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Re: Dr. Sam--Question about meds interaction

From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Fri, 25 May 2001 03:51:45 +0100 (MET DST)

Hi Mel,

I exactly mean what I say: BCPs deteriorate insulin resistance. If you check the contraindications for combined types of BCPs, diabetes is one of them. Insuline resistance is the stage prior to type2 diabetes. Yes I am trying to say: BCPs are making insulin resistance worse. There are piles of scientific papers on this topic, most of them written in the late '70s early '80s. I think this is enough basis to warn against taking them, besides tha fact that they only mask, sometimes even deteriorate PCOS. Therefore I often suggest that progestins are better to induce periods than taking BCPs. For your info

Sam (Ob/Gyn,RE)

>
> --- Zalányi Sámuel <anonymous@obgyn.net> wrote:
> > BCPs in general deteriorate the metabolic disturbance of PCOS
> > (insulin resistance) and also decrease the benefits metformin can
> > offer. If you can solve your contraception in other ways, you better
> > stop BCP. Tri-cyclics are the worst among BCPs.
>
> I only recently re-joined the list, so I may have missed this
> discussion, but what exactly do you mean by "deteriorate the metabolic
> disturbance of PCOS"? Are you trying to say BCPs make insulin
> resistance worse? How so? I've never anywhere heard anything like
> that.
>
> When you talk about "worse" and "you better stop", what exactly is your
> basis? I'm not arguing, I've just never heard that before, and I've
> been reading up on PCOS (including these boards) for a long time. I've
> personally been taking BCP for several years with no problems, or at
> least none that I can notice. I take regular *non-Tri* Ortho-Cyclen,
> and have in the past taken Nordette and Alesse. I am unable to take
> Metformin, and it seems to me that having periods with BCP is better
> than never having them at all -- am I *wrong* on that?
>
> --Mel
>

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