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Re: use of metformin in the U.K.From: Krystyna (anonymous@obgyn.net)Tue, 7 Nov 2000 04:12:50 -0600 (CST)
Hi Jo & Sorel, The gynaecologist I saw privately was Peter Bowen-Simpkins, based in Swansea. I understand he is renowned certainly throughout Wales and I think throughout the UK. When I saw him, because I had already been diagnosed as having PCOS, he said immediately that the treatment in the US was Metformin. Because my blood sugar results were higher than normal the Metformin should help that as well, but it was for the PCOS and not the sugar levels that he prescribed it. He then wrote to my GP, told her what to check and she then prescibes me with Metformin. Because my blood sugars were high anyway she advised me to buy one of those sugar monitoring kits (£15) which I've used to keep track of my sugar levels. Since then Government guidelines about sugar levels have apparently come down so I now qualify as diabetic anyway. There was absolutely no way that my GP would have prescribed Metformin otherwise (few of their diabetic patients have it either) I just count myself lucky that I saw somebody who was up to date with the latest treatments for PCOS. I am now in the 2 year waiting list to see the same gynaecologist on the NHS (and of course there is no guarantee I'll see him and not a registrar anyway) but at least I am in the system. I can't tell you what a difference the Metformin has made to my life. I used to feel so ill and so tired all the time but now I am full of energy and literally bouncing most of the time. I've not had any trouble with depression, in fact the other way around if anything; I was so depressed before. Now that I am on 2 * 500mg tablets twice a day the weight is coming off (without me having to do anything to my diet). That was the other thing I had found so depressing previously - I was putting on stones, all around my middle and eating practically nothing! All gps would say is "well you'll just have to lose weight!" But this gynaecologist just looked at me and said without the Metformin you'll never manage to lose the weight. It made me feel "at last somebody is listening to what I'm saying!" No, I've not read the new PCOS book, to be honest the diabetes has now taken over in my mind. And no I'm definitely not on a trial. I will say the Metformin has brought back periods (which stopped 11 years ago) possibly only 4 a year? but any is better that none. It hasn't helped with hair growth but at least it's not getting worse. Good luck to all of you, particularly in the UK where it seems to be such hit and miss as to whether you can get a doctor to prescibe medication for PCOS
-- Krystyna
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