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Re: BCP Question for Dr. Sam

From: Melinda (anonymous@obgyn.net)
Tue, 12 Jun 2001 09:10:27 -0700 (PDT)


I would be willing to bet that every one of you is as frustrated as I am from trying to live with PCOS. Not only is it just an incredibly frustrating condition, one that affects nearly all aspects of our health, but it's also a condition that has only recently had anyone do any research on. There is no definitive answer. Everyone disagrees. And because we're all so desperate for any kind of help, we'll grab at anything.

I don't mean to discredit Dr. Sam or anyone else with info on this list, but it just about drives me insane to see how many conflicting opinions I get about PCOS. How can I know which ones are valid and which aren't?

People here cultishly insist that if you're not seeing a Reproductive Endocrinologist, then you're not getting correct info. Well, I was on another PCOS board the other day, and they were having a live chat with their "official doctor-type person". This doctor was an RE and the chat was about infertility. Since Dr. Sam never answered my long explanation about my problems with Metformin, I asked this RE. He didn't understand why I'd take Metformin if the BCPs and Spiro weren't bothering me, and said that BCPs were fine. He also agreed that if I had the kind of reaction to Metformin that I had, I shouldn't take any more of it.

Now, I've read the studies about Metformin, so I know it does work for most people. But the point I'm trying to make is that everyone seems to be certain that *their* info is the *correct* info. If I were a regular reader of that other PCOS board, maybe I'd side with that doctor, and maybe if I came over here, I'd think everyone here was crazy. I'm not saying I do think that, I'm pointing out that there is great controversy over this issue and "home loyalty" seems to only confuse it even more.

My frustration reached a breaking point, so I made an appointment to talk to my own doctor about the whole thing. My doc is familiar with Metformin therapy for PCOS, as she is the one who suggested I try it over a year ago. I asked her if she thought BCPs were going to make my IR worse and if I should go off them. She told me that since I couldn't take Metformin, and since my glucose and insulin readings always come up okay, she didn't think it should be a problem for me. She went and phoned an OB/GYN she knows, to make sure she was on-track, and the OB/GYN said the same thing.

So, maybe someday we'll all be proved wrong, and my pancreas will shut down. But it seems to me like my only option is to wait until the next miracle breakthrough treatment comes down the pike (will it be D-chiro inositol? Who knows?), because I cannot take Metformin. In the meantime the BCP/Spiro combination allows me to feel like a normal person, and I try to control my insulin as best I can by how I eat and exercise.

--Mel

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