I am a pcos sufferer. my body responds to Clumid but my uterus lining won't build up?

Question

I am a pcos sufferer. my body responds to Clumid but my uterus lining won't build up?
even when my eggs grow big, circular and healthy, the lining won't go that high! I did IVU last month and my eggs had been released by a shot yet my progesterone level didn't exceed 4.30 in day 21. the doctor said the progesterone level in day 21 after releasing the egg should be around 6 to 24! has anyone suffered from the same problem? or have you heard about such cases? do you guys have any suggestions? things that will help my body build up the utrus lining and increase the level of the progesterone?

Answer 1

I have done IVF and Frozen egg transfers so I've had quite a bit of experience around how my doctor buit up my lining etc. When you do IVF, your lining won't build on its own because there is no corpus luteum. Your doctor should be able to supplement your estrogen and progesterone to get your lining up to a good level to time with your clomid. When I did my frozen egg transfer, I was on lupron to suppress my ovaries to give my lining time to grow and then put on estrogen and progesterone to assist with getting my lining thicker. When the doctor was happy with the lining we did the transfer.



I think you just need to work with your obgyn or reproductive endocrinologist to determine how they need to address your lining issues. It sounds like you just need to be on progesterone-in-oil shots or progesterone suppositories to keep your progesterone levels high in the beginning.



Also - make sure you are actually insulin resistant. Most women with PCOS have a form of insulin resistance but not all of us have insulin resistance.

Answer 2

Progesterone is (initially) produced by the corpus luteum, that is the so-called "yellow body" that forms in your ovaries from a follicle that has launched it's egg. If your progesterone levels remain low, I might still be concerned about whether you ovulated properly. Clomid may hep to make you ovulate by increasing LH and FSH levels, some women have found it successful. But it doesn't directly elevate progesterone levels.



You might consider trying to tackle the root of the problem - insulin resistance - rather than tackling the symptoms (lack of ovulation). There are a number of things you can do to get your body to ovulate naturally and to re-balance your hormones:



(1) Adopt a low gylcemic index diet. This means avoiding foods that give rise to a rapid increase in blood glucose levels. This in turn reduces your insulin levels. You can find info on the web, a couple of examples are



http://www.southbeach-diet-plan.com/glycemicfoodchart.htm (scroll down)

and

http://www.ajcn.org/content/76/1/5



(2) You should make sure you eat foods rich in d chiro inositol or "dci". This is a natural compound that mediates insulin production and has been proven in clinical trials to help in PCOS. The target should be 600mg of dci per day (or 1200mg for women with BMI over 30). Buckwheat flour ("farina") is the richest source but there are many others. Chick peas are good if you like hummus. Please see the links below. Not included in the links, but more commonly available in Asia, are bitter gourds (aka bitter melons) and shark fin melon (aka fig leaf melon or fig leaf gourd).



http://www.ehow.com/list_5960312_list-foods-high-d_chiro_inositol.html

and

http://www.infertilityworkshop.com/articles/naturalhealth/d_chiro_inositol.htm



(3) If your BMI is over 25, then you should work hard to get it below 25. Exercise regularly and control your calorie intake if this applies.



Good luck

Answer 3

yes i have but i did stop the clumid and iam not going to take any pill from now on iam eating heath rying to lose weight even my dr told me losing weight can help you alot so i dont need him plus the last time i had my peroid six month ago so try to eat heath first thing and exisers to sorry my english its not the good