Re: Gyn: PCO

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Tue Oct 15 18:45:06 2002


At Tue, 15 Oct 2002, Garry E. Siegel, M.D. wrote: >
>Mark Perloe, might you be out there for this?
>
>35 YO 2002, s/p TL, has a long standing dx. of PCO from years ago. She
>has cycles every 6 to 8 weeks, and facial hair/acne which are
>bothersome. She is also hypothyroid, on replacement, and thus sees a
>medical endocrinologist.
>
>In 1/02, her fasting glucose was 78, insulin level 6.
>
>She wants treatment for the above symptoms/issues, and I suggested to
>her to ask her endocrinologist at her recent visit, which she did. He
>said either OCPs or Glucophage.
>
>Does anyone have any thoughts as to which is better/worse, and why?
>Remember she's had her tubes tied, although she is not opposed to taking
>OCPs.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

Endometrial abalation for her bleeding after a biopsy which does not show hyperplasia with atypia. Yes glucophage for her sugars, spironolactone or what ever else is in voque for facial hair/acne.

--
                                 Take care, John




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