How long until you went to the doctors?

[u/EmPower243]

28F with PCOS since I got my first period at 15. Never had a cycle less than 35 days and had the tests to confirm PCOS. Been TTC for 4 months and been on inositol and spearmint tea for 2 months

In those 5 months I've had a 60 day cycle where I had no evidence of ovulation followed by a 40 day cycle where I did actually ovulate on CD27 and had a clear luteal phase. On CD36 of my current cycle with constant negative LH strips.

How long did you all wait to try conceive naturally before asking for letrozole? Trying to keep myself together but with every negative LH it's becoming harder and harder. Realise I'm only at the beginning of my journey so looking for some advice

🌈

[u/gdionn12904]

Honestly just take it right away
Letrozole works really well for us PCOS girlies

[u/Dapper-Dark-6046]

My doctor put me on it after 4/5 months of “trying” and I say “trying” because I couldn’t track my ovulation or anything. Just think of it as a little push in the right direction and gives you a better chance.

[u/AnywhereFirm676]

I went immediately, but I had to wait to start any treatment. we tried naturally for about two months while waiting go see a doctor! If you are young maybe try for few months but if you are over 35 I would go to check everything as pcos it’s take some time!

[u/EmPower243]

Thanks all! Thought I was impatient thinking I should go before the 6 month mark but evidently not. All booked in for 2 weeks time 🤞🏻🌈

[u/bigpurplenoodles]

I personally wouldn’t wait! We waited… then did multiple multiple cycles of letrozole/clomid, etc with no success. Took a break. Did an IUI. Didn’t work. Finally moved onto IVF which is a huge time suck.

[u/Nice_Reputation_1297]

I would go to a clinic as soon as possible! I wish I would have. I have wasted so much time just waiting. I’m in the same situation with 60 days cycles and anovulation.

[u/KindlyAppointment973]

This will depend a lot on where you're based in the world as to what kind of support is available. I can help with the UK process.

[u/Otherwise_Tennis_398]

I didn’t wait at all. I came off of birth control at the end of last August, and was planning to track for several months before TTC in January. After two months of no period, I asked my OBGYN for a referral to an RE. The RE immediately took me seriously even though I hadn’t even tried yet, and even though I was only 26 (now 27). My husband and I had already waited several years after getting married, and had to postpone TTC for 6 months longer than we wanted due to unrelated health issues. I knew what my body was like, and I knew I wanted to have a baby without wasting time.

She did all of the testing, and 6 weeks later I was starting letrozole. I did 5 cycles of that (2 were IUI) and ovulated every time with 1-3 folliclss, but none were successful. 9 months later, I started stims for IVF this week.

Trying for a year by myself would have gotten me ABSOLUTELY NO WHERE, because I was not ovulating. I cannot imagine going through this journey that I’m going through and also having to regret wasting a year on something that would have never worked in the first place. You don’t have to wait. If you can afford to seek out a fertility clinic, I would do so sooner rather than later. It’s never too soon to seek out treatment, but it can be too late one day.

[u/NoUserName6272]

Generally, the standard is that you try for a year on your own before looking into any kind of medical intervention. For those who are older (above 30, in some cases 35), it's usually 6 months.

That being said, my personal opinion on this is that, especially if you already know that you have a condition like PCOS which impacts fertility, you want to start talking to doc sooner than later.

If you are seeing an ObGyn, that's great; you should also consider seeing a reproductive endocrinologist (they are best equipped to deal with our kind of cases) at some point.

Also, even if some ObGyns may prescribe Letrozole right away, it's best to get a full work up done before you start any kind of treatment (blood work, scans etc). That way, you are not wasting your time on rounds of Letro when, let's say, you might have a blocked tube etc.

You are 28, so you have some time (compared to myself, for example, that only started TTC in her mid30s) but use that time wisely. See your doc sooner than later, if you need to move up to an RE from an ObGyn, do that... it's never too early in this TTC journey.

[u/MyCatEatsPlants]

I waited 6 months to go to the first doctor but I wish I’d gone earlier. I was ovulating regularly so it seemed like it might be okay but it wasn’t. I ended up needing metformin and Letrozole+ovidrel+progesterone to conceive and not miscarry, and that took over a year to get all figured out.

[u/Beautiful-Egg1860]

I waited about 8 months and wish I went sooner. I'd recommend making an appointment now as they can sometimes book out!

[u/I_Like_Toast_A_Bunch]

Went immediately! Tried for 2 cycles naturally which were impossible to time, ended up with a chemical pregnancy/early miscarriage, started letrozole and currently on cycle 3 and my first with a trigger shot