Real answers for getting and staying pregnant with PCOS
The questions women with PCOS ask me most, answered straight. I'm Tianna Trinidad, RN, a PCOS Hormone & Ovulation Specialist with 15+ years in high-risk Labor & Delivery and the NICU, and I have PCOS too.
Who is Tianna Trinidad, RN?
I'm a Registered Nurse (RN, MHL) with 15+ years of high-risk clinical experience in Labor & Delivery and the NICU, and the founder of Love Served Warm. I'm a PCOS Hormone & Ovulation Specialist, host of the PMOS & Prosecco podcast, and a woman with PCOS who has lived the long cycles, the confusing tests and the loss. I work online with women with PCOS who are trying to get pregnant, especially women of color who have been dismissed for too long.
Start with a private Fertility GPSā„¢ Assessment ā†’What does a PCOS fertility coach actually do?
I don't hand you another list of things to try. I look at your cycles, your ovulation tests, your temperatures, your labs and how your days really run, and we find where your cycle is breaking down. Then we change a few things, not seventeen, and watch what your body does next. You get weekly time with me and support in between, so you're not guessing alone at 2 AM. I work alongside your doctor, never instead of them.
See how From PCOS to Pregnancyā„¢ works ā†’Can you get pregnant with PCOS if you don't ovulate regularly?
Yes. Many women with PCOS get pregnant, and irregular ovulation is one of the most common reasons it takes longer, not a dead end. The first step is knowing whether, when and how well you ovulate, cycle by cycle, instead of assuming. Once we know where your cycle stalls, we know what to support first.
Find out where your cycle stalls ā†’I get a period every month. Doesn't that mean I'm ovulating?
Not necessarily. With PCOS you can bleed without releasing an egg. A period tells you a cycle ended. It doesn't tell you an egg was released, or that the second half of your cycle was long and strong enough to hold a pregnancy. That's why I look at the whole cycle, not just the bleed.
Have your cycle read with you ā†’Why do my ovulation tests (OPKs) look almost positive for days, or positive more than once?
With PCOS, LH can run high, so strips can look dark for days, and your body can gear up to ovulate, fall short, then try again. Mucus can show up more than once too. A positive test isn't proof you ovulated. Pairing your strips with your temperatures and the length of the second half of your cycle tells us which surge actually counted.
Bring me your strips and temps ā†’I'm on Metformin, inositol, Letrozole or Clomid. Why am I still not pregnant?
The name on the bottle tells me what you're taking. It doesn't tell me what your body did. Medication can help you get to ovulation, but pregnancy also needs good timing and a second half of the cycle that holds. I help you see what your recent cycles were trying to tell you and what to ask your doctor before the next round. I never tell you to stop anything your provider prescribed.
Make sense of your medicated cycles ā†’What is Build, Surge, Hold?
It's how I read every PCOS cycle. Build: is your body building toward ovulation, or stalling? Surge: is the LH surge real, and does ovulation follow it? Hold: is progesterone strong enough, and long enough, to hold a pregnancy? The order matters. If Build is the problem, fixing Hold won't help, and if Hold is the problem, more ovulation help won't fix it.
Find your phase ā†’What is the PCOS Fertility GPSā„¢ Assessment, and who is it for?
It's a private, 50-minute online session with me for women with PCOS who are trying to get pregnant and are tired of guessing. Before we meet, you share your cycles, ovulation tests, temperatures and labs. In our time together I tell you where I think you're getting stuck, why, and where I'd focus next. It stands on its own, and it's also the first step for every private client.
Book your Fertility GPSā„¢ Assessment ā†’Do you work with women doing IUI or IVF, or with their doctors?
Yes. Meds, IUI and IVF are all welcome. I help you show up to appointments with your cycles organized, your questions ready and a clear picture of what your body has been doing, so your doctor gets a better-prepared patient.
Get your cycles organized ā†’Where are you located? Do you work online?
Love Served Warm is based in South Florida, and everything happens online, so I work with women anywhere in the world.
Book from anywhere ā†’Is there a free place to start?
Yes. Take the free PCOS Fertility GPS to see where your cycle may be losing its way, listen to the PMOS & Prosecco podcast, or join the free PMOS & Prosecco Collective community. When you want your own cycles read with you, book the Assessment.
Take the free Fertility GPS ā†’Stop guessing. Let's read your cycle together.
One private session. Where you're getting stuck, why, and what I'd focus on next.
Book my Fertility GPSā„¢ AssessmentSee all free resources
