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Re: pcosFrom: Fergus (anonymous@obgyn.net)Sun, 26 May 2002 23:57:51 -0700
>----- Original Message ----- From: "Shamille" <anonymous@obgyn.net> To: "Multiple recipients of list PCOS-MEDICATION" <pcos-medication@mail.medispecialty.com> Sent: Friday, May 24, 2002 5:08 PM Subject: pcos
> I wanted to know what am I suppose to ecpect after beginning to take Hello, Shamille. It's difficult to provide definitive answers -- in particular how long anything will take. Everyone reacts somewhat differently. There are some things you can generally expect, but it might be that your experience is somewhat different than what is typical. It's possible that you'll experience side effects when you start Glucophage. These might include nausea, diarrhoea, and loss of appetite. Apparently, about 30% of people taking the medication encounter some side effects. After an adjustment period, these should clear up. Some people suggest that eating a proper, low-carb diet while on Glucophage reduces incidents of side effects. It's a good idea anyway because it will help you manage your PCOS. Others also recommend Glucophage XR, which is a time-release variant of Glucophage. My girlfriend had a small amount of diarrhoea, some nausea, and significant loss of appetite. It cleared up after a couple weeks. Since then, Glucophage has helped to feel better than ever. Addressing your question about weight loss, I think others here are prudent to point out that it can be hard for PCOS sufferers to lose fat. My girlfriend has certainly lost inches off her waist, though whether this is weight loss I can't be certain. Her doctor is more interested in seeing changes in her waist than weighing her. Anyway, she has definitely lost fat while on Glucophage. Don't expect Glucophage to do all the work for you, though. Eat a proper diet (The Zone might be a good choice) and exercise. Your third question is about facial hair. My girlfriend hasn't seen much change in facial hair growth, at least not that I've noticed or that she has commented. She's been on Glucophage since September, and she started Spironolactone, a drug that is sometimes prescribed for facial hair growth, in December. One thing to keep in mind is even if you do hit the right triggers, it takes about six months for that to translate into an effect on hair growth. If hair growth is a big issue for you, Spironolactone might be something to discuss with your doctor. Your fourth question concerns pregnancy. Some PCOS women are able to conceive with Glucophage alone. Others take fertility drugs, such as Clomid, with Glucophage and conceive. Conception is certainly possible on Glucophage alone, but I don't know if all PCOS sufferers can conceive with Glucophage alone. Something to look for, I think, is regular periods. If you have few periods or they are unusual in some respect, you might not be ovulating normally, and that might in turn reduce your chances of conception. Finally, you ask how long it will take to conceive. I don't think anyone can answer that question. Even women who don't have PCOS can't predict how long it will be before conception will occur. I simply don't think it's so predictable. I think the best bet is to do what you have to do to get to the point of being fertile, and then enjoy the process. You'll get pregnant when you do. As Dr. Sam has said, and with this I totally agree, attempting to conceive is not an F1 race.
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