PCOS-MEDICATION Messages for April, 2002: Re: Pregnant and taking Glucophage

Re: Pregnant and taking Glucophage

From: Sue (anonymous@obgyn.net)
Thu, 4 Apr 2002 11:27:33 -0600 (CST)

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In reply to: Emily: "Pregnant and taking Glucophage"

What I can share with you is based on personal experience, not on conjecture or what's in a book. : )

Your OB needs to know of your dx of PCO and your current treatment (tx) regimen. You didn't mention if you've had previous m/c-s or not, but if you have a history of them (I do), then do your research, follow your gut instinct, and stick with it when discussing this w/your OB. It is proven that women with PCO have significantly more m/c-s than those w/o the condition--usually linked to overabundance of insulin and the corresponding hormones.

B/c I had 4 m/c-s, my husband and I were insistant to maintain my dose of insulin sensitizer (Actos, 30 mg). My OB understood our position, esp. since we had worked so hard with my RE to get pg in the first place. He agreed to let me stay on it, indicating that in addition to lowering my chances for a m/c, it would also prevent any appearance of gestational diabetes. As it turns out, my son is perfectly healthy, has no problems, and I never developed g.d. But we had to stick to our guns, as the expression goes, b/c one of my perinatologists did want to discontinue the medication after 12 weeks, being unaware of my history of m/c and what it took to get pg.

Your OB will run a series of blood tests on you as normal course when you go in for your first OB visit; I think progesterone is one of those tests. But if it's a concern, mention it. It's imperative that you are honest and have a sense of trust built with this dr.--you will see him/her many, many times before your baby is born, and s/he will be with you through one of the most difficult and wonderful times in your life (labour and delivery). So build that relationship now, and ask, ask, ask. That's the best way to become a good patient and your own advocate in your health care.

HTH!!

Next message: Sally: "Re: Dr. ? Low Carb Diet While Pregnant"
Previous message: Amber: "Re: NNIDDM"
In reply to: Emily: "Pregnant and taking Glucophage"

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