Re: bcps and IR ???
From: k (anonymous@obgyn.net)
Wed, 20 Dec 2000 11:09:15 -0600 (CST)
Joan - Thanks for the reply. I have just found out I have pcos
recently, and was perscribed aldactone and ovcon 35.
Got scared about the progesterone in the ovcon and switched to mircette.
I'm on my second week of both. But I'm hesitant about the use of bcps
anyway because I feel they're responsible for starting my hairloss. So
it seems weird to turn to them now.
Still too soon to know if anything is helping or hurting yet.
I'm very interested in insulin sensitizing meds. I have to go back for
more blood tests in about four weeks. My doctor is going to add blood
sugar tests to the mix.
I think I might want to persue these rather than bcps anyway.
The less medication I have to come off of to have children the better.
Thanks for the input on the bcps though, I feel a little better.
At Wed, 20 Dec 2000, Joan wrote:
>
>I have heard of this before. The jury still isn't out on BCPs. My
>interpretation of what Dr. Thatcher has written about this is as
>follows: BCPs are useful for some patients in diminishing syptoms and
>they still have a place in treatment. The relationship to IR is
>probably not that significant. Hope that helps. If you can't any
>positive changes, I would suggest talking to your RE to see if there
>have been any positive hormonal effects. Have you tried any insulin
>sensitizers?
>Joan
>
>At Wed, 20 Dec 2000, k wrote:
>>
>>Does anyone know anything about this?
>>
>>I ran across it in my reading.
>>It's off of the Trileven site.
>>
>>I'm kind of worried because I was on bcps for about 8 months and my
>>symptoms got worse (facial hair and hair loss)
>>
>>Went off to try to get my hair back and through blood tests found out I
>>have pcos. NOW I'm on Mircette and Aldactone.
>>
>>I don't think I have IR but wouldn't be suprised if I'm hypoglycemic.
>>Those symptoms have actually gotten worse since going on bcps again.
>>
>>I need to know if I'm doing more harm than good here.
>>
>>Thanks - K
>>
>>8. CARBOHYDRATE AND LIPID METABOLIC EFFECTS
>>
>>Oral contraceptives have been shown to cause glucose intolerance in a
>>significant percentage of users. Oral contraceptives containing greater
>>than 75 micrograms of estrogens cause hyperinsulinism, while lower doses
>>of estrogen cause less glucose intolerance. Progestogens increase
>>insulin secretion and create insulin resistance, this effect varying
>>with different progestational agents. However, in the nondiabetic
>>woman, oral contraceptives appear to have no effect on fasting blood
>>glucose. Because of these demonstrated effects, prediabetic and
>>diabetic women should be carefully observed while taking oral
>>contraceptives.
>>
>>A small proportion of women will have persistent hypertriglyceridemia
>>while on the pill. As discussed earlier (see "WARNINGS" 1a. and 1d.),
>>changes in serum triglycerides and lipoprotein levels have been reported
>>in oral-contraceptive users.
>>
>>--
>>k
>>
--
k
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