some advice.
Brief Answer:
PCOS possible
Detailed Answer:
I have noted the normal lab results that you have reported.
Consider doing the following blood tests:
Total testosterone
SHBG
DHEAS
Androstenedione
IGF1
17 hydroxy Progesterone
HbA1c
Fasting lipids
Do you have excessive hair growth on your face/chin, arms, chest, abdomen, thighs or back ?
This can sometimes be present in PCOS
Regardless, it would be a good idea to see a Reproductive Endocrinologist to see if any intervention is warranted
PCOS possible
Detailed Answer:
I have noted the normal lab results that you have reported.
Consider doing the following blood tests:
Total testosterone
SHBG
DHEAS
Androstenedione
IGF1
17 hydroxy Progesterone
HbA1c
Fasting lipids
Do you have excessive hair growth on your face/chin, arms, chest, abdomen, thighs or back ?
This can sometimes be present in PCOS
Regardless, it would be a good idea to see a Reproductive Endocrinologist to see if any intervention is warranted
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


I do have excessive hair growth on my face, abdomen and lower back which is a nightmare but then I come from a hairy family.. I am not over weight like most PCOS patients are, however I noticed that when ever I put on the slightest bit of weight my period seems to become more irregular.
Brief Answer:
Women with PCOS can be lean too
Detailed Answer:
I see your comments above. The blood tests will complete the picture and allow correct diagnosis.
Women with PCOS can be lean too
Detailed Answer:
I see your comments above. The blood tests will complete the picture and allow correct diagnosis.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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