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Re: PCO Maintenance with Metformin/Glucophage

From: Kathy (anonymous@obgyn.net)
Tue, 23 May 2000 15:22:35 -0500 (CDT)


Dee, I can relate - my husband was active-duty Air Force when I first had symptoms. Although,at that time I wanted to get pregnant, and the answer I got from my wonderful on-base practitioner was, "You're trying too hard!" Needless to say, as soon as my husband got out of the Air Force, I went to a real doctor, and he prescribed Provera and Clomid and I got pregnant. But, I am now 38 and no longer desire to get pregnant. I am taking Metformin to control my PCOS - and for that reason only. I too had to convince my doctor to try it. Then I gave up and went to a doctor that has researched PCOS and is having great success in treating it with Metformin. The majority of his patients want to become pregnant, but he still feels that women who do not can benefit from this treatment. Did he research the insulin resistance connection? If you are insulin resis. your pancreas is working overtime to pump out insulin that your body cannot use. This insulin just keeps going around and around because it cannot be used. This creates a lot of problems, and can lead to life-threatning things like diabetes, and heart disease. Metformin can help by lowering your insulin resistance and allowing your body to use the insulin it produces. In the process it helps you maintain a regular cycle, lower blood pressure, helps in weight loss, clears acne, etc. I would hope that your doctor would do some more research, and if he doesn't, then you do it. There are great web sites out there with a lot of info. Educate yourself as best you can, because unfortunately, it seems that most doctors are either unaware, or not willing of the research that has been done. Good Luck!! Kathy At Tue, 23 May 2000, Dee wrote: >
>Do doctors prescribe Metformin for PCO maintenance for women who are not
>trying to conceive?
>
>I went to my Primary Physician with questions about how to treat PCO for
>the long term (not just with progesterone like drugs to induce a period)
>I was referred to a gyn who told me that metformin was only for those
>trying to get pregnant. I stressed the recent research about long term
>effects of insulin on overall heath and weight. He said he would
>research this himself. To make a long story short, he took my question
>as a request for a "magic bullet" for weight loss and researched only
>the weight loss portion of the studies. (by his attitude, he really
>didn't want to take the time researching for a patient who claimed to
>know more than he did!) He said Metformin wasn't for me, but told me ask
>again in a couple years. (He also incorrectly reassured me that at age
>32, I was too young to worry about ovarian or unterine cancers.)
>
>As a Military Dependant overseas, I am extremely limited on my options
>for a second opinion. I am grateful I found this forum. If doctors in
>the states are prescribing Metformin for long term PCO treatment, (not
>just infertility), then I will jump up and down with my Primary
>Physician to be referred to an endocrinologist.



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