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Hi Everyone!

Well, I had my first Dr. appt today to begin investigating why I haven't had a period for a year and hopefully what can be done about it! You guys were so right! Such smarties :) He has me taking Provera for 10 days and then getting bloodwork on day 3 of the period that it will induce. They will measure estrogen, FSH, LH, Testosterone, and Prolactin, among others. According to him it is likely that I either have hypothalamic amenorrhea (mainly caused by low weight and/or stress) or a result of having polycystic ovaries. He took an ultrasound to confirm that my ovaries were still polycystic, and indeed they looked like two pizza pies loaded with pepperoni. So in about 2 weeks we'll have all the labwork done and hopefully the hormone levels will tell him which one of these (or both?) is my problem.

Anyone know how you treat hypothalamic amenorrhea or polycystic ovaries? I've already gained a little less than 5 lbs while on vacation and am aiming to gain about another 5 or 6, so hopefully that should help. Also, I'm trying some relaxation techniques at work, but it's not easy!

Hugs and thanks!
WOW finally... you girls sound so much like me! I was diagnosed last week with PCOS but I really dont have many of the symptoms. He did a sonogram and said I have not been ovulating... then some blood work that confirmed my levels are out of wack.

But I am not overweight, I do not have acne and really dont have excess hair growth either. Do you think maybe Ive been misdiagnosed???

The doctor didnt seem concerned with my weight at all. I have teeny bones (size 5 shoe and the smallest wrists) and am 5'1 and weigh 97lbs. Believe it or not thats up from 94.5 a few months ago. I went off the pill in June and my weight literally fell off me from 102 to 94.5. I guess because of my bone structure the gyn wasnt concerned about that though. Maybe he should be????

Like you guys my FI is in the medical profession too. Hes PGY3 in ortho surgery. Still a long ways to go so I feel your pain about the no money thing. I did 5 days Provera at 10mg and just got my period but only for 1 day... which seemed really weird for me. My gyn has me starting Chlomid saturday (day 5) and taking 50mg for 5 days to see if I ovulate. If nothing happens my FI is coming with me back to the gyn on day 30 (march 1) to decide what our course of action will be for the future. We may decide to go straight to the RE.

Im glad to see people are in a similar boat to me :-) ANd i am wishing us all goodluck.
ngolden, I think you've hit it on the nose with the hypothalamic amenorrhea. The puzzling thing is that, although I'm slim, I'm not "skinny" and I definitely have curves. In trying to get pregnant I've put on about 8lbs or so, and now wear a size 29 jeans (not skinny!). I just thought HA was a problem for women with eating disorders, not someone like me who is within the healthy weight range.

I did respond to the provera challenge with about 5 days of bleeding (moderate the first three days and v. light the next two). The doc will probably put me on Clomid, which frankly scares me. I would like to have a normal period again and thus allow for the possibility of pregnancy, but to deliberately take a medicine that could very well make me pregnant is a tad frightening. Although I look forward to having a little baby and being a mom, part of me is scared to be so proactive about getting pregnant.

By the way, I took a reproductive endicrinology course in college and remember MANY studies indicating that even a minor weight gain (like 5lbs) tremendously improves a woman's odds of getting pregnant. You're absolutely right that there's a correlation. It's just weird how some very skinny women get pregnant easily and have these "basketball" bellies, while other women who are normal weight can have so much trouble.

My hubby is chief resident of surgery, and then he starts his fellowship in June (so he'll get a real paycheck in 2008!). I adore him, but residency is a PAIN! Especially when he's getting phone calls all hours of the night, or when he's on-call an entire weekend and comes home Sunday night and just sleeps. All of his friends are doctors too, so even when we go out and socialize it's all about work! He is doing important work though and I'm proud of him. His thoughts on all of this? He was about as surprised and bewildered as I am. Good thing we have specialists.

Thanks for the link to HA, ngolden. Very helpful!

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