Re: Metformin specialists? (UK)
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Mon, 11 Feb 2002 20:33:18 +0100
Hi Lesley,
Unfortunately I can't help you find a specialist, but probably can give some stuff to your reasoning with your GP.
The entire PCOS is the result of a metabolic disorder: insuline resistance. Although I don't know the exact mechanism by which IR causes high BP, but it is well known in diabetics (and PCOSers are in the antechamber to diabetes) that balancing the glucose metabolism helps aleviate all the other consequences of diabetes (lipids, BP, arteriosclerosis etc.). So, why would it be different with PCOS?
For your info
Sam (Ob/Gyn,RE)
> Hi there,
>
> I wonder if someone out there can help. I was diagnosed with PCOS about
> a year ago. At the time, my GP basically told me that weight loss might
> help, but apart from that there was nothing she could do unless I wanted
> to become pregnant.
>
> Now, I definately don't want to become pregnant, but I would like to
> have the PCOS side effects reduced (irregular periods, weight gain,
> excess hair, etc).
> So, I found out about Metformin from the web and discovered that it was
> all related to insulin sensitising.
>
> Unfortunately, over the last couple of weeks I have developed higher
> than average blood pressure. So, when I saw the doctor about this and
> at the same time asked about Metformin - she shot me down in flames.
> Basically saying she wouldn't look into it until the blood pressue had
> gone down - and even then she won't give it to me unless I want to get
> pregnant (arrgh).
>
> However, I've seen that some medical reports say that high blood
> pressure can be linked to insulin resistance and metformin can help to
> bring it down. Anyone know anything more about this?
>
> Also, as I have lost all faith in my GP, does anyone know of any PCOS
> specialists in the Surrey/London area that I can see. I'd resort to
> private if I could get a straight answer.
>
> Thanks in advance,
> Lesley
>
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