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Re: please help
From: anonymous (anonymous@obgyn.net)
Fri, 22 Jun 2001 20:14:21 -0400
Virginia~
I think the met/glucophage is good for ALL aspects of PCOS--not just the weight issue. Unlike BCPs or the anti male hormone meds, it strikes at the actual CAUSE of all the symptoms of PCOS (weight gain, irregular periods, acne, haior growth)--the insulin problem. I think that you should try the met/glucophage before resorting to a more drastic measure like surgery. Like your doctor said, the only thing surgery would fix would be the irregular bleeding--but the bleeding might go away if you try some of the insulin sensitizing drugs like glucophage/the met. Please consider these meds before surgery. Even without your uterus, ovaries, etc. you will still have PCOS.
Much love
>From: anonymous@obgyn.net (Lisa)
>Reply-To: anonymous@obgyn.net
>To: Multiple recipients of list PCOS-DIET
>Subject: Re: please help
>Date: Wed, 20 Jun 2001 07:42:10 -0500
>
>Virginia,
>I have recently tried Glucophage (Metformin)to help reduce my weight and
>better utilize my insulin. However, I had sever GI side effects, as
>many do, from my understanding. The drug did help me ovulate, which is
>why I stayed on it for 3 months. But finally the doctor took me off,
>because all I did was vomit. I couldn't keep anything down, and I
>didn't lose a pound! Talk about frustrating. But I have heard some
>great stories, so if you are going to try it, I wish you the best.
>
>At Wed, 20 Jun 2001, Virginia wrote:
> >
> >Apparently Metformin is good for blood clot patients and helps reduce
> >weight? Anybody out there on this who has experience - your input would
> >be appreciated.
> >
> >I sent a copy of your last answer with some questions of my own - I am
> >suffering from almost daily bleeding as well as the history of blood
> >clots - below is his reply. He is a very good doctor and very honest. I
> >prefer the blunt truth to bull****.
> >
> >Glucophage is an anti-diabetic drug used in the management of Type II or
> >so called late-onset diabetes. I have not heard of it's use in pure
> >PCOS. Maybe it will help to control the weight aspect of PCOS. In many
> >cases of PCOS there is a glusose intolerance as well, maybe that is what
> >Regan is talking about. The "anti-male' hormone is well known in SA. It
> >is called Androcur and is used to oppose the effects of the increased
> >secretion of Androgens that cause the acne and increased hair
> >growth(hirsutism) associated in some cases of PCOS. It is used on it's
> >own in high doses or combined with oestrogen in a pill called Dianne 35
> >which will not work for you. Androcur is not a CURE but a management
> >modality and is quite expensive. It will not rectify your bleeding
> >problems. There is NO cure for PCOS yet. All treatments are aimed at
> >managing some of the symptoms.
> >Hysterectomy will only help to stop the bleeding aspect as you will
> >never again have bleeding. It is very often used for this reason in
> >order to improve quality of life but will only deal with the bleeding
> >aspect. One of the first treatments was a so-called wedge resection of
> >the ovaries where a portion of the ovaries are removed or destroyed by
> >cautery(burning). It is almost never used anymore because of less
> >invasive medical management (this is mostly not for you with clotting
> >problems). The only hormonal therapy that you could use with reasonable
> >safety is Progestogen in the form of Depo-provera, Nur-Isterate, or
> >various more expensive oral types.
> >As you can see PCOS is a very complex problem mainly because it is not a
> >disease but abnormal physiology. The old term for this was
> >Stein-Leventhal Syndrome and one variant of this is also called
> >Hyper-thecosis. Sorry that I can not be a little less honest but I do
> >not believe that one should soften reality by giving false hope.
> >
> >--
> >Cheers
> >
> >Virginia
> >
>
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