PCOS-MEDICATION Messages for May, 2002: BCP

BCP

From: Victoria (anonymous@obgyn.net)
Fri, 17 May 2002 8:33:54 -0400

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1) Check out Drs. Camran and Farr Nezhat for endometriosis research specifically, and the Pasteur Institute/Dr. Gallo AIDS research issues. Its easy to understand why I question doctors. Its why we all should. I do not stand for anything, other than fact based education and people being given information to make their own decisions, not have a doctor make it for them. In addition, I've had enough people complain privately because they do not get support because of their treatment choice. If someone wants to choose a particular treatment, why can't that be respected? If someone chooses to treat their insulin resistance with style of eating, exercise, or herbal methods, or even with bcp (I have studies on my BCP/PCOS pages that showed a reduction in IR: Journal of Clinical Endocrinology and Metabolism's Vol. 80 no. 11 article on pages 3327-34 about the 'Metabolic effects of oral contraceptives in women with polycystic ovary syndrome'). Why can't they do it in the same peace and respect as those who have Metformin? 2) I've asked for specific references in regards your statements on BCP. I've done the same with another doctor. So far I've received nothing concrete in the way of multiple studies with concrete proof. 3) The doctor you refer to is Goran Samsoie? Since you don't list any references, going to Medline http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=PubMed No items found. One of your terms is not found in the database. null query result. http://www.menopause.org.au/98tapes.htm is from a Menopause conference when he talked on Urogenital Ageing and HRT and Cardiovascular Disease (Part I). http://www.wffh.org/medical/steering.htm, the doctor was on the Steering Committee from 1995-2001, World Foundation for Medical Studies in Female Health, listed as Program Co-Chair, Lund University Hospital, Department of Obstetrics and Gynecology, Lund, Sweden. I looked at Lund Unversity Hospital, http://www.medfak.lu.se/forskning/medfak/, and found no info on dissertations or research. I could find no further information on him. 4) I asked on the women's health list in regards to your post and got the following. Why not post your views on PCOS and BCP on the professionals list and then repeat the responses here? 5) If BCP cause diabetes, why hasn't anyone been sued for it? 6) If people stop taking Metformin/BCP, the symptoms come back, correct? The effect is the same.

--
Victoria

> > Date: Wed, 15 May 2002 08:56:09 -0500 (CDT)
> > From: William McIntosh, MD
> > Subject: Re: Question for doctor
> >
> > At Tue, 14 May 2002, Victoria wrote:
> > >
> > >The following is a post from someone in regards to OC's for PCOS. Can a
> doctor
> > >make any comments on them?
> > >
> > >--
> > >Victoria
> > >
> > >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.
> >
> > OCPs are RELATIVELY contraindicated in frank Diabetes Mellitus, but not
> > because the OCP makes the diabetes worse, but because both the OCPs and
> > diabetes, along with smoking, cause the blood to be a little bit
> > "sticky", raising the the risk of deep vein thrombosis.  Most PCOS
> > patients do NOT have frank Diabetes, they have varying degrees of
> > insulin resistance, not any sort of contraindication to OCP use.
> >
> > >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.
> >
> > This is correct.  They still provide considerable relief to PCOS
> > sufferers in the form of cycle control, reduction in pain and so on.
> > There is no medication that cures PCOS.
> >
> > >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.
> >
> > The OCP results in the ovary stopping most if not all estrogen
> > production.  You actually have better estrogen levels on the pill than
> > off if you have PCOS.  However, it is true that cyclic progesterone will
> > regulate bleeding.
> >
> > >4. Besides BCPs tend to elevate blood pressure, which is already a
> problem
> for
> > >many PCOSers.
> >
> > OCPs do occasionally elevate blood pressure.  Most PCOS patients do not
> > have HTN, and many of those that do, do not experience an elevation from
> > baseline in OCPs.  If they do, they should reconsider their use.

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