[Discussion] can we stop arguing about fertility until somebody posts a number
Genuine question, and the title is the question: can we stop arguing about fertility until somebody posts a number.
Questions about oral contraceptive absorption and gastric emptying are legitimate pharmacology questions with product-specific answers. A pharmacist can answer them properly; a board cannot.
Hormonal variation across the cycle affects appetite, fluid retention and subjective symptom intensity independently of anything else, which is why an unannotated log can look mysterious.
Insulin resistance is a common feature in PCOS, which is why the metabolic conversation overlaps so heavily with this board. A diagnosis and a finding are still different things and the distinction matters for what the evidence says.
Ask me anything specific. Anything general I will probably get wrong.
best — the order this archive was captured in
Trial populations for the major programmes were not designed around the questions this board asks most often, which is why the evidence base here is genuinely thinner rather than merely harder to find.
Fertility changed faster than I expected with the weight loss. Nobody had raised it and I wish somebody had.
This. Anything involving pregnancy or contraception goes to a clinician, and this board should keep saying so.
This.
This is the practical fix for half the confusing weeks on this board — annotate the cycle.
That trial did not enrol the population you are asking about, so it cannot answer this.
Small fix — insulin resistance is a feature commonly seen in PCOS, not a synonym for it.