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Re: Please Help Me Understand

From: jeannette (anonymous@obgyn.net)
Fri, 1 Nov 2002 10:02:04 -0600 (CST)


PCOS is a blanket label for a group of symptoms that include irregular or missing periods and infertility. Currently, Dr.'s best understanding is that these symptoms are related to over production of insulin by the body (which also often leads to type II diabeties). In studies of women placed on glucophage to reduce insulin production, 91% of women resumed normal periods without any other medication, 35% of women began ovulating normally within 3 months without any fertility drugs, and 89% of women ovulate within 6 months on clomid.

A couple of good links written for regular people are http://www.drkurtz.com/PCOS.htm and http://www.womens-health.co.uk/pcos.htm. A more technical link written for doctors is http://www.asrm.org/Media/Practice/Insulin_sensitizing_agents.pdf.

Much of the research has been done within the last 10 years, and there are still a lot of unanswered questions. It sounds like your doctor is up to date and using appropriate treatment, but it can be important to get as much up to date information as you can for yourself. No one cares as much about your health as you do. I have had good luck with doctors by researching topics myself, comming in with articles, and asking specific questions. I haven't had nearly as much trouble with doctors telling me "there, there, dear, just trust me." My current doctor (GP) told me flat out that there is no way for him to keep up on all of the research in all of the different areas he treats, and that he greatly appreciates patients that will do the research for him and bring him pertinent articles to read.

At Thu, 31 Oct 2002, Ang wrote: >
>I have recently been diagnosed with PCOS when i was having difficulty
>conceiving a baby, my OB put me on glucophase and clomid after running
>some insulin tests. I am very new to all of this and dont understand
>all of the terminology or the "why" questions. How does my insulin
>level effect my ability to become pregnant? I just can not concept this
>idea. My husband is a diabetic and he is on glucophase, but my dr says
>i am not diabetic, why do i need diabetic medicine if i am not diabetic?
>Please help me understand
>
>Thank You

--
If you're having continuing problems with GI upset and are not on the extended release
tablets, you may want to get your doctor to prescribe them.  I had ongoing problems with the
normal pills, but haven't had any problems at all with the extended release.  Since
the drug is released into your system more gradually, as it is with a large meal, this makes sense.



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