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PCOS - TTC #2 after BF for 1 year
pasadawna posted:
I am scared because I have just stopped feeding my little guy and am continuing to TTC. I am a 36YO overweight mom who tried for 4 years for my little guy feeling like I don't really have 4 years to do this again. I have always had irregular periods, Clomid did not help me ovulate, but the first time I tried it, it kicked my periods into a 6 - 8 week cycle and I had an early miscarriage 8 or so months later, then went back to irregular periods. So the second time around, after trying Clomid, I did FSH injections for 2 rounds, which supposedly induced ovulation but not successful fertilization with IUI. After the injections, however, I did start getting regular periods every 6 weeks or so. I then lost about 30 pounds and my husband had knee surgery and was off work and voila! Baby!
Currently, I have been having semi-regular periods (5 - 6 weeks) since January and am afraid what will happen with the hormone adjustment of not breastfeeding anymore.
Susannah D Copland, MD, MS responded:
Congratulations on your son. Embarking on another attempt at pregnancy can be scary, however it sounds as if you are approaching things in a very logical fashion. Breastfeeding does decrease your fertility and make cycles more irregular by sending hormone signals that interfere with ovulating. Now that you have weaned, you can track your cycles. If your cycles are still irregular, you should visit with your doctor to update hormone testing. Aging does affect fertility, so your thoughts about being proactive are right on target. If your testing for hormones is normal, your doctor may encourage you to work on lifestyle changes to optimize weight for fertility (here is a link to an information sheet from ASRM with a great summary: )
Other options include medications such as metformin and letrozole. Most women can be a new hormonal landscape after a pregnancy and a timely visit with your physician can allay fears, allow planning, and set you up for success in building your family. All best wishes! Susannah Copland

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