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Re: PCOS: Looking for Advice about PCOS

From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Fri, 22 Jun 2007 15:33:25 -0500 (CDT)

Dear Pat, The issue of whom to see first in a woman with PCOS who is not seeking fertility at the time of diagnosis, or in assuring the diagnosis of PCOS, is debatable. I contend, as many do, that medical endocrinologists who are well experienced in PCOS, is the first step.

PCOS is a syndrome, with fertility being a part of the whole pie of factors involved in its presentation. These include contending with insulin reistance which is often seen even in nonobese women with oligoamenorrhea, the others being risk factors and markers for the later development of type 2 diabetes mellitus and cardiovascular disease, and the handling of lipid abnormalities, possible hypertension, sleep apnea and many more. Medical endocrinologists would be more likely, for instance, to order these and do a glucose tolerance test with insulin levels. Furthermore, remember that 20% of women with PCOS have regular menses. On reading about PCOS, you will note these facts, and the literature is full of articles written by medical endocrinologists around the world, for instance, Dr. John Nestler, Dr. E. Diamanti-Kanderakis, and others.

Best wishes, Dr.Walter Futterweit

PS: check out the AACE American Association of Clinical Endocrinologists), and the Endocrine Society for more info on this or recent books for the layperson on PCOS.

At Wed, 20 Jun 2007, Pat Sonnenstuhl wrote: >
>PCOS is a very compliated condition, and some of the things you describe
>could be associated. I would recommend finding a good reproductive
>endocrinologist that could work with your daughter, or who specializes
>in PCOS. It also sounds like she might need to receive some counseling
>to help with her mental health issues. Get going now so that she will
>start to feel better. PErhaps she is bi-polar, which is not realted to
>the PCOS, so that might be a separate issue. Hopefully you have a
>health team that can work with you.
>
>She will be okay, if you get her going in positive directions. I
>believe there is a forum on OB Gyn.net just for folks with PCOS, so
>you/she might look into that.
>
>At Tue, 19 Jun 2007, njmama wrote:
>>
>>My daughter has been having menstrual problems since day 1. I have
>>urged her to get fully tested by an obgyn to get to the root of her
>>problem. Also, since Day 1 her pms is really pmdd and her moods can
>>rapidly change and she can turn to be so nasty when she is usually so
>>nice. I have always noticed that too much sugar for her makes her hyper
>>and then she doesn't feel well. Anyway, she finally found out today
>>that she has PCOS. I am trying to encourage her that she will be okay,
>>but if anyone has information to share regarding PCOS, I would love to
>>have them reply.
>>
>>I really want to know the connection between PCOS and mood disorders.
>>She also has ADD and want to know if that too can be part of her
>>picture.
>>
>>Thanks.
>>
>>--
>>Take one day at a time. That is the only way to cope in this world.
>>
>--
>Pat Sonnenstuhl, CNM, CHT
>
>Hypnosis for Healing and HypnoFertility Therapy
>http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
>http://home.comcast.net/~prebirthhealth/birthcounseling.htm
>

--
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