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Re: Gyn: PCO From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Oct 16 17:46:12 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Zach Newton: "ERT/HRT- personal prescribing trend" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: TOA in pregnancy" In reply to: Rafael Haciski MD: "Re: Gyn: PCO" Next in thread: Zach Newton: "ERT/HRT- personal prescribing trend" Reply: Zach Newton: "ERT/HRT- personal prescribing trend" Thanks to all for replies. The glucose/insulin ratio is normal (duh), but I have seen/heard of some REs using glucophage in this setting for infertility, I believe, as Rafael says. That is kind of why I entertained it, having no practical experience. My gut says OCPs also. Garry At Wed, 16 Oct 2002, Rafael Haciski MD wrote: > >The diagnosis of PCO is made with clinical signs of hyperandrogenism >(hirsutism) and anovulation (menstrual irregularity). FBS and insulin were >probably obtained to assess the degree of insulin dysfunction. > >While some do give these pts glucophage regardless of insulin production >(for purposes of ovulation induction, ie fertility), I would be more >comfortable with OCP for the long haul. > >-- >Rafael Haciski, MD FACOG >Gynecology and Infertility Associates >Baltimore, MD >410-825-0020 > >e-mail..GIA@IVF-MD.com >> From: garrys@mindspring.com (Garry E. Siegel, M.D.) >> Reply-To: ob-gyn-l@obgyn.net >> Date: Tue, 15 Oct 2002 18:14:03 -0500 >> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> >> Subject: Gyn: PCO >> >> 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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Zach Newton: "ERT/HRT- personal prescribing trend" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: TOA in pregnancy" In reply to: Rafael Haciski MD: "Re: Gyn: PCO" Next in thread: Zach Newton: "ERT/HRT- personal prescribing trend" Reply: Zach Newton: "ERT/HRT- personal prescribing trend"

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