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Re: Trouble with BCPFrom: Belle (anonymous@obgyn.net)Mon, 20 Mar 2000 09:00:11 -0600 (CST)
For women with PCOS, it seems that a single phasic pill is best. A pill which has three level (different dosage of medicine in the middle) does not seem to work well for us. They seem to have a lot of "breakthrough" bleeding on these kinds of pills. This may be because the tri-phasic pill does not provide a high enough level of hormones to prevent pregnancy or periods. We have our hormones "our of whack" and any pill we take would have to compensate for the abnormalities we already have. We just do not have the same hormone levels as other women. If you are having "breakthrough" bleeding (bleeding when you are not supposed to), it is an indication that the pill is not strong enough for you. You should discuss this with your dr. The birth control pill is good for preventing pregnancy. That is it! If your body was correct, you would have regular periods. The pill does not help PCOS. I cannot say that enough! The ladies have heard this sermon before. Many women that had great difficulty with their PCOS when they have gotten off of the pill. We have proof that in other medical scenarios, when a patient goes off of a medication, the problem quickly shows up worse than before. If you know of anyone taking blood pressure medication for example, you will see a warning that says "Do not stop this med. suddenly or without the advice of your dr." This is because the blood pressure has been working hard to maintain itself against the drug. When the drug is removed, the blood pressure is still working just as hard as the result is a phenomenon called "rebound" blood pressure. Think about it this way, if you are pushing a shoppping cart to the return and you come across a stick on the ground, you will push very hard to get the cart across the stick. When this happens and you are across the stick, you are still pushing with all of your might for a few seconds and you "zoom" past the return unintentionally. This is the same kind of thing that happens with your body except it "pushes" with all of the resources it can with may include several different factors. With PCOS, when you come off of the pill, you can get hair loss, facial hair growth, sudden weight gain, acne, etc., after you stop the pill. The first research was done in 1982 with regard to insulin problems in anovulatory women. It has only been in the last 15-27 months that we have begun to see drs prescribe insulin sensitizing drugs for us. While it is not FDA approved for PCOS at this point, metformin (Glucophage) has been used for 40 years for Type II diabetics. Many women on metformin have seen wonderful progress. Less facial hair, slower hair growth else where, thicker hair on the head, no "crashes" during the day, regular periods, and even some weight loss. This drug seems to attack the root of PCOS, not just one symptom. If you are on the pill to prevent pregnancy, you are on the right track. If you are taking it for PCOS, please do some research. I realize that with insurance restrictions it is not possible for women to find a good dr in all cases, but you can provide him/her with reliable (from med. journals) information. If they do not listen, take it up with your HMO. There should be a number you can call to reach them. Remind everyone that PCOS carries with it a risk of diabetes, heart disease and cancer if it is not treated properly (which is far more expensive than an insulin check with a glucose tolerance test). If all of this fails (and you should do this anyhow), eat a low carb diet, take a mulit vitamin, check out the information on chromium and inositol and stay current on the research. If you are below 21 you should not do low carb, try to cut out white flour, rice, potatoes and refined sugar only.
-- Hope this helps,
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