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Re: Gastric By-Pass surgery

From: tera (anonymous@obgyn.net)
Wed, 30 Jan 2002 22:27:08 -0600 (CST)


Hi Alicia!

Excess weight can certainly exacerbate PCOS symptoms by raising androgen levels and it does nothing for your general sense of wellness or self esteem.

I have a few things to say regarding your situation. First I sympathize because I know what you're going through. Second, my cousin also has PCOS. She has had many symptoms - cystic ovaries, irregular or non-existant periods, infertility, excess body and facial hair, thinning head hair and weight gain. LOTS of weight gain. Over the past year though she has lost a TON of weight. I would even joke that she is half the woman she used to be! She worked SOOO hard and looks great - she's probably a size six now and her muscles are so huge from all of her Tae Bo that she could definately kick my behind! Anyway, I hate to tell you this Alicia, but the weight loss has not helped her PCOS. If anything she said that a few of her symptoms have gotten worse. She thinks they've gotten worse from the progression of her PCOS though and not her weight loss.

I have heard of a few women with PCOS being able to get more regular cycles after losing weight but not many. I'm sure you already know this but PCOS is not caused by weight. I think the percentage of obese PCOS women is about 60%. That means that there are plenty of THIN PCOS women walking around with irregular periods, insulin resistance, excess body hair, etc., etc. A Gastric Bypass is not an easy surgery. I'm not telling you not to do it. I just don't want you to go into the surgery with high expectations when it comes to taking care of your PCOS. My cousin knew intellectually that her weight loss would not "cure" her but she said that in her heart she hoped for a miracle. It did not happen and she was very disappointed. She said she would do it all again, though just for her general health and self esteem.

About your problem with irregular periods and insurance. It's unhealthy to go a long time without a period since we need to shed our lining regularly. If you do not get a period soon I would call your doctor and ask him if he could put you on Provera so that you can get a period. He probably will not need to see you - my doctor is used to this and doesn't ask to see me. Explain that you don't have any insurance right now and cannot pay for an office visit but he can call in a prescription for Provera for you. You take it for about ten days and then you should get a period. I believe that the last time I purchased this it was about nine dollars. My doctor has me call her if I do not get a period for two consecutive months so that she can call in a prescription for Provera for me so that I can get a period and shed my lining. It's called a "cheap period"! Sorry so long, Alicia. I hope the best for you, dear! God bless and may He be with you no matter what you decide! Tera

At Tue, 29 Jan 2002, Panacea wrote: >
>Well all I can say I guess is good luck; it sounds like you've made up
>your mind. Just remember that it is the kind of foods you eat that
>impact your weight and not just how much.
>
>At Tue, 29 Jan 2002, Alicia wrote:
>>
>>Hello,
>>
>>I have been slowly doing research and trying to get through the steps to
>>have the surgery approved (Kaiser). I do believe that this will help me
>>in a lot a ways. Since it has now been proven that with weight loss,
>>PCOS and its multiple symtoms decrease and or even go away, I feel I
>>need to take these measures. I have loss my medical benefits
>>temporarily because of changing jobs so I have not been on my high level
>>birth control pill in over a month and of couse like clockwork... no
>>period. I now have more symptoms of PCO than I did years ago, like my
>>weight it is progressing. I was diagnosed at 17 and I am now 32. I
>>have met other woman that may not have been diagnosed with PCO (because
>>they were not looking for it) but they were overweight, had no periods,
>>and never got pregnate. They had the surgery, and after losing about
>>70-100 lbs; all of the sudden they were mensturating. Soon after that
>>they got pregnate and did not even realize it untill the kept having
>>morning sickness. All of it happened within 1 year of the surgery.
>>
>>--
>>Alicia
>>
>--
>Panacea
>

--
Tera



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