Re: Dr. SAM---2 questions =)
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Thu, 26 Apr 2001 22:35:27 +0100 (MET DST)
Hi Paula,
I think you have fared on metformin excellently. I see no point in increasing the dose, but if you are TTC, you should have a proper infertility workup: basal hormone values, tubal patency, husband. If everything is OK and there is no result within 6-12 mo, you could start some drugs stimulating your ovaries (i.e. producing more eggs in a cycle, which increases the chance of getting pregnant, but also the risk of twins).
Second: testing your progesterone is a very tricky business as its level is bell shaped, thus if you miss the apex, you may end with seemingly low results. It is usual to supplement women conceiving after infertility with progesterone, the effects are dubious. It is more important to keep your glucose metabolism in balance during pregnancy too.
For your help
Sam
> i am currently on 1500mg of glucophage per day. i started out with a
> fasting insulin of 47, after one year of the gluco, and losing nearly 80
> pounds my insulin has dropped to 20, and all benefits of that drop are
> apparent. i am having regular periods and such. husband and i are
> trying to conceive. my question is this: will raising my dosage of
> glucophage to 2000mg per day have a substantial effect on further
> lowering my insulin, thereby aiding other hormones to regulate and
> allowing pregnancy to occur? i am having trouble getting my doctor to go
> along with raising dosage, if it would help, could you direct me to a
> study, or article that documents this?
>
> secondly, i am concerned about my progesterone level. the doc says
> there is no reason to test it now (unfortunately, i live in a very rural
> area, and do not have the option to change doctors, so i have to deal
> with the one i have) last time it was tested, it was a little low
> (sorry, i dont have the report here in front of me for exact numbers)
> but my concern is, if i do happen to get pregnant should i begin taking
> progesterone IMMEDIATELY? is there such a thing as too much
> progesterone? and what dosage and type of over the counter cream should
> i use?
>
> thanks a lot, i know this ended being a lot of questions...i appreciate
> you taking the time to help me =)
>
> love, paula
>
> --
> please feel free to email me anytime at paulam@kih.net ...remember to put
> PCOS in the subject line =)
>
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