PCOS-MEDICATION Messages for May, 2002: Re: BCP and severe PCOS symptoms

Re: BCP and severe PCOS symptoms

From: Sally (anonymous@obgyn.net)
Wed, 22 May 2002 19:18:51 -0500 (CDT)

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Reply: Rebecca: "Re: BCP and severe PCOS symptoms"

Hi Rebecca,

I don't beleive that hysterectomy is a good option at age 25. And it will definitely not cure your PCOS symptoms. Please don't consider that yet (or at all).

BCP are quite controversial in PCOS and while they do mask symptoms, it is believed that they can make insulin resistance worse which will make the overall condition worse in the long run. The antiandrogenic bcp like Yasmin and Diane can give good effects in terms of improving skin and also may help hair issues and many of us still decide to use these becuase the benefits make us feel so much better about ourselves, in addition they are convenient contraception. However, if you take Spiro you definitely need a reliable form of birth control.

UP to you, but the metformin may actually be your best approach, combined with diet and exercise - and maybe the spiro and bcp need not be long-term. Other women may comment on this.

Also the BCP will mask whether the metformin is working for you in regularising your periods and the other symptoms.

Sounds like you are on the right track with the diet and exercise. You have just started on the metformin and that may take a while to have effect. Some women lose weight on it quickly, and others only lose weight slowly with continuing great effort - but should be easier with than without it.

Keep up your efforts and don't give up!

Best wishes

-- Sally

At Wed, 22 May 2002, Rebecca wrote: > >I was recently (about a week ago) diagnosed with PCOS (at 25) after >having been told for years by my doctor that my symptoms were "normal" I >read an article and took it in to ask and he said that was probably what >I had. My GYN put me on 1500mg of Glucophage and 200mg of >Spironolactone with Orthocyclene for my BCP. I have lost all the hair I >want and gaining it all the places I don't want. I am also severly >overweight. Despite excercising about an hour a day for 5-6 days a week >and low-carb dieting, which I have been doing for a solid year. My >question is, for the hirsitism I am reading that I should be on Yasmine >BCP, but the side effect is pretty severe weight gain. For weight gain >I am not sure, but I am at a kind of critical level now and can't afford >to gain anymore >I am pretty severly nauseous all day with the medication (never been on >any type of long term medication before), but I am willing to put up >with it if I'm taking the right things and if this is going to work. >What does the BCP do, other than force periods and clear up acne? Is it >going to have long term good or bad side effects for this condition? Can >anyone help or at least wade through a little of the information? Will I >be on all of this medication for the rest of my life???? My doctor also >listed a hysterectomy as an alternative. Can this be right????

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