WOMENS-HEALTH Messages for June, 2009: Re: PCOS: 1500mg Metformin

Re: PCOS: 1500mg Metformin

From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Sat, 20 Jun 2009 22:54:29 -0500 (CDT)

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In reply to: Lisa: "PCOS: 1500mg Metformin"

Dear Lisa, Things to do: 1) increase the dosage to 1000mg twice a day for a few months. 2) Your absence of menses may be related to a. elevated prolactin levels b. Possibility of other causes such as weight (? over 200 lbs, eating habits, excess running, Cushings or other causes of lack of menses. Let me know. Best wishes, Dr. Futterweit

At Fri, 19 Jun 2009, Lisa wrote: >
>Hello everyone, I'm a 20 year old female student, was diagnosed with
>PCOS back in 2006, and the gynecologist at first put me on Diabex-XR
>(Metformin Hydrochloride, from Pharmacology lectures, XR is extended
>release right?). For the first 6 months of 2007, the dose was 1000mg,
>but I was still not menstruating =___=. Thereafter, the specialist put
>me on 1500mg, and also prescribed me with microgynon 20 (which is
>essentially The Pill). Even with the increase in metformin dosage, I
>have yet to have my periods but I believe I am not as hyperglycaemic as
>I was before.
>
>My questions, if they could kindly be answered (!), are:
>- How long should I expect to stay on Metformin even though my blood
>glucose concentrations have decreased dramatically (also lost about
>9kgs!)?
>- Should I take the Pill monthly, or alternate between 1 or 2 months?
>The gynecologist didn't give me any specific guidelines and said on the
>last visit to her clinic back in 2008 that I needn't visit her again if
>I menstruated after taking the Pill...
>
>Please advise me on what I should do; your guide will be greatly
>appreciated!!
>
>--
>Lisa (Sydney, Aust.)
>

--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716

Next message: Hope Waltman: "MENORRHAGIA: What Is Menstruation? What Are Periods?"
Previous message: Sexless : "CANNOTHAVESEX: I have no hymen. And I still can't have sex. :( Help..."
In reply to: Lisa: "PCOS: 1500mg Metformin"

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