Hormones

Lately my hormones have been feeling all over the place. I've had 2 periods since the girls were born. I have no idea the length of my first cycle and my second one was 51 days long. I'm currently on day 60 with no period in sight. I feel so irritable and have little patience and I've am having issues with insomnia for the first time in my life. I am still breastfeeding and know that that can affect hormone levels. 

Recently I purchased ovulation tests to try to see what my body was doing. We're not trying to get pregnant, I just wanted to see if I was ovulating, and if so, on what day of my cycle. I never really used them consistently and always heard they aren't reliable with PCOS. I will have to agree. I didn't really take too many but I got 2 clear positives this current cycle. This tells me that my body is having LH surges but likely not ovulating= more ovarian cysts. 

I realized I needed to make an appointment to see some kind of dr, but just wasn't sure what kind. My ob? A regular endocrinologist? A reproductive endocrinologist since it's related to my reproductive health and hormones? I feel like a RE is the most appropriate person, yet most are just focused on fertility treatments and getting women pregnant. That's not my goal right now.

So, I have an appointment scheduled with my ob for next week. I emailed Dr. B last night just to get his input. He suggested taking progesterone every 3 months to get a period. I read more about progesterone to help manage PCOS and that seemed like a popular treatment. 

The thing is, I'm wondering if there are ways to restore regular cycles (ovulation) and minimize the PCOS symptoms without birth control pills. Due to blood clotting issues I was told I shouldn't ever use an estrogen based birth control because it will increase my chances of developing a blood clot. I'm currently taking 1500-2000 mg a day of Metformin, more often the 1500 since I have a hard time tolerating the full dose. I also don't want to go on birth control. We've both talked about it and we'd be fine with a spontaneous pregnancy. In fact, I'd love it if we got pregnant on our own. 

I know I have to do something. Having 50+ day cycles isn't healthy or normal and I feel like my mood and patience aren't in a great place. So, we'll see what my ob says next week and what he suggests. Has anyone else regulated their PCOS without birth control pills? Any suggestions or ideas?