U/S

I started Prometrium on Saturday the 27th (since it was CD14).  I am hoping this cycle will be it.  Another thing I forgot to mention about my appointment with the ob/gyn was we discussed whether I was ovulating.  I was thinking that I probably wasn't.  She said the pains I am having could be ovulation.  I also told her that I have had the cervical mucus (even cycles when I haven't had AF for over 40 days), she said I could very well have ovulated then too.  Apparently you don't have to have AF to ovulate. 

Thursday I had the u/s.  I told the tech that I was still having the pains on my right side, but also my left side has been hurting (even more than the right) and the center of my abdomen has been sensitive / soar.  She did 2 types of u/s.  She showed me my ovaries, cysts, follicles, etc.  She said that it's not common for women with PCOS to have pains (but I am not sure how much she really knows about PCOS because from what I have read, it is very possible).
The ob/gyn's office called with the results later that day.  The u/s confirmed / was consistent with PCOS.  There is no blockage or scar tissue.  My ovaries are functioning, but with PCOS.  Normal treatment for PCOS is to suppress the ovaries, but since we are TTC, we don't want to do that.  She said the pain is just from the PCOS.  She said the u/s showed tons of cysts (almost like an overactivity), but that is PCOS.  The pain is from the PCOS and there isn't much they / I can do about it.  She said to take Tylenol, keep hydrated and to make sure I am not constipated.  She said that Metformin is a good drug to make the ovaries function.  She wants me to keep them posted.  I asked if she could tell from the u/s if I ovulated this month this I was on CD19 and she said that she couldn't tell. U/s isn't a good tool for that. 
So, at least I have no blockages or scar tissue, but I have major pain a lot.  Thankfully the pain doesn't last a long time, but it does happen frequently.

PCOS Diagnosis

July 16, 2009, DH and I attended an ob/gyn appointment. I have been off BCP since October of 2008. My periods were fine the first 4 months I was off the pill, but then just stopped. My cycle before DD was about 30 something days, now it was 42days long (well the 4 months I had a period!). March and April I didn't have a period. I only had a period in May because the ob/gyn's office prescribed Provera. I missed a period in June and July. I was not ovulating.

The ob/gyn did a pregnancy test and it was negative. She said that I was not ovulating. Apparently my lining is too thick. The estrogen in my body is turning into testosterone, which turns into insulin. She said that every women has cysts in their ovaries. It is one of those cysts that gets fertilized or if it doesn't causes your period to start. Your body only allows the best cyst to get fertilized. Well apparently I don't have any of those "best" cysts. I have what is called Polycystic Ovary Syndrome (PCOS). The ob/gyn said this is why I am gaining weight in the stomach. The fat is just collecting there. She said this is why I am having pains in my stomach as well. We are going to try to treat it with Metformin, which is a Diabetes drug. She is also doing bloodwork to make sure everything else is OK. The Metformin could also cause stomach pain and diarrhea.

When the ob/gyn was telling us this, I was about to lose it, but tried to act OK. I looked over and saw DH tearing up and knew I had to be OK about it. I didn't want both of us to cry over this. After the appointment, while I was waiting for my script and bloodwork req, he lost it and had to leave the office for a minute.

He went to the lab with me. They got me in and out of there rather quickly. I picked up the script for Metformin that evening.