Re: Dr Sam
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Sat, 9 Jun 2001 19:14:07 +0200
Hi Christa,
I had a hard disc problem so I can not reproduce you both letters. One of them was this, referring to Diane and pregnancy.
There is a huge difference between getting pregnant while ON Diane or AFTER stopping it. Termination is indicated if you conceive while ON any of the antiandrogens. But these drugs are eliminated so quickly, that there is no danger in getting pg after stopping them.
IR/PCOS the link is definitive and genetically established. But there is a continuum between testing normal for glucose/insulin, later becoming IR and finally type2 diabetic. So I think it is reasonable to take insulin sensitizers for PCOS even if you dont test + for IR.
Sam
> Hi Dr. Sam--
>
> I don't know anything about Provera and I've never thought of taking it.
> I'm still taking the Diane 35 (only for the skin really). Of course I'm
> still on 1500mg of glucophage. I did ask in one post how long the Diane
> takes to leave the system because I was wondering if an accidental
> pregnancy occured whether the baby would be exposed to birth defect even
> though the Diane was stopped as soon as conception was realized. I ask
> this because I have heard other women write that they became pregnant
> while taking the Diane. I heard one woman say she was told by the
> doctors to have an abortion because she was taking spironactone when she
> conceived and the baby might be born with birth defects if male. I know
> the Diane has an anti-androgen in it.
>
> Secondly, I've heard a lot of PCOS women talk about not having IR. They
> have been tested for it and they don't have it. Is it a proven fact
> that the underlying cause of PCOS is insulin resistance or is it more
> like speculation? I ask this because my test never confirmed IR as there
> was a mix up at the lab but my endo put me on the glucophage anyway. It
> did help with the weight but not with any other symptoms. Perhaps there
> is MORE to it than just IR? I don't know that the glucophage is the
> ultimate cure. What do you think of this?
>
> Thanks for listening.
>
> At Fri, 8 Jun 2001, =?iso-8859-2?q?Zalányi wrote:
> >
> > Hi Christa,
> >
> >They were two letters actually. You have addressed me one, asking about
> >stopiing Diane and difining different wayting periods thereafter, and in
> >another letter following this you asked board members about using provera.
> >Now, I would like to clarify what are you about to do: stopping Diane or
> >starting provera?
> >
> >Sam
> >
> >> Dr. Sam--
> >> What letter about stopping BCP and starting provera, etc.? Are you sure
> >> that was me?
> >>
> >> At Wed, 06 Jun 2001, =?iso-8859-2?q?Zalányi wrote:
> >> >
> >> >Hi Christa,
> >> >
> >> >You havent answered my previous letter about your intentions: stopping
> >> >BCP,
> >> >starting provera etc.
> >> >As I sad, I am glad to answer question but I would like to have mines
> >> >answered as well.
> >> >Looking forward to your answer
> >> >
> >> >Sam
> >> >
> >> >Some women with PCOS are saying they were tested for IR and they are not
> >> > > IR.
> >> > > Is that possible? I thought if you had PCOS you were IR?
> >> > >
> >> > > I'm confused.
> >> > >
> >> > > Christa :-)
> >>
> >> --
> >> Christa :-)
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