Anyone here “lean” PCOS?

[Anonymous]

I am TTC and “lean” PCOS — i.e. normal weight. I am trying to learn more about how to manage my PCOS while TTC but everything I read seems to revolve around losing weight and fixing insulin resistance.

I have known I’m PCOS since age 18 when I didn’t get my period for over a year. I treated it by taking birth control. I was put on metformin for a bit but didn’t do anything for me. Aside from a a few years after gaining the freshman 15, I’ve always been average weight (currently 135 lbs and 5’5”) and no evidence of insulin resistance.

I’ve been off of BC for 18 months now but still don’t get my period without medication (been taking Letrozole for a few cycles so getting it now). AMH of 14 which apparently is more evidence of PCOS. I also have some acne but otherwise not many symptoms.

Does anyone have good resources for how to manage PCOS when weight and insulin resistance is not the issue? Is there anything else to do aside from medicated cycles?

[Anonymous]

I am thin with PCOS. I wasn’t ovulating but did get periods. Do you know if you’re ovulating? I did IUI with Clomid and that worked. I was not insulin resistant but I was worried about it- sugar makes me sick (like a bag of Swedish fish). No GD though with 2 pregnancies.

[Anonymous]

Anonymous wrote:I am thin with PCOS. I wasn’t ovulating but did get periods. Do you know if you’re ovulating? I did IUI with Clomid and that worked. I was not insulin resistant but I was worried about it- sugar makes me sick (like a bag of Swedish fish). No GD though with 2 pregnancies.

I am ovulating with the help of Letrozole. I tried using the OPK pee sticks but my doctor said those aren’t relevant for PCOS. Happy to hear you were successful!

[Anonymous]

I am lean PCOS. Currently doing fertility treatment- IVF

[Anonymous]

I also have lean PCOS. My RE said that changing diet/weight/lifestyle won’t help as it does with traditional PCOS. My kids are all the result of IVF.

[Anonymous]

Anonymous wrote:I also have lean PCOS. My RE said that changing diet/weight/lifestyle won’t help as it does with traditional PCOS. My kids are all the result of IVF.

Did you try IUI first? My insurance covers IVF only after six IUIs and not feeling hopeful

[Anonymous]

Lean PCOs in 30s
Hyperstimmed on Clovid
IVF 2 teen DDs now and no longer lean take care of your health ladies. Sugar is bad.

[Anonymous]

Yes, I was always skinny.

I did end up having two kids with fsh injections and iui

One natural

[Anonymous]

Anonymous wrote:

Anonymous wrote:I also have lean PCOS. My RE said that changing diet/weight/lifestyle won’t help as it does with traditional PCOS. My kids are all the result of IVF.

Did you try IUI first? My insurance covers IVF only after six IUIs and not feeling hopeful

My insurance didn’t cover any fertility treatments and husband has a low sperm count, so we went straight to IVF. But I know several other women with lean PCOS who were successful with IUI.

[Anonymous]

Normal weight PCOS. I had super irregular periods all my life until my first pregnancy, which ended in miscarriage. After that my periods sort of regulated themselves and the older I got the more regular I became. Oddly enough, I never had a problem getting pregnant, I did have a problem staying pregnant.

[Anonymous]

Lean PCOS. I was anovulatory until starting infertility treatment at 33. 6 IUIs were unsuccessful. Conceived DD#1 at 37 via IVF/FET. Surprise pregnancy at 41 with DD#2.
I had an RE tell me that, sometimes, lean PCOS is a bit trickier, because you can’t just prescribe metformin, drop weight, and start ovulating.

OP, if you pursue medicated TI or IUI, make sure you are closely monitored. My first IUI cycle, on low dose Clomid, I overresponded, and we had to cancel the cycle. That isn’t unusual with PCOS.

[Anonymous]

I am lean PCOS. My cycles varied wildly, could be anywhere from 32-70 days. Tried to conceive naturally for 1.5 years, then had 2 unsuccessful IUIs with letrozole. I decided to seek out a different doctor for IVF, but he suggested i try a low-carb diet and metformin for a couple months first. Figured I had nothing to lose going this route, so why not try? Really didn’t actually think it would work (I’m petite, 5’0 110lbs, so I just assumed insulin resistance wasn’t an issue), but within 1.5 months of being on a keto diet and metformin, I conceived naturally.

[Anonymous]

I have a friend like this. She had three kids in her 20s via IVF and never used birth control. She’s been married for 20 years. Then bam at 40 got pregnant Naturally with her fourth.

[Anonymous]

I had this. I could not believe how many of my PCOS related issues - hormonal acne, irregular and terrible periods — cleared up when I started eating a lower carb diet. not crazy keto low, but much lower than a standard American diet.