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Re: Dr. never told me about Metformin
From: anonymous@obgyn.net
Mon, 13 May 2002 19:42:17 -0500 (CDT)
My doctor had never mentioned anything about Meformin. I have never
heard of it. None of the books I have read have mentioned anything
about them either.
How do I find a good doctor? Should I be seeing an endo or an OBGYN? I
tried to get in to see an OBGYN that was recommeneded to me but was told
they wouldn't see anyone that didn't have insurance.
I am so confused now. What exactly is Metformin? My previous doc had
only put me on Birth control befroe the clomid and I bled for 2 months
very heavily. I told her I didn't want to go back on Birth control
again. Is the metformin a type of birth control?
Melissa
At Mon, 13 May 2002, anonymous@obgyn.net wrote:
>
>Hi Melisa,
>
>seems that your previous doctor was not very knowledgeable or up to
>date. Another question: are you taking metformin? Metformin, if you are
>one of the pople it works for, may regulate your cycles and allow you to
>ovulate normally. The procedure, I beleive, is to take metformin for up
>to six months (at the therapeutic dose that works for you - anywhere
>from 500 - 2000 mg/day - building up slowly over a number of months
>until you see therapeutic effect) and see if you get normal ovulation
>(many women do). If not, then clomid would be added, again starting at
>the dose recommended for your weight and then increasing (though I have
>not had any experience on this - some other women here may be able to
>comment on what they know). Using such a combination, the success rate
>for pregnancy is apparently pretty good. Metformin also apparently
>reduces the high rate of miscarriage seen in women with PCOS.
>
>I am sure that Dr. Sam or some of the other women could add to the
>above.
>
>Please do some research so you know your options. One thing I have
>learned from this PCOS thing (and some other health probs I have) is
>that one has to be very proactive in getting medical care and be able to
>really discuss with the dr. the treatment options and approach (not all
>drs. are open to this - though fortunately my endo is). Talk to your
>dr. as an equal partner in your health care (not some god whose word
>you just take as law - not to say that a good dr. is not knowledgeable
>and you shouldn't follow instructions - but you should understand what
>he/she says and the rationale). Try to learn enough to know if your dr.
>is up-to-date. This is very important in PCOS because medical research
>and advances are very recent.
>
>One really good book which discusses PCOS and fertility issues in PCOS
>in quite a lot of detail a book by a guy called Thatcher, called PCOS -
>the hidden epidemic. It is available from AMAZON.com.
>
>Sorry this is long, and hope it helps.
>
>Sally
>
--
Melissa
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