Are there any tests you can get done to understand your fertility? I have PCOS and cannot start trying until next year or two. I would like to know if there will be any issues with conceiving due to my PCOS. I’m 29 right now. I asked my OBGYN and she said that unless I start trying, there’s not much in terms of testing she can do and that she wouldn’t recommend it. Has anyone ever gotten any fertility tests done to understand if you’ll have future issues?

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Agree with your ObGyn that you don’t know whether PCOS will be an issue until you are actually trying to have a baby. No doctor can or should go through the process of figuring out if you ovulate, how much clomid it takes you to ovulate, whether you can get pregnant even if you ovulate unless you are actively trying. I say this as someone with PCOS who is doing fertility treatments. There is no way I could have “tested” anything to figure out how PCOS impacts my fertility short of trying to get pregnant. And if you have PCOS, some fertility tests (like AMH levels) cannot be interpreted the same way as they can for people without PCOS.

As someone with PCOS who tried unsuccessfully for a whole year before getting tested, only to find some fundamental issues we could have navigated earlier (male factor and a thyroid issue) - I’d see if you can get a couple basics done (semen test and vaginal ultrasound; hormone panel for thyroid, vitamin d, amh). Best case it’s all clear and you’ll have more confidence trying naturally. Worst case you can chart a plan and avoid frustration and disappointment.

Going on 2 years of trying with PCOS and am currently 29. Honestly, I would do a consult with a reproductive endocrinologist. My RE is the one that started me on metformin, did all the blood work, ordered the HSG, and found that I also had a uterine septum when all my OB said was keep trying. I wasted a year on “keep trying”. The RE also did the semen test and found my husband had low morphology. So he went on some vitamins for 3+ months to help and his morphology is now within the normal range. An RE gave me a much better idea of what was going on and gave me a good plan to start with.

Hi Kearney 1. Thx so much for responding and I’m glad you eventually found someone that was able to give you a plan regarding your TTC 🥺

So I do see an Endo. Did you get a referral to your RE bc you have actively been trying for 2 years?

I already am on metformin and keeping track of my cycles and also taking thyroid medication. We’re wanting to know if there’s anything else that would come up in bloodwork or an ultrasound that would give us indication for mine and his overall fertility.

So your RE had bloodwork done for you, and what is an HSG? And how did you find out about your uterine septum? Any other basic tests s/he did ?

You can check out modern fertility which is an at home blood test which gives you an insight into your fertility. I've done this to keep track of my fertility and was recently alerted with my last test that I might need to start planning for kids sooner rather than later. Lmk if you want a referral code for discount

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