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Re: PAULA metformin,the pill, and clomid

From: samina (anonymous@obgyn.net)
Mon, 29 Jan 2001 19:38:22 -0800


I went to my RE today with all the questions about the stuff I have learnt here and she said the I do have PCOS but am not IR (Insulin 9.8 Glocose 91) and am to continue BCP for this month so that they can predict when AF will arrive and this also gives the overy some rest and them time to order Lupron/Repronex. She said that in most of her patients starting them off with a cycle of bcp has helped and didnt want to jinx the system. She also reiterated that bcp for those not ttc was the best way out. Paula I know your feeling on this subject :) . She also didnt prescribe any Met (I am 130 lb). I think I am just going to go with her as I feel very comfortable with her (not like my last doc at Kaiser So. Cal) and hope for the best. I am in San francisco Bay area and with Kaiser No. Cal. Any opinions about my situation would be welcome. Should i go to some other doc. Any suggestion for another doc in the bay area.

Thanks in advance. samina

>From: anonymous@obgyn.net (smed)
>Reply-To: anonymous@obgyn.net
>To: Multiple recipients of list PCOS <anonymous@obgyn.net>
>Subject: Re: PAULA metformin,the pill, and clomid
>Date: Mon, 29 Jan 2001 10:57:34 -0600
>
>First let me say HEY GIRL!! I have not been on in a while so I thought I
>would say hello.
>
>As far as the BCP's and conception, I am not absolutely postive if this
>is why, but my RE was telling me how studies are being done on women who
>are tyring to conceive and conceiving just after going off the pill. He
>was saying that some docs believe that women tend to be more "fertile"
>(I use this word loosely) right after going off the pill. IN the past
>becoming pregnant directly after BCP's was thought to cause birth
>defects, but with the new technology and BCP's on the market that is no
>longer the case. If I understood him correctly he has actually had good
>luck with women who do not respond to clomid by taking them off the
>clomid for a couple of cycles, putting them on BCP's for a couple, then
>when they stop, start clomid the next cycle.
>
>Of course I could be wrong, I am no doc. Thinking about going to
>medical school after all of the research I have had to do on my own :P
>
>In the end maybe the previous post she used the word BCP and meant
>Provera and we are both wrong. hehe, that is a thought.
>
>TTFN
>
>Smed
>
>At Sun, 28 Jan 2001, paula wrote:
> >
> >i am baffled as to why you are taking the bcp in order to induce a
> >period while trying to get pregnant. i would think that a better choice
> >would be provera since the whole point of the bcp is to inhibit
> >conception. i know when i talked about ttc a few years ago with my RE
> >he said i had to make sure i was off the pill for at least 3 months
> >before starting to take the fertility drugs. imo it soulds very
> >counterproductive to take the bcp and then the clomid...
> >
> >love, paula
> >
> >--
> >feel free to email me anytime at paulam74@hotmail.com
> >
>




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