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Re: DR. SAM COULD YOU COMMENT?
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Sat, 1 Sep 2001 14:24:30 +0200
Hi Sally,
What is done is done.If you already take both metformin and Diane, there is no easy way to do either glucose or hormone tests. Here a 3 mo waiting period is suggested after taking any hormonal medication before starting tests. I wonder if the diagnostic certainty (i.e. a more accurate diagnosis) is worth omitting helpful medications.
For your info
Sam
> At Sat, 1 Sep 2001, Sally wrote:
> >
> >Hi - can anyone advise.
> >Just saw a new endocrinologist (at last I have found a Dr. who seems to
> >know something... and found someone who agrees there really is
> >something wrong - I live in Philippines, and finding a good pcos Dr is
> >no mean feat). She said my previous test results were very abnormal
> >(unlike my OBE who said everything was normal and nothing to worry
> >about... and I should just get married and try to have a baby and see
> >if I have any problems - ha ha despite hair sprouting in the most
> >embarrassing and unwomanly places, and I wasn't worried about not
> >ovulating!, or disappearing periods etc. etc. - but I am sure most of
> >you have the same experience at the beginning).
> >
> >Anyway Dr. ordered a whole range of (additional) tests including
> >Glucose Tolerance Test, she also prescribed Metformin and told me to
> >have the test before I start the Met. However, I didn't tell her I was
> >already taking Met after reading about it on the net .....(drugs here
> >don't need prescription) and I know that Met can influence the outcome
> >of the glucose tolerance test. I know I need to stop the met for a
> >while before I do the glucose tolerance test. Also checked and the Met
> >is 90% excreted within 24 hours - but how long does its effect last? Can
> >anyone please tell me how long I need to stop it for before the test in
> >order to get an accurate baseline information of insulin sensitivity? I
> >want to restart it as soon as I can after the test - because I really
> >think it makes me feel better.... less lethargic.....
> >
> >Also am taking Diane-35 antiandrogen - but told her about that. She
> >said to stop that for two weeks before doing the DHEAS test. Any
> >comments.
> >
> >Does anyone have thyroid problems with PCOS? She said I have a slightly
> >enlarged thyroid and she has also ordered thyroid tests.
> >
> >Sorry so many questions but I am new to this and trying to find out as
> >much as possible. Any comments are welcome. Thank you very much.
> >
> >--
> >Sally 31, Philippines
> >
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