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Re: OCP and PCOSFrom: Belle (anonymous@obgyn.net)Thu, 30 Mar 2000 10:35:18 -0600 (CST)
You do not have to have a weight change to have PCOS. I have had PCOS for a long while and I was very thin until about 6 years ago. The PAP smear has no bearing on a diagnosis of PCOS. I am seeing more and more frequently that women think that having a negative PAP smear is important in PCOS. I can only assume that the drs are telling the women this and it is not true. The PAP only checks for abnormal cells in the location where the skin was removed. It is fairly normal for you to have spotting after intercourse and other stressful or physical events. Your uterus has built up a thick layer of endometrial lining and little pieces of it "break off" and cause spotting. You already have a diagnosis for PCOS so you do not need an ultrasound for that. You do need to have a regular period. Since you have been so long without a regular period an endometrial biopsy would not be a bad idea. It would be impossible to tell if Progestin would force your cycle t resume but it is a place to start. No, it is not true that the menstruation cycle will resume to normal after conception, it might for a while but your symptoms might worsen. Many women have found out that they have PCOS only after the birth of a child. PCOS is a life long battle. The menstrual cycle is not the only effected area of our lives. We are at far greater risks for diabetes, heart disease and cancer than the average woman. We will need to take care of ourselves for the rest of our lives. Until gene therapy is perfected, we will always have this gene. Right now, we can use different drugs to help with different problems. Metformin/Glucophage seems to help many women, even the ones without an insulin problem. It helps women ovulate nearly all of the time (91% in some studies). The birth control pill is not always necessary for the treatment of PCOS but it does regulate your menstrual cycle. If you go for more than three or four months without a cycle, you are at greater risk of developing endometrial cancer so the pill is the least that your dr should be doing for you. Here are a couple of links for you to follow so that you can have some good information on hand. 1)http://centerforPCOS.bsd.uchicago.edu/ This one is a university that is very involved in researching PCOS and who helped develop the treatment plans. 2)http://www.pcosupport.org/ This is the home page for the PCOSupport pages. There are several links that provide a wealth of information. 3)http://blues.fd1.uc.edu/~gartsips/polycyst.htm This is the page of one of the drs who is instrumental in resarch for PCOS. It is very informative. You can read the actual research studies that have been conducted on women with PCOS.
-- Hope this helps,
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