What does this mean for my fertility in the future?!


Question: What does this mean for my fertility in the future!?
I'm hoping there will be some women's health or fertility doctors/assistants/whatever on this section, because I can guess the answer as far as most people probably can!.!.!. in any case, I appreciate any answers!.

I am 18 and have already been plagued by several "female problems"!.

Ever since I started my period, when I was 13, I have had two periods a month!. When I was about 14, I went on birth control to combat this - ortho tricyclen lo!. That worked fine for a few years!.

Then, last year, I had a softball-sized hemorrhagic ovarian cyst!. Instead of operating, the ER doctors decided to put me on Yaz, a stronger birth control!. Amazingly, that cleared the cyst up!.

Earlier this year, I was also diagnosed with a somewhat newly-discovered genetic mutation called MTHFR!. Basically, it inhibits absorption of B9 and folic acid - which may or may not lead to complications in pregnancy, anything from premature labor to stillbirth, down syndrome, and spina bifida!. The most common way to discover you have it is after multiple miscarriages!. Luckily, I was tested for it on a hunch, so I know what extra precautions I have to take should I get pregnant!.!.!. No one quite knows why it affects some people more than others, though!. My mother has it as well, and she had no trouble with me, one miscarriage, and through fertility treatments, had my sister - a beautiful healthy girl - when she was 39!. But people on the MTHFR forum I visit have had multiple miscarriages, stillbirths, failure to thrive!.!.!. So I really can't say for sure if it will affect me or not!.

After being on Yaz for about a year, I realized it was affecting my libido!. I talked to my doctor about it, and he put me on Yasmin instead!. He says it is just as strong or stronger than Yaz, but will help with my libido problems!. Well, it did, but about two months after being on it, I started feeling the telltale cyst pain again!. This was last week!. So I went in for an ultrasound, and they found that there was no cyst, but there was fluid in my ovary!. This means that I had already had one, or several, and they ruptured!. So they put me on yet another new birth control, Necon, to suppress the follicles that are turning into cysts!. This, my doctor claims, has one of the highest doses of estrogen!.

At the time of my ultrasound, the pain had started to recede - probably because the cyst had already popped!. But yesterday, three days into my new birth control, the pain started to come back!. And here's the disturbing thing: there are now more than one points of pain!. I think I can actually feel multiple cysts in there, and while it was only on the left side before, I believe I now feel some on the right!. I'm really scared!.

A few loose ends: The pain is actually not that bad!. I have no idea why I didn't feel my previous cyst until it was the size of a softball!. Both times when I went in for cysts, my pain level was only about a 2 out of 10!. It still is, so it doesn't exactly warrant an ER visit!. Yesterday, I got about six little stabbing pains in quick succession on the left side - again not very painful - but I'm afraid that may have been another one rupturing!.
My doctor also does not think I have poly-cystic ovarian syndrome, because I lack the other symptoms: hairiness, obesity, the "string of pearls" cysts!.

I'm no doctor, but I'm feeling that this isn't looking good for me!. I'm on one of the strongest birth controls and still getting cysts!. I'm afraid I won't have my ovaries by the time I'm ready to have a baby (24 or 25)!. Is my fear irrational!?
What do you think this means for my fertility future!?

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Answers:
I read your whole history!. It sounds like despite what is going on your doctor is on the right track!. Just because you probably have PCOV doesn't mean you can't conceive!.

Medical treatment of PCOS is tailored to the patient's goals!. Broadly, these may be considered under four categories:

Lowering of insulin levels
Restoration of fertility
Treatment of hirsutism or acne
Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial cancer
In each of these areas, there is considerable debate as to the optimal treatment!. One of the major reasons for this is the lack of large scale clinical trials comparing different treatments!. Smaller trials tend to be less reliable, and hence may produce conflicting results!.

General interventions that help to reduce weight or insulin resistance can be beneficial for all these aims, because they address what is believed to be the underlying cause of the syndrome!.

EVEN PREGNANT WOMEN GET PCOV!.

From what you are describing this is only happening on one ovary!. When you release an egg your ovaries switch back and forth as to which ovary will release an egg!. Sometimes two eggs are released and thats why a person has twins :) As far as you thinking you might loose one of your ovaries!.!.!.the PCOV can be treated without taking out the ovary!.

Your mother has the genetic defect you mentioned!. She has a 25% chance of passing it to you or your sister!. You got that 25%!. Now you could have a 25% chance to pass to offspring!.

You've been delt a tough hand of cards!. Allow your doctor to treat the PCOV!.!.!.and try to remain optimistic!. I think you have a good chance to still have viable children!.

Honestly your doctor seems really good!.


Good luck to you!.!.!.!.and if you get too worried!.!.!.!.why not consider motherhood a little earlier!? (just an opinion)!.!.!.!.you can never be financially ready for a child!.!.!.as my mother says!.


EDIT: YOU SEE A OBGYN THAT HAS SPECIALTY IN THIS AREA!. I DONT KNOW WHERE YOU LIVE BUT EACH OBGYN CAN HAVE DIFFERENT AREAS OF EXPERTISE!. THERE IS A METHOD I HAVE STATED BELOW CALLED "DRILLING"!. PLEASE READ WHAT I HAVE WROTE BELOW!. THERE IS A PROCEEDURE THAT CAN HELP!. YOU CAN ALSO TAKE d-pintanol if you WOULD LIKE TO TRY A NATURAL REMEDY!.

Ovarian drilling has been helpful for some women!. It is a process where between 4 and 30 tiny holes are made in a cystic ovary!. Newer surgical techniques minimize previous problems of scaring and adhesions, but they remain a risk!.

Rarely, if the ovarian cysts are large and causing problems, a physician may suggest surgical removal!.

Conventional treatment is generally aimed at controlling symptoms and shifting levels of the various hormones that are involved in the disease!. In some cases, the medical therapy must be continued indefinitely!.Www@Answer-Health@Com

to manywordsWww@Answer-Health@Com

I'd go see a doctor instead of asking online!. Good luck <3Www@Answer-Health@Com





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