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Re: Just diagnosedFrom: jodi (anonymous@obgyn.net)Mon, 15 Oct 2001 14:37:47 -0500 (CDT)
Hi Maria, welcome to the club! It's good that you have a diagnosis. It is so relieving to know it's not in your head, isn't it? I for one was glad to have a diseasse upon which to blame my chin hair rather than just thinking i was some kind of hideous awful freak... As for glucophage, definitely ask about it. What kind of doctor are you seeing? Endocrinologists are usually your best bet with PCOS... but any doctor open to new stuff can be helpful. Glucophage is thought to help a lot with the whole underlying cause of PCOS. In a nutshell, the experts believe PCOS is caused by insulin resistance... basically a sort of reverse diabetes. We don't have too little insulin, we have too much because our bodies don't know how to use it efficiently so our pancreases keep pumping out more and more insulin to compensate. This excess insulin is thought to really mess up ovulatory functions because of the effect it has on the ovaries... Glucophage works to keep insulin low by limiting how much blood sugar the liver will release into the blood stream. Other insulin meds work by directly inhibiting the relsease of insulin. The end result of both is the same - lower insulin, better hormonal profile. (In theory...) Low carbing is meant to achieve the same ends... same with eating low glycemic foods rather than high glycemic ones. By keeping insulin low, you normalise your hormones. BCPs have long been doctors' first choice of treating us... they give the illusion of regular periods. This is beneficial in that the regular shedding of uterine lining reduces our chances for cancer... but it doesn't address the underlying insulin issue and in some cases, makes the insulin problems worse. Some women have great success with BCPs in that they do temporarily reduce androgens... some women see a lessening of acne and body hair. But in general, BCPs should not be your only treatment. An insulin med or low carb diet or combination of the two is currently thought to be a better way to attack the problem. What is the biopsy for??? I was under the impression that an ultrasound could tell enough about the thickness of the endometrium... BCPs should help you shed it anyway... I wouldn't think at your age you would have to worry YET about cancer, unless you have gone years and years without periods. I am certainly no expert in this area, though... i just have never heard of a biopsy without some good justification. Do ask about glucophage. Take books, articles, whatever to show it works. I am on it, have lost weight I could never lose before... and just went off the BCPs so I will hopefully find out if the Gluc alone does much in the way of periods. :-) we shall see... And no one knows about the baby thing until they start trying. I don't intend to start trying for a few years yet... though God knows it still plagues my mind. I remember sitting in high school and dwelling on the fact that I might be infertile. I had never even heard of PCOS then... but I knew something wasn't quite right with me, as I only had periods a few times a year... :-) - jodi
At Mon, 15 Oct 2001, Maria wrote:
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