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Re: Question for Dr. Sam or anyone who might know through experience

From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Sun, 15 Apr 2001 10:35:39 +0100 (MET DST)


Hi Dona,

This is a very practical question, but I am afraid, as the PCOS is in fact a metabolic desease and genetically coded insulin sensitizers should not be stopped. Type2 diabetics continue to take their drugs for life too. There is a slight chance however if lost substantial weight, your metabolism may return to near normal. I tried to answer your bleeding problem earlier, but here it is again. You should have your estradiol and/or endometrium checked. If the endometrium is thin, you should start with estrogens first. In my experience prolonged bleedings may be stopped by starting a short course (5-7 days) course of E2 followed by 10 days of Provera (or other progestin).

Sam

> Hi Dr. Sam,
>
> I was wondering how long it would take for symptoms and signs of PCOS to
> return after discontinuing the use of Metformin ,Actos,or Avandia? How
> long would it be before it would show high free testosterone or IR on a
> lab result and my menses would stop again?a week? a month?
> I am conscidering to stop taking Actos and trying to diet and exerscise
> instead of being on medication. I know that diet and exercise can help
> with IR.
>
> Thank you,Dona
>




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