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Re: metformin and the pill together?

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Mon, 13 May 2002 18:30:16 +0200


Hi Kelly and others,

I understand that some drs prescribe BCPs to regulate bleeding (not cycles!) but I have to stress again, that it is not a well substantiated position on several grounds. 1. Combined type BCPs are CONTRAINDICATED in diabetes mellitus. Now as the glucose metabolism is already impaired in PCOS, and many PCOSers later develop frank type2 diabetes it is easy to understand why BCPs are DETERIORATING PCOS. 2.BCPs only supress the symptoms of PCOS (mostly by supressing LH which is in excess in PCOS), but after stopping them the symptomps return in force. 3. Combined BCPs contain estrogens, of which PCOSers have in excess, so to regulate your bleeding only progestins or natural progesterone is needed to be taken in a cyclic manner. 4. Besides BCPs tend to elevate blood pressure, which is already a problem for many PCOSers.

SO AGAIN I HAVE TO STRESS COMBINED BCPs ARE NOT FOR PCOSers.

Sam

> At Fri, 3 May 2002, Erin wrote:
> >
> >My doctor just recently put me on metformin. Today is my first day. Sh
> >also kept me on the birth control pill. Does anyone know if this is a
> >good idea or not? I don't want to try to conceive until november, so
> >it's not a fertility issue yet.
>
> Erin,
> I was jsut diagnosed with PCOS 2 weeks ago. My doctor put me on
> Metformin and the birth control pill. The purpose of keeping you on the
> BC pill is to regulate your period. Most PCOS patients have irregular
> or missed periods. You MUST be on the pill or you will continue to be
> on this vicious cycle of missed cycles. Your irregular cycles are what
> sometimes causes the cysts on your ovaries.
>
> I also am wanting to concieve soon, but first I want to lose some weight
> and be healthier.
> I hope this has helped some.
>
> Kelly
>




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