Re: Diane 35 and Metformin, PCOS
From: Sally (anonymous@obgyn.net)
Tue, 11 Jun 2002 21:27:53 -0500 (CDT)
Hi Huma,
unfortunately one can't eliminate PCOS. However, it can be treated.
Your doctor probably prescribed diane-35 to regulate your periods and
suppress excess androgens (common with pcos) for some months, after
which you should try to get pregnant immediately (there is no need to
wait - you can possibly (if you ovulate) get pregnant your first cycle
after stopping). Apparently for women with PCOS BCP can be helpful just
prior to trying to conceive and women are actually more likely to
concieve just after going off.
However, you are taking metformin and this is the most important part of
your treatment and probably you will be taking this long term (even
after you concieve).
Have you discuss the pain with your dr. Two options: 1 is to grin and
bear it for one more month. The second is to stop the BCP and see how
you go just with the metformin.
In any case, sounds like your doctor is familiar with PCOS. Best wishes.
--
Sally
At Mon, 10 Jun 2002, huma wrote:
>
>Hi,
>
>I had been diagnosed with PCOS, with very high value of insulin means
>IR, and the right ovary enlarged 1.5 times because of multiple follicles
>inside and also tiny follicles on the periphery of left ovary in the
>beginning of April.
>
>I had been trying to conceive for about 16 months, and after 8 months of
>treatment for conception, i had been diagonosed with PCOS and IR.
>
>I have been using Metformin 500 , 3 times a day since start of April,
>that month i got periods at 28 days, but were more painful than usual,
>then my dr prescribed me to use Diane 35 for 3 cycles that i started on
>the first day of next cycle on may 9. This cycle was also painful and i
>also had lots of nausea and motions at the onset of periods.
>
>During the first cycle of Diane 35, i experienced extreme discomfort
>with bitter taste and diarrhea, all the time. My next bleeding started
>at the day 25th, accompanied by severe pain that i could not move from
>the bed for 1.5 days, the pain was like severe contractions on the right
>side just as at the time of delievery.
>
>Now i have started the 2nd cycle of diane from 7th of this month, i am
>again nauseatic (the nausea subsided during the last days of previous
>cycle after finishing Diane) and also my lower abdomein pain and
>discomfort is still there.
>
>I am worried a lot about the situation. Whether this treatment can
>remove the PCOS, and how long i will have to do it, i want to conceive
>as soon as possible, secondly after stopping Diane in July i.e. after
>3rd cycle, should i conceive, is it healthy as Diane is BCP, and i have
>heard that after every BCP u should wait for 3 months. Also is it
>possible to conceive while taking Diane, if yes than how would one know
>about it.
>
>I am really worried about the state. I am 31, and have a 5 yr child,
>whom i conceived naturally without any difficulty.
>
>Thanks a lot.
>
>Regards
>Huma
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