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Re: Hysterectomy/Ovariectomy to control PCOS?

From: Belle (anonymous@obgyn.net)
Fri, 11 Jan 2002 19:53:00 -0600 (CST)


First off, how do you know that you are not insulin resistant? This may sound like a stupid question but I am not aware of ANY woman on this board that has had a test for insulin resistance. These tests are VERY expensive and only done as part of a research study. Yes, we have had the IGTT, but this test measures high insulin levels (hyperinsulinimia). It does not measure our bodies ability to accept insulin at a cellular level.

Some experts think that all women with PCOS are insulin resistant but the test that we currently use are not able to pick it up.

If you remove the ovaries, you still have androgen in you system. The ovaries are not the only source of these unwanted hormones. As a matter of fact, it is thought that in PCOS, more of the androgens come from a place a couple of feet above the ovaries. That is why so many doctors have looked to a brain scan checking the pituitary for lesions.

I can tell you that after a total hysterectomy (includes the oopherectomy and the hysterectomy), women still have worsening problems with PCOS. They may develop any of the symptoms of PCOS or have them worsen. I have seen photos of women who had a full head of hair around the time of the surgery and then end up having to wear a wig in just a couple of years. (Really bald, like 300 hairs on their heads.) Their facial hair worsens, weight gain gets out of control, etc.

Then there are the replacement hormones. Estrogen replacement has been shown as dangerous to many. There have been recommendations not to use or prescribe it for a large number of women.

The cysts and the ovaries are not the problem. If it were that simple, it would be a no-brainer.

At Fri, 11 Jan 2002, Chris wrote: >
>Hi Ladies!
>
>My
>question is, if one cannot or does not want to have future children,
>wouldn't an ovariectomy (removing the ovaries) control the symptoms of
>hyperandrogenism? Particularly in those who are not insulin resistant?
>Since ovarian cysts are often responsible for a significant portion of
>the androgens in one's system, it seems to me that removing the ovaries
>would eliminate the cysts and therefore the androgen problems.
>
>Love, Chris

--
Hope this helps,

Belle




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