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Re: For Dr. Sam
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Wed, 18 Apr 2001 18:24:08 +0100 (MET DST)
Hi Ayesha,
You most probably have PCOS, and don't let be carried away with a single bleed (not necessasrily a menses). I would opt for metformin, b/c it could lower your weight, most probably your testosterone and regulate your ovarian function.
Please inform me about your decision and progress
Sam (Ob/Gyn,RE)
> Hi Dr Sam,
> My name is Ayesha. I was recently told by my doctor that I had symptoms
> consistent with PCOS. I am in transition right now with regards to
> deciding on which medication to take. I am 21 years old, 5'6", 209.5
> lbs(The last 40lbs I have gained within the last year and is
> concentrated in my midsection). I have acne for some time(since I was
> 12).I have excess facial hair growth mostly within the last four years.
> I also have Acanthosis nigricans(also within the last four years. I
> usually have pretty regular periods. About two years ago I did not have
> my period for about two months, but was regular after that and recently
> I did not get it for a period of over two months. Around this time
> frame, PCOS was supected. I had some blood work done. I don't know off
> hand, but my LH and FSH values were consistent(about 3:1)with PCOS. The
> things is I recently got my period. Approximately three days after
> finishing my period, I had some more blood work done(about 3 weeks after
> my last set of blood tests) . Liver function, Kidney function,DHEAS,
> FSH and LH again, testosterone and a Glucose Tolerance Test. The
> numbers of FSH and LH had changed to 4.9 and 6.4 respectively. All
> other tests came out normal with the exception of testosterone which was
> elevated and my triglycerides were a little high. Initially my Dr
> wanted to put me on Metaformin right away because he had seen great
> results with other patients. I had wanted to hold off until other tests
> were taken (like the Glucose tolerance test). My question is is that I
> still want to take some sort medication, particularly to get my weight
> more manageable and to stop the hair growth, but is it not worth it to
> take medication now that I am menstruating again and that my FSH and LH
> levels within range. Am I still someone who has PCOS or just overweight
> (now that I am menstruating again). I heard that the cessation of
> menses can be stress related, so there is a possibility that it is not
> PCOS? Also I heard that the medicines like Metaformin were only
> effective in those patients that exhibit insulin resistance (which I do
> not have).At this point fertility is not a big issue for me, my main
> concern is to have more regular cycles and to get my weight in a more
> healthy range ( I am also concerned with developing diabites in the
> future, I have it on both sides of my family). Sorry for such a lengthy
> question, but I wanted to give you as much history as possible. Thanks
> for your time I appreciate it.
>
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