Re: Confused about medication
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Thu, 4 Oct 2001 03:15:14 +0100
<sunflowerresearch@email.com (Leona)> 2001.10.03. 11:49:22 -5h-kor írta:
> I am 30 and have been recently diagnosed with what the hospital
> consultant described as the "worse case of PCO" he had ever viewed on
> ultra-sound. The gynaecologist has tried to put me on Depo-Provera (to
> induce a period) followed by Dianette (a combination oral
> contraceptive). I am not happy to take this as I am borderline
> hypertensive and about 18lbs overweight. I know that the pill can
> sometimes cause more weight gain and isn't the best option if you have
> blood pressure. He also found hyperplasia (abnormal swollen glands) at
> the base of the womb during the examination and has referred me to
> another specialist for that.
>
> Anyway, when I asked the gynaecologist about alternative options to the
> pill he just said "Oh, you have to take it, it reduces the risks
> associated with PCO like female cancers and stuff...the risks from blood
> pressure are far outweighed by the risks from PCO in your case". I
> pointed out that I had been refused the emergency pill in my early
> twenties by a doctor who thought it wasn't a good idea given my blood
> pressure. The consultant said "We'll do this for now and see how you
> go". I went to see my own family doctor who agreed with me that the
> pill might not be such a good idea. He said the only reason to take it
> is to protect fertility and it had nothing to do with protecting me
> against cancer. I am now utterly confused - what is the function of
> oral contraceptives in PCO and what does it protect me from?
>
Hi,
OCs have little room in the treatment of PCOS. Dianette and Yasmin have some benefits as they are antiandrogens and suppress some of the symptoms (acne, hair growth etc) of PCOS. But PCOS being a metabolic disease has to be treated aas such: by insulin sensitizers.Please check the archives of this board.
For your info
Sam (Ob/Gyn, RE)
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