PCOS-MEDICATION Messages for November, 2002: Re: symptoms of PCOS ATTN DR SAM

Re: symptoms of PCOS ATTN DR SAM

From: anonymous@obgyn.net ("anonymous@obgyn.net")
Thu, 7 Nov 2002 16:14:30 -0500

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Reply: Maria: "Re: symptoms of PCOS ATTN DR SAM"

Dr. Sam,

Assuming Maria is past childbearing years or definitely no longer wanting to have children, would it be possible another option would be for her to have an endometrial ablation or uterine cauterization to stop these excessive bleedings? I know it helped my mom (who had this heavy bleeding the final years before menopause). From my understanding, this way, Maria would still be "in tact" physically and such proceedures have faster recovery and lesser chance of complications. Of course, as you mentioned, she should have further testing to discover if it could be controlled hormonally and thus less invasively.

Thank you for your input!

Shelley ============================== Hi Maria,

I don't know who has offered you hysterectomy and for what reason (most probably for the uncontrollable bleeding), but it is no cure for PCOS. PCOS is a metabolic disease (insulin resistance being at the root, hence the high insulin levels and the furhter symptoms). For the bleeding you should have a curettage first and if the histology is OK you can control it hormonally. For the metabolic part insulin sensitizers are reommended. For your info

Sam (Ob/Gyn,RE)

> I was diagnosed with PCOS 13 years ago. I have been on different
> medications with very little results. I am very classic in my symptoms
> and have gone almost my entire life with no periods. I am now paying
> for that with uncontrollable ones. My question to anyone is If I were
> to get a hysterectomy will my symptoms go away??? My symptoms are high
> insulin levels, hair growth, weight gain through the middle
> section,resistance in losing the weight,high blood pressure,and odd mood
> swings. Has anyone been successful with this as a form of treatment???
> I am 38 years old.
>

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