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Re: sorry, long rant...need cheerleaders
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Tue, 9 Oct 2001 03:23:58 +0100
Hi Becca,
Why does s/he call him a ewpeoductive endocrinologist, if s/he needs the advice of an Ob/Gyn to prescribe metformin for your PCOS. It is a decision that a simple endocrinologist (no RE) should do. Metformin should be given a chance even before Clomid is started. What about your infertility work-up (hormones, tubes, hzsband)? No Clomid before these have been completed.
Sam
> Dear ladies,
>
> Thank you for all your inspirational stories and advice. It's been a
> long time since I visited. Things have been very busy. After starting
> to deal with my PCOS, the drs discovered a tumor on my thyroid, and I
> had to deal that. The tumor turned out to be benign, and so now I'm
> trying to get pregnant again. And so the insanity begins again...
>
> It first became apparent that I had PCOS when I put on 50 lbs in a few
> short months, had increasing hirsutism, and suddenly had periods every 2
> weeks (due to anovulation). After months of trouble trying to get
> decent medical advice and even making an appointment with my HMOs
> fertility specialist, I got in the door there, only to have to stop
> because it was unknown whether my thyroid was cancerous or not.
>
> The OB/GYN put me on the lowest dose of Zovia (the generic for Dumulen)
> while I was waiting to have my thyroid taken care of. Plus, I was put
> on a low-carb diet and got my blood sugar checked regularly. For almost
> 6 months, it worked great! My cycles were perfectly regulated, I lost
> 30+ lbs (now I'm 177 at 5'7"), and my blood sugar and hirsutism
> improved. My thyroid was treated successfully, then trouble began
> anew...
>
> Last month, despite being on BCPs, I had spotting 3 days before my
> period. This month (my last month on the Pill), I started spotting last
> Thurs., A FULL WEEK BEFORE MY PERIOD IS DUE!! My blood sugar might be
> great, and my weight is down, but apparently my hormones are still
> completely out of whack!
>
> I went to the reproductive endo today and I will start Clomid next week.
> Instead of feeling hopeful, I feel miserable! I feel like it's going to
> fail! My usually-sypathetic husband is optimistic and has no sympathy
> for my fear. The doctors don't want to discuss what MIGHT be needed
> outside of their plans for the first steps. I was sitting in the
> reproductive endocrinologist talking about the failure of my Pill and my
> curiosity to see if Metformin is a good idea for me. She responded,
> "Well, you'll have to talk to your OB/GYN and your endocrinologist about
> that." Of course, that would put off my treatment even longer. Of
> course, my OB/GYN and endo are on the opposite end of town and, of
> course, it takes weeks to get appointments with them. They all work for
> the same HMO...can't THEY talk to each other about my wellbeing. It's
> not my fault I have an illness that requires multiple doctors to treat
> it. What I really want is someone to give me guidance and so I can make
> well-informed and healthy decisions, instead of having people give me
> the run around. HMO mentality is like a factory or an immense
> bureaucracy where there is no communication or empathy or sympathy, and
> I have to jump through hoops to get half-way decent treatment. The
> scariest part is the the HMO was great when they treated my thyroid (the
> doctors were gentle and sympathetic, and they communicated with each
> other)...it's only for "women's health" that the system breaks down.
>
> Whew! I just had to get that off my chest!
>
> Becca
>
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