PCOS-MEDICATION Messages for October, 2001: Re: confused about my treatment

Re: confused about my treatment

From: Munchichic (anonymous@obgyn.net)
Thu, 11 Oct 2001 12:10:25 -0500 (CDT)

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Hi Kim, Unfortunately, there really INS'T a textbook case for PCOS. We ALL have different symptoms and you don't HAVE to any certain one(s) to be correctly Dx as HAVING PCOS. If you're insulin levels are good and your glucose seems to be normal, then really, you DON'T need any insulin sensitizing meds. Think about it, why take a pill for a condition you DON'T have?? Many women have facial hair that is not related to higher testosterone levels. Considering the fact that you're taking Spiro and still have the same levels (granted it can take 6 months or so for the Spiro to be in it's full effect), then that is an indication that it's NOT higher testosterone levels that is causing your hair growth, so there may be no reason for you to be on the Spiro. Have you seen a Reproductive Endocrinologist?? These Doctors are the best to see for women with PCOS. I strongly suggest getting a 2nd opinion and have your insulin, testosterone, estrogen, etc. levels re-examined. Have you ever taken an IGTT? (Impaired Glucose Tolerance Test). Have you been tested to check your "Free testosterone" levels? Right off the bat, it doesn't SEEM like you have PCOS, but I'm certainly NOT a Dr. and can't "professionally" say that. Then again, with how differently PCOS presents itself in every woman, it's hard to tell if you really do or don't have it. Get a 2nd opinion and have your blood work re-evaluated. If you don't have high levels of testosterone and you show no signs of insulin problems--then you shouldn't be asking for insulin sensitizing meds and you shouldn't be on the Spiro (unless you're mainly on it as a diuretic). No one should take medicaitons that they do not need, and I certainly understand your concern. Go see a different Dr (preferrably an RE) who can take a good look at your levels. You may not have PCOS, but you won't know until you find the "right Doctor" who can explain your symptoms and reasons for them to you better. Good luck.

At Thu, 11 Oct 2001, kim wrote: >
>I have a question about my current treatment, I was hoping somebody can
>help me with.
>
>I was diagnosed with pcos last fall. I've been totally confused though,
>since it doesn't seem to fall in line with a textbook case.
>
>My only complaint before last fall were some whiskers I had to pluck
>daily and some acne right before my period. In fact, when I got tested
>5 yrs ago my levels came back normal.
>
>So imagine my suprise when last spring I take a bcp (ortho tri) for the
>first time in my life and my hair starts to shed. I then switched to a
>new one (levlite) and the problem with my whiskers and shedding head
>hair increases about 10 -fold!
>
>I switched to Mircette and then went on Spiro in Dec. Decided that the
>bcp had to go in May and am still on Spiro(200mgs) right now. No
>change.
>
>Here's the thing. My weight is relatively normal (have gained about 8
>pounds in the last 6 months) putting me at about 125 lbs at 5'2". My
>testostorone tested high right after going off of levlite (102) it went
>down to 82 on Mircette and Aldactone and down to 80 off of mircette and
>on Spiro (i know they're the same thing).
>
>My insulin tested normal in all tests. Maybe borderline hypoglycemic if
>anything. So my obgyn refuses to give me met or any insulin sensatizing
>drug.
>
>So where's all these androgens coming from? Am I doing the right thing
>here?
>
>I was okay with out any medication before. I can deal with plucking but
>I'm not sure I can deal with wearing a wig for the rest of my life.
>
>Any suggestions or advice would be greatly appreciated.
>
>Thanks! - Kim

--
"Laughter is the best medicine, but sometimes we all
just need a friend."--Munchichic :)

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