PCOS-MEDICATION Messages for September, 2002: Re: Stuck!

Re: Stuck!

From: anonymous@obgyn.net
Fri, 13 Sep 2002 20:22:33 -0500 (CDT)

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Dear Ruby,

welcome.

A low carb diet can range from very strict to not very strict. There are books like atkins (very strict) up to sugar busters, and the zone (not so strict). Also a diet based on low glycaemic index foods may help.

Probably the easiest way to start is by cutting out any/most refined carbs (ie. white bread, white rice, pasta, noodles, starchy vegetables, highly processed foods, soft drink, fruit juice etc). Your diet should then consist of vegetables, complex and wholegrain/high fibre carbs, healthy fats and protein. One priniciple is to make sure you eat some fat, protein and carb at every meal. The fat and protein will help slow down the carb absorption and result in more stable insulin levels. If you are following a low calorie diet a good multivitamin is probalby recommended.

You are already exercising. That is good. Keep it up.

Perhaps some topic meds can help with the acne. I also have the same problem. Drives me nuts - and then I pick at them (BIG NO NO) and make it worse. I have been using diane-35 (a bcp) with moderate success - but am taking a break for now.

A drug such as metformin (insulin sensitiser) may be helpful - at least for a trial.

If you want to try bcp again, you may try a different type. Side effects can be different with different pills.

If you eat so low calorie and still cannot lose wieght, make sure that your doctor has screened you for thyroid problem.

I beleive that there is a tendency for PCOS to get worse over time, though not in all cases. However research on this is still in its early stages. THe effect of treatm,ent/managmenet in preventing this getting worse have still to be defined.

Your chances of getting pregnant are most likely good. PCOS is one of the most treatable of infertility conditions (and not all women are infertile) - sometimes they say reduced fertility, rather than infertility.

A really good book is called PCOS - the hidden epidemic by Dr. Sam Thatcher.

Hope this response helps.

Sally

At Fri, 13 Sep 2002, Ruby wrote: >
>Hello
>
>About 4 years ago (age 22) my dermatologist diagnosed me with PCOS (even
>though an ultrasound showed nothing) and put me on a course of
>anitbiotics and skin creams to treat the acne. I eventually went on
>Diane 35 to regulate my period and avoid antibiotics. I have recently
>come off the pill and my symptoms have returned. I have hundreds of
>tiny white bumps on around my jaw and neck, an increase in the downy
>hair on my face and irregular periods. However, I am not overweight and
>never have been. I am 163cm and weigh 54kg, although I do carry weight
>around my middle but it is not much. I am very active and eat
>reasonably well. I was also diagnosed with Endometriosis a couple of
>years ago and had surgery to have them removed. My surgeon did not
>mention and cysts on my ovaries.
>
>I do not want to go back on the pill as it caused me to put on weight,
>especially on my breasts (which were often tender) and made me
>emotional. The irregular periods and hair on my face (blonde and not
>that noticeable) do not bother me too much, but the acne does. My
>questions are:
>
>Will my PCOS get worse if I don't go back on the pill or treat it in
>some way? Is it the kind of thing that should be treated or can I just
>treat the acne and ignore the other symptoms which don't bother me too
>much? I don't really want to be on drugs constantly but I don't want to
>reduce my chances of getting pregnant later.
>
>Would something like Roaccutane work?
>
>Is there a recommended diet for PCOS? Reducing carbs and increasing
>protein is a little vague for me, I need more guidance, especially as I
>probably can't afford to lose more than 3-4 kgs without looking ill.
>
>Any help would be greatly appreciated. I will eventually see a doctor,
>but I would like to go armed with information. I also will have to go
>public and will probably have to wait a while so would like to do
>everything I can to help myself in the meantime.
>
>--
>Ruby
>

Next message: Monique: "Re: Need assistance, just diagnosed."
Previous message: Leona: "Re: Need assistance, just diagnosed."
In reply to: Ruby: "Stuck!"
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