PCOS-MEDICATION Messages for December, 2002: Re: Dr. Sam...2 daughters with pcos

Re: Dr. Sam...2 daughters with pcos

From: sally (anonymous@obgyn.net)
Sun, 8 Dec 2002 05:30:22 -0600 (CST)

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Hi,

I am not dr. sam, but here is my 2 cents. I would not start the 15 yo on BCP, but focus on lower carb diet and exercise. Then when you see then endocrinologist in person (rather than just talk to his office), explain the situation - maybe he will also see the 15 yo as an exception. Else you would have to find a paediatric endocrinologist or a gynecologist who is experienced in dealing with PCOS and would be prepared to treat your daughter. In any case, she should not use bcp until all diagnostics have been completed - as bcp masks symptoms and also makes hormone testing invalid. Dare I say that an insulin sensitiser may be much better than bcp. Use of bcp is controversial and while it can make life more pleasant by masking symptoms, it doesn't treat anything........ hence the recommendation for an insulin sensitiser. Metformin (or alternative) can be effective even in women with apparently normal GTT. And GTT should be blood glucose and blood insulin, not blood glucose and urine glucose. Unless diabetes is suspected.

Best wishes

--
Sally
>
>I have 2 recently diagnosed...20 yr old waiting to see endocrinologist
>this month...currently on no meds except for thyroid.
>15 year old diagnosed in Oct.  Pediatrician.(endo's office said they
>don't see anyone under 16) put her on BCP..Marvelon 28
>I just read something about triphasic's not good for pcos and then read
>the study further and it mentioned that a combined pill of desogestrel
>and ethinylestradiol...can lead to increased IR.....Marvelon is one of
>those types
>My question is do I start her on them? she has had a GTT...GP said her
>results were normal but haven't seen the numbers yet..  I am also afraid
>of the BCP just masking the symptoms and causing further damage..
>thankyou for your help

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