PCOS-MEDICATION Messages for April, 2001: Re: Jodi

Re: Jodi

From: jodi (anonymous@obgyn.net)
Fri, 27 Apr 2001 16:10:35 -0500 (CDT)

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hi christa

i really have no idea as to whether or not diane is a good pill in terms of how it affects insulin resistance.

does your dermatologist know that you are already taking aldactone? if he does, he shouldn't have recommended the diane, i think... so i am going to guess he doesn't know, and probab;y doesn't even suspect, since it's not available here!!

i admire your williness at obtaining it from overseas. i have no such contacts abroad...

ANYWAY. i am not surprised that orthotrycyclin didn't help your skin. i was thinking about this today... not about your skin, but about orthotricyclin.

who are the women most likely to have acne? women with PCOS.

what is the only BCP the FDA says is good for clearing up acne? orthtricyclin.

what is the pill women are therefore given for acne? orthotricyclin.

what is the worst BCP for women with PCOS? orthotricyclin. (it isn't good enough to surpress the dreaded cyst formation...)

so the women who are most likely to have acne are being given the pill that is worst for them. brilliant.

or am i wrong?? is orthocyclin the one that is approaved? i can't recall, and i might have just made myself look like an idiot. :)

ANYWAY. the truth is, any BCP that works for you should help with your acne. well, this is my feeling, at least. the pill shuts down ovarian production of testosterone, as i understand it... as long as the pill is working for you, it should help some with acne. so you should pick the pill that works best for you. i personally am taking mircette, but i have only been on it for about a week so i can't tell you what it's doing yet. i am thinking of stopping it, but that's due to my mental inability to handle the BCP. i have used other BCPs in the past - as well as the dreaded tricyclin... most helped with my skin, except for the week i was off of them. another pill i have heard is recomended for PCOS is allesse. i am not sure which others are good - you need one of the third generation pills, i believe, because the progesterone component of those is least likely to have androgenic effects.

so a pill that works for you, and is not bad for the IR, combined with Spiro, should be good.

how much spiro are you on, btw? i am not on it now, but i am going on it when my order comes in (i have to mail out prescriptions... what a pain....). in the past, i was on 200mg a day. i saw improvements in skin clarity in about a week and a half. i was on it for the hair, though... i started seeing a improvement in facial hair soon after but the spiro also caused me to have prolonged, heavy bleeding, which is why i went off it. that's the reason i am back on BCPs now... don't want that to happen..

have you considered maybe a higher dose of spiro and the met, and dropping the diane? unless you want the BCP for period regulation or birth control, well... you might not want to even bother with it. unless, of course, the spiro does to you what it did to me...

i don't know if this has been of any help at all... i'm sorry, but i really don't know how diane affects insulin resistance. but it seems that if acne is your main concern, aldactone and met might be enough, if you have enough aldactone.

- jodi

At Fri, 27 Apr 2001, Christa wrote: >
>Thanks for responding. What country are you in? I order the Diane over
>the internet and I live in the US.
>
>Please read my post titled Diane part 2.
>
>I was originally prescribed Glucophage (started with that about 8 months
>ago) and then a few months ago my endo also prescribed spironolactone
>(because of the anti-androgen effect). My skin has not improved and I
>heard about the Diane from my dermatologist (who I've been seeing
>forever and hasn't really been able to help me because of the hormone
>imbalance. He's a wonderful doctor but non of the conventional methods
>of treating acne have helped me.)
>
>He mentioned the Diane and then I got it from my mom in Europe (she
>lives there). The Diane is a BCP so I figured I was just substituting
>one BCP for another (I was on Orthotricyclen as a way of helping my
>skin)
>
>Dr. Sam is the one who mentioned I shouldn't be taking both the spiro
>and the Diane at the same time.
>
>I was and am still afraid to stop the spiro, however, because I know it
>takes your skin a long time to respond to any of these treatments and I
>was unsure that I would be able to take the Diane for a permanent
>time.(I thought I may have a bad reaction to it -- being a strong BCP)
>
>I'm afraid that my skin will never be normal. I don't know what to do
>anymore and now I hear people saying things about going off the Diane
>and their condition worsening. I'm freaking out because I don't want to
>get somewhat better only to get worse if I have to go off the Diane.
>
>See, if that's the case and I have to go off the Diane, at least I've
>still got the spiro in my system and hopefully it will be working for my
>skin.
>
>This has been going on for so long that I'm at my wits end.
>
>I never knew I had PCOS until a couple years ago (I'm 30 now). Now,
>after years of trying to help my skin with other treatments that had no
>lasting effect because no one knew I had PCOS.
>
>Sorry this is so long. I wanted to explain to you my reasoning.
>
>--
>Christa :-)
>

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