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How do I know if I’m ovulating with PCOS?

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3 fertility expert(s) answered this question

Are patients with PCOS ovulating in different way than other patients? What's the difference?

Ovulation monitors detect surge of LH hormone and this way they inform about coming ovulation. Detecting ovulation in PCO patients can be more challenging as tests often give false positives results.

Answer from:
Nurse, Independent Fertility Nurse Consultant & Coach at Fertility Industry Consultancy & Podcast Co-Host
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Can be quite difficult to determine when and if you’re ovulating with PCOS. As a general rule, if you are having a cycle and you are having a bleed, then it is very likely that you are ovulating. However with women with long cycles with PCOS, it’s really difficult to know exactly when you’re ovulating and therefore getting to understand and feel empowered with your body and be really knowledgeable on your fertility indicators. Is the best way to understand whether you are ovulating with PCOS or not.

Answer from:
Gynaecologist, Obstetrician and Reproductive Gynecologist
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If you have a PCOS, there is a population of women having PCOS that ovulate consistently and regularly and these have regular cycles. Patients with PCOS with irregular cycles, have a different way of ovulating since the ovulation is not consistent every cycle and their cycles are irregular compared to other women who have regular ovulation and regular cycles.

Answer from:
Diagnostician, Chief Scientific Officer Pearl Fertility by Colorimetrix GmbH
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The problem with PCOS is that sometimes depending on the type, the hormonal profiles are disrupted.
You do a hormone chart every day with a urine test – you can actually see how the LH peak for example deviates or moves in a different fashion. You can also observe longer than normal cycles so it is not that the ovulation is different but the hormones are all over the place and ovulation can come at any time, different time depending on the severity of the polycystic ovarian syndrome of course. The typical condition is the hormonal disruption – you ovulate the same way just in different times or random times so it is super important to track your hormones and chart your hormones in the case of the polycystic ovarian syndrome to know more or less when ovulation is coming this cycle or in general how your hormone behave. Perhaps there is no LH peak or two peaks so you know when ovulation will happen.
The way to know when you ovulate with polycystic ovarian syndrome is to chart your hormones.

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