BCP (changed subject line)
From: Victoria (anonymous@obgyn.net)
Sat, 2 Feb 2002 16:59:29 -0500
Since this is another topic, I changed the subject line.
>> I finally got a chance to look at the references. Thanks for providing them.
>> At the bottom of the first page for Ortho Cyclen and TriCyclen reference,
"The information contained in this package insert is principally based on
studies carried out in patients who used oral contraceptives with higher
formulations of estrogens and progestogens than those in common use today. The
effect of long term use of the oral contraceptives with lower formulations of
both estrogens and progestogens remains to be determined." I also didn't see
anything in the contraindictions list regarding insulin resistance. Under #8, it
said that "Oral contraceptives have been shown to cause a decrease in glucose
tolerance in a significant percentage of users. (But this also said that this
information is based on studies for different formulations that what we have
now.) 17 This effect has been shown to be directly related to estrogen dose. ##
(unable to read). Progestogens increase insulin secretion and create insulin
resistance, this effect varying with different progestastional agents. 17, 85?
However, in the non-diabetic woman, OC's appear to have no effect on fasting
blood glucose. 57? Because of these demonostrated effects, prediabetic and
diabetic women in particular should be carefully monitored while taking OC's. In
clinical studies with oral
contraceptives there were no clinically significant changes in fasting blood
glucose levels. No statistically significant changes in mean fasting blood
glucose levels were observed over 24 cycles of use. Glucose tolerance tests
showed minimal, clinically
insignificant changes from base to cycles 3, 12, and 24." (About the same is
said for Ortho TriCyclen).
>> On Diane 35, it said that "Although COCs may have an effect on peripheral
insulin resistance and glucose tolerance, there is no evidence for a need to
alter the therapeutic regimen in diabetics using COCs. However, diabetic women
should be carefully
observed while taking COCs."
>> If the studies were done on higher dosages, this could make a difference in
the side effects also. There are references in here in regards to changes, but
it does say that some of them are clinically insignificant. I didn't see
anything on glucose tolerance on Yasmin.Maybe I am confusing the known side
effect with the possible side effect. Can you explain this more indepth, please?
From: anonymous@obgyn.net (Belle)
Subject: Re: question about anticonvulsants such as Depakote and PCOS (also new
to this list) and metformin alternatives
Decreased glucose metabolism is a known side effect on *all* oral
contraceptives that I have seen. I have linked the prescribing
information for a couple of birth control pills for other people on this
board. Here are some examples for you to see. Package insert for Ortho
Cyclen and Ortho Tri-cyclen:
http://www.ortho-mcneil.com/products/pi/pdfs/cycltri.pdf. The
information for Diane-35 and Dianette:
http://www.inhousepharmacy.com/bcp-hormones/diane-35-information.html.
Yasmin: http://www.yasmin-us.com/home.html. Those are all of the BCPs
that I can think of right off of the bat, but all of these mention
decreased glucose metabolism as a possible side effect.
Weight loss is a known side effect of metformin but not everyone gets
it.
If you have a syndrome or a disease process that already incorporates a
decrease in glucose metabolism you would be wise not to take a
medication that has a known side effect of making it worse. This is the
same for women with liver dysfunction -- I would not recommend
metformin.
>> True. However, the studies in the previous OC's don't mention separating out
PCOS women from other women either.
I suspect that Dr. Speroff was speaking about women in general, not the
8% - 15% of women who potentially have PCOS.
>> The Australian study I mentioned (I would also suggest that one of the
Australian studies I have seen on the subject said that 2 out of 16 subjects got
diabetes, but it does not state how they controlled the study so that they
proved whatever pills they were on gave them the diabetes. was the quote) is at
http://www.mja.com.au/public/issues/nov16/kidson/kidson.html. I looked it up
again to make sure I was remembering it correctly. He did state this was an
uncontrolled study, so there really isn't a way to know if the diabetes was
caused by OC's or not. Also, this is only looking at Desogen, which from several
of the lists, tends to be one of the most popular contraceptives for PCOS women.
(By the side title note of "Oral Contraceptives", "A recent uncontrolled study
of 16 non-diabetic
hyperandrogenic women treated with a combined oral contraceptive containing 150
µg of desogestrel and 30 µg of ethinyloestradiol (my note: this should be
Desogen) demonstrated a significant deterioration in glucose tolerance over six
months, with two women developing frank diabetes.38 This raises doubts about the
short and long term safety of ovarian
suppression in polycystic ovary syndrome with oral contraceptives. The effects
of individual oral contraceptives on glucose tolerance will now need to be
studied specifically in polycystic ovary syndrome before their use can be
advocated.
>> http://nicho_v.tripod.com/qbcp.html "You might want to check out or ask your
doctor to read the Journal of Clinical Endocrinology and Metabolism's Vol. 80
no. 11 article on pages 3327-34 about the 'Metabolic effects of oral
contraceptives in women with polycystic ovary syndrome'. This article says that
a reduction in insulin resistance happened. There is also a good article from S.
Nader, M. Riad-Gabriel, and M. Saad on, 'The effect of a desogestrel-containing
oral contraceptive on glucose tolerance and leptin concentrations in
hyperandrogenic women' in the Journal of Clinical Endocrinology and Metabolism,
Year 1997, issue 82, pages 3074-307"
>> I might suggest looking at the archives or past postings on obgyn.net's birth
control forum. The posts I have seen state a possible gain of 5 pounds, the rest
are lifestyle changes that have nothing to do with OC's. Those are the responses
that I've seen so far.
We are not talking about women getting diabetes from the pill, but based
solely on the information that you have provided in this post, 1 in 8
women getting diabetes during their childbearing years is frightening
and is a very large proportion, whatever the cause. According to the
American Diabetes Association, only 5.9% of the American population has
diabetes. That would be 1 in about 18 people would have diabetes
normally. I assume that the overwhelming majority of the general
population of women who take the pill will never have the side effect of
decreased glucose metabolism great enough to notice, since they know
that another side effect is weight gain.
Most women can take the pill without worring about the decreased glucose
metabolism but then again, most women can eat pasta without gaining 5
pounds or feeling crummy, wiped-out and starving the next morning. :-)
Victoria
>----- Original Message -----
From: anonymous@obgyn.net
To: "Multiple recipients of list PCOS" <anonymous@obgyn.net>
Sent: Friday, February 01, 2002 8:46 AM
Subject: PCOS digest 1766
> PCOS Digest 1766
>
> Topics covered in this issue include:
>
> 1) Re: PCOS symtoms
> by anonymous@medispecialty.com (Sally)
> 2) Re: Looking for on-line support partner also going through Clomid trial
> by miller522@msn.com (heather miller)
> 3) Re: question about anticonvulsants such as Depakote and PCOS (also new to
this list) and metformin alternatives
> by anonymous@medispecialty.com (Belle)
> 4) Re: Looking for on-line support partner also going through Clomid trial
> by hhumber@yahoo.com (Haley)
> 5) Re: PCOS symtoms
> by jasonandtera@att.net (tera)
> 6) Re: gynae questions
> by jasonandtera@att.net (tera)
> 7) MY PREVIOUS PAP SMEAR
> by anonymous@medispecialty.com
> 8) ADVICE
> by anonymous@medispecialty.com (CRYSTAL DOWD)
> 9) IS IT A FUNGUS
> by ROB2456711@NETZERO.NET (CRYSTAL DOWD)
> 10) PCOS
> by q_T_pie70345@hotmail.com (Dee)
> 11) Re: MY PREVIOUS PAP SMEAR
> by anonymous@medispecialty.com (Belle)
> 12) Re: ADVICE
> by anonymous@medispecialty.com (Belle)
> 13) Re: PCOS
> by anonymous@medispecialty.com (Belle)
> 14) Re: MY PREVIOUS PAP SMEAR
> by jasonandtera@att.net (tera)
> 15) Recent PCOS Articles...YEAH!!!
> by snowchik@aol.com (Randi)
> 16) Re: Recent PCOS Articles...YEAH!!!
> by Renee Cordrey <rcordrey@earthlink.net>
> 17) Re: Free Cookbook!
> by snowchik@aol.com (Randi)
> 18) Re: gynae questions
> by Kristy Sokoloski <sokokl@yahoo.com>
> 19) Weight gain with pregnancy
> by maura.begley@marine.gov.ie
> 20) Bleeding for a week - when should I REALLY worry?
> by brdmadgrrl@aol.com (jodi)
>
> ----------------------------------------------------------------------
>
> ----------------------------------------------------------------------
> Date: Thu, 31 Jan 2002 18:10:15 -0600 (CST)
> ----------------------------------------------------------------------
> From: anonymous@medispecialty.com (Sally)
> To: PCOS@OBGYN.NET
> Subject: Re: PCOS symtoms
> Message-ID: <200202010010.g110AFu09847@mail.medispecialty.com>
>
> Hi C,
>
> Not all women with PCOS have fertility problems, particularly if they
> have their family while they are still young. Having a period every
> couple of weeks does not mean that you ovulate every couple of
> weeks...... there is definitely something going on, particularly if you
> have most of the other symptoms.
>
> So, you can still have PCOS (or could also be due to thryroid or some
> other type of endocrine condition).... and if you do that should be
> properly diagnosed / treated / managed.
>
> Next steps are probably to find yourself a good endocrinologist /
> reproductive endocrinologist and , armed with all your research, get
> checked out. If you post where you live and request for advice, some of
> the other ladies on here may be able to recommend a good doctor.
>
> Don't give up if the first dr. brushes you off as everything being ok
> (unfortunately that is a common experience here in initial attempts to
> get treatment) - some drs. are not up to date on pcos or management and
> some obegyne only consider it if you have fertility problems - but as
> you probably know by know PCOS has long-term health implications.... and
> should be managed properly.
>
> best wishes
>
> sally
>
> At Thu, 31 Jan 2002, C wrote:
> >
> >I have recently ran across an article explaining how PCOS is often
> >missed by our doctors. I read over the symptoms to look for and
> >discovered that most of the symptons seemed to apply to me. The one
> >that did not, was the infertility issues. I have two children and only
> >took about 1-2 weeks to conceive. Does this mean that the symptons can
> >probably be related to something else totally different or is it still a
> >possibility that I could be affected with this? I have very abnormal
> >periods that usually occur a minimum of 2-3 times per month for 3-5 days
> >at a time. So obviously, there was not a problem for me to conceive. I
> >would like to know more about this before I pursue another doctor who
> >just wants to put me on the pill to try to remedy this. Any input would
> >be appreciated.
> >
> >--
> >C Tolliver
> >
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 18:17:11 -0600 (CST)
> ------------------------------
> From: miller522@msn.com (heather)
> To: PCOS@OBGYN.NET
> Subject: Re: Looking for on-line support partner also going through Clomid
trial
> Message-ID: <200202010017.g110HCi17100@mail.medispecialty.com>
>
> At Sun, 30 Apr 2000, Patti wrote:
> >
> >I am twenty-eight, married and living in NY. I am interested in finding
> >a support partner or partners who are trying to get pregnant with Clomid
> >right now. I just took my first pill an hour ago. This is my first
> >attempt at getting pregnant with medication, though we have been
> >officially trying since November. I'd love to chat and/or e-mail with
> >anyone else going through this now. I can be reached at
> >Ef112799@aol.com. I just ask that you put PCOS or something related in
> >the subject part of your e-mail or I could accidentally delete it if I
> >don't recognize the address. Thanks and I look forward to giving and
> >getting support through this! -Patti
>
> Hello Patti ,
>
> i have pcos , i have gotten pregnant with the first set of clomid back
> in 2000 . I had a wonderful little girl. Then i didnt know that i has
> pcos. I'm currently trying to get prenant with my second one. Im now
> on my second dose of clomid. I cant seem to get a straight line on
> those ovulation preditors. It is like im always ovulating , one say i
> have a test line that is almost as dark as the reference line and then
> another day it is like there is nothing there. Im so confused with this
> clomid. Mabe im just nmot ovulating as i should. I would like to let
> you know that you are not alone out there , there are alot of us women
> that are going through that same things. Im 27 and my husband is 26 and
> we have been trying for about 4 months now and nothing. i went without
> having a period for 3 months so im in the same boat. My doctor had to
> give me progesterone to get my period started. not more that a week
> later i had a very strong period. And now im trying to get pregnant
> agian this month , im not sure if i ovulated as i was suppost to but now
> all it is , is a waiting game for 2 weeks, untill i find out if i
> finally have concieved. As for your situation the best of luck. I
> would love to chat with you more , mabe between the 2 of us we can
> figure out what is going on. oh ya i wondered if you have ever used
> those ovulation predictors and if they work for you . the ovulation
> predictor has only worked for me one time , and that time i got pregnant
> wonder why not now?
> well hope to here from you soon.
>
> heather
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 18:47:21 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com (Belle)
> To: PCOS@OBGYN.NET
> Subject: Re: question about anticonvulsants such as Depakote and PCOS (also
new to this list) and metformin alternatives
> Message-ID: <200202010047.g110lLm05553@mail.medispecialty.com>
>
> Decreased glucose metabolism is a known side effect on *all* oral
> contraceptives that I have seen. I have linked the prescribing
> information for a couple of birth control pills for other people on this
> board. Here are some examples for you to see. Package insert for Ortho
> Cyclen and Ortho Tri-cyclen:
> http://www.ortho-mcneil.com/products/pi/pdfs/cycltri.pdf. The
> information for Diane-35 and Dianette:
> http://www.inhousepharmacy.com/bcp-hormones/diane-35-information.html.
> Yasmin: http://www.yasmin-us.com/home.html. Those are all of the BCPs
> that I can think of right off of the bat, but all of these mention
> decreased glucose metabolism as a possible side effect.
>
> Weight loss is a known side effect of metformin but not everyone gets
> it.
>
> If you have a syndrome or a disease process that already incorporates a
> decrease in glucose metabolism you would be wise not to take a
> medication that has a known side effect of making it worse. This is the
> same for women with liver dysfunction -- I would not recommend
> metformin.
>
> I suspect that Dr. Speroff was speaking about women in general, not the
> 8% - 15% of women who potentially have PCOS.
>
> We are not talking about women getting diabetes from the pill, but based
> solely on the information that you have provided in this post, 1 in 8
> women getting diabetes during their childbearing years is frightening
> and is a very large proportion, whatever the cause. According to the
> American Diabetes Association, only 5.9% of the American population has
> diabetes. That would be 1 in about 18 people would have diabetes
> normally. I assume that the overwhelming majority of the general
> population of women who take the pill will never have the side effect of
> decreased glucose metabolism great enough to notice, since they know
> that another side effect is weight gain.
>
> Most women can take the pill without worring about the decreased glucose
> metabolism but then again, most women can eat pasta without gaining 5
> pounds or feeling crummy, wiped-out and starving the next morning. :-)
>
> At Wed, 30 Jan 2002, Victoria wrote:
> >
> >Hi Belle,
> >
> >I think that in Dr. Speroff's book on "Clinical Gynecologic Endocrinology and
> >Infertility", published in 1999 by Lippincott, Williams & Wilkins, (and I
> >suspect his Contraception book, its been a while since I read it) that he
states
> >that BCP do not always show a decrease in glucose metabolism. I would also
> >suggest that one of the Australian studies I have seen on the subject said
that
> >2 out of 16 subjects got diabetes, but it does not state how they controlled
the
> >study so that they proved whatever pills they were on gave them the diabetes.
> >
> >--
> >Victoria
>
> --
> Hope this helps,
>
> Belle
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 18:52:02 -0600 (CST)
> ------------------------------
> From: hhumber@yahoo.com (Haley)
> To: PCOS@OBGYN.NET
> Subject: Re: Looking for on-line support partner also going through Clomid
trial
> Message-ID: <200202010052.g110q2g08955@mail.medispecialty.com>
>
> Hello Patti,
> I am 30, married and also trying to get pregnant. I just completed my
> third round of Clomid (50mg for 5 days). I have also been on Glucophage
> XR (2000 mg) for about 8 months. I, too, have had difficulty using the
> ovulation prediction kits--they are difficult to read and I am never
> sure if they are positive or negative. I do think I ovulated on my
> second round of Clomid, however, because I started a period on my own a
> couple of weeks after the Clomid (I haven't been able to have a period
> on my own in years). I am on about day 25 now and am praying that soon
> I will get a positive pregnancy test. It is frustrating and hard to
> wait for something you want so badly! Are you taking Glucophage? From
> what I have read and heard through this message board, many women have
> great success when they combine the Clomid and Glucophage. I also have
> 2 friends with PCOS who have conceived using the Clomid and Glucophage.
> The Glucophage has done wonders for me otherwise, now hopefully it will
> help me to get pregnant! Good luck to you. There are a lot of women out
> there in our same boat. Please feel free to ask me anything. I hope
> this helps you to not feel alone! ----Haley
> At Thu, 31 Jan 2002, heather wrote:
> >
> >At Sun, 30 Apr 2000, Patti wrote:
> >>
> >>I am twenty-eight, married and living in NY. I am interested in finding
> >>a support partner or partners who are trying to get pregnant with Clomid
> >>right now. I just took my first pill an hour ago. This is my first
> >>attempt at getting pregnant with medication, though we have been
> >>officially trying since November. I'd love to chat and/or e-mail with
> >>anyone else going through this now. I can be reached at
> >>Ef112799@aol.com. I just ask that you put PCOS or something related in
> >>the subject part of your e-mail or I could accidentally delete it if I
> >>don't recognize the address. Thanks and I look forward to giving and
> >>getting support through this! -Patti
> >
> > Hello Patti ,
> >
> >i have pcos , i have gotten pregnant with the first set of clomid back
> >in 2000 . I had a wonderful little girl. Then i didnt know that i has
> >pcos. I'm currently trying to get prenant with my second one. Im now
> >on my second dose of clomid. I cant seem to get a straight line on
> >those ovulation preditors. It is like im always ovulating , one say i
> >have a test line that is almost as dark as the reference line and then
> >another day it is like there is nothing there. Im so confused with this
> >clomid. Mabe im just nmot ovulating as i should. I would like to let
> >you know that you are not alone out there , there are alot of us women
> >that are going through that same things. Im 27 and my husband is 26 and
> >we have been trying for about 4 months now and nothing. i went without
> >having a period for 3 months so im in the same boat. My doctor had to
> >give me progesterone to get my period started. not more that a week
> >later i had a very strong period. And now im trying to get pregnant
> >agian this month , im not sure if i ovulated as i was suppost to but now
> >all it is , is a waiting game for 2 weeks, untill i find out if i
> >finally have concieved. As for your situation the best of luck. I
> >would love to chat with you more , mabe between the 2 of us we can
> >figure out what is going on. oh ya i wondered if you have ever used
> >those ovulation predictors and if they work for you . the ovulation
> >predictor has only worked for me one time , and that time i got pregnant
> >wonder why not now?
> >well hope to here from you soon.
> >
> > heather
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 19:05:11 -0600 (CST)
> ------------------------------
> From: jasonandtera@att.net (tera)
> To: PCOS@OBGYN.NET
> Subject: Re: PCOS symtoms
> Message-ID: <200202010105.g1115BJ21754@mail.medispecialty.com>
>
> Hi!
>
> Just wanted to write you in case no one else does to echo everything
> that Sally said - great advice. I definately agree with the period
> thing. Just because that you get a period does not mean that you have
> ovulated. That is true.
>
> Yes, women with PCOS CAN become pregnant especially if they get pregnant
> before their PCOS progresses - that is true too.
>
> I also agree with Sally that you should see your doctor and tell him/her
> about all of your symptoms. There is something strange going on and if
> it is not PCOS then you should get treated for whatever the problem
> turns out to be. And yes, do not let your doctor brush off your
> symptoms. PCOS is a serious condition and if you are concerned that you
> have it you should go to your doctor and at least have it ruled out.
>
> Have your hormone levels tested if you are showing symptoms of having
> elevated androgen levels (male hormones) and have a fasting glucose
> test. Many women with PCOS are insulin resistant. Unfortunately there
> is not one blood test that can diagnose PCOS.
>
> Many endocrine conditions can mimic PCOS and PCOS can mimic many
> endocrine conditions.
>
> You do not have to have all of the PCOS symptoms to have PCOS. I
> strongly agree with Sally about seeing an endocrinologist or even better
> a reproductive endo since it is their job to treat conditions that cause
> infertility and this includes PCOS. Many family practice doctors and
> even OBGYNs do not have experience with PCOS and if you do have PCOS you
> may get misdiagnosed. Hope you find out what the problem is! God bless!
> Tera
>
> At Thu, 31 Jan 2002, Sally wrote:
> >
> >Hi C,
> >
> >Not all women with PCOS have fertility problems, particularly if they
> >have their family while they are still young. Having a period every
> >couple of weeks does not mean that you ovulate every couple of
> >weeks...... there is definitely something going on, particularly if you
> >have most of the other symptoms.
> >
> >So, you can still have PCOS (or could also be due to thryroid or some
> >other type of endocrine condition).... and if you do that should be
> >properly diagnosed / treated / managed.
> >
> >Next steps are probably to find yourself a good endocrinologist /
> >reproductive endocrinologist and , armed with all your research, get
> >checked out. If you post where you live and request for advice, some of
> >the other ladies on here may be able to recommend a good doctor.
> >
> >Don't give up if the first dr. brushes you off as everything being ok
> >(unfortunately that is a common experience here in initial attempts to
> >get treatment) - some drs. are not up to date on pcos or management and
> >some obegyne only consider it if you have fertility problems - but as
> >you probably know by know PCOS has long-term health implications.... and
> >should be managed properly.
> >
> >best wishes
> >
> >--
> >sally
> >
> >At Thu, 31 Jan 2002, C wrote:
> >>
> >>I have recently ran across an article explaining how PCOS is often
> >>missed by our doctors. I read over the symptoms to look for and
> >>discovered that most of the symptons seemed to apply to me. The one
> >>that did not, was the infertility issues. I have two children and only
> >>took about 1-2 weeks to conceive. Does this mean that the symptons can
> >>probably be related to something else totally different or is it still a
> >>possibility that I could be affected with this? I have very abnormal
> >>periods that usually occur a minimum of 2-3 times per month for 3-5 days
> >>at a time. So obviously, there was not a problem for me to conceive. I
> >>would like to know more about this before I pursue another doctor who
> >>just wants to put me on the pill to try to remedy this. Any input would
> >>be appreciated.
> >>
> >>--
> >>C Tolliver
> >>
>
> --
> Tera
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 19:30:05 -0600 (CST)
> ------------------------------
> From: jasonandtera@att.net (tera)
> To: PCOS@OBGYN.NET
> Subject: Re: gynae questions
> Message-ID: <200202010130.g111U5J05657@mail.medispecialty.com>
>
> Hi!
>
> I absolutely agree with Christie - good advice. I also have to bring a
> crib sheet to my appointments. I think there has to be something with
> the chair with the stirrup thingies that causes us to lose all memory
> and our assertiveness for that matter.
>
> I have some questions for you - IS the Met helping you? Have you been
> able to get regular periods, lose some weight, have fewer symptoms
> caused by excess androgens, feel better in general? If so, let your
> doctor know this. If you haven't seen any results from the Met it may
> be because you haven't taken it long enough to have it make any
> difference (some women have to take it for several months before they
> see a major difference). Also, if you aren't seeing any results yet it
> may be because you need to up your dosage. Using Met to treat PCOS can
> be tricky since every woman is different and requires a different
> dosage. Your and your doctor may have to be patient and experiment to
> find what works for you.
>
> There is definately info on the net that you can print out and take to
> your doctor regarding PCOS and Met. I have brought my research to my
> appts. and it has helped my doctor and I come up with a plan that is
> working for me. The following sites are not comprehensive but they are
> a start! Don't let your doctor brush off any of your symptoms. It took
> a long time for my doctor to jump on the Met bandwagon. If at first you
> don't succeed, try, try again! Hope you have a great appt. God bless!
> Tera
>
> http://www.inciid.org (has lots of PCOS info. use the search)
> http://www.possa.surak.com.au/non-fert.htm
>
> At Thu, 31 Jan 2002, Christie wrote:
> >
> >Hi Cathy,
> > Going to the gyn. is not an easy thing for me either, but I have a lit le
trick I do. Within the week before my visit I write down everything I want to
talk to the doctor about. That way when I get in the office and y mind goes
blank (as it usually does) , I have my trusty little list to help me out. I fold
it up and write my doctor's name on it as well as th date of my visit and place
it in my pocketbook AS SOON AS I"M DONE, tha way I don't forget it. I not only
do this with my gyn., I do it with an doctor that I see because I find it helps
me out tremendously. Hope it elps you as well! Have a good one, and good luck
with your appointment. Christie
> >
>> >>----- Original Message -----
> >From: dave.cathy.smith@blueyonder.co.uk
> >Sent: Thursday, January 31, 2002 1:41 PM
> >To: Multiple recipients of list PCOS
> >Subject: gynae questions
> >
> >Hi
> >
> >It's ages since I have been around properly.
> >
> >Next week I am visiting a gynae for the first time in relation to PCOS
> >and ttc.
> >
> >I will be searching the archives like crazy over the weekend, but if
> >anyone can offer any good tips, and questions etc to ask, please email
> >me.
> >I always get really nervous seeing someone medical! I also want to
> >convince him not to take me off met unless he can prove it is not doing
> >me any good.
> >
> >Thank you so much ladies
> >
> >Cathy
>
> --
> Tera
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 20:31:57 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com
> To: PCOS@OBGYN.NET
> Subject: MY PREVIOUS PAP SMEAR
> Message-ID: <200202010231.g112Vvk01135@mail.medispecialty.com>
>
> I AM 18 YEARS OLD WITH NO KIDS AND MY BOYFRIEND IS 25 YEARS OLD WITH A 1
> YEAR OLD CHILD. THE LAST TIME I WENT TO HAVE MY CHECK UP, MY DOCTOR WAS
> ASKING ME QUESTIONS. AND MY ANSWERS WERE: NO,I HAVE NEVER BEEN
> PREGNANT, I HAVE HAD CHLAYMIDIA (ABOUT 2 YEARS AGO),TRICH(ABOUT 2 YEARS
> AGO),BACTERIAL INFECTIONS, AND PID(ABOUT 6 MTHS AGO). I HAVE BEEN WITH
> MY BOYFRIEND FOR A YEAR AND A HALF, WE ALWAYS HAVE UNPROTECTED SEX, AND
> I HAVE NEVER GOTTEN PREGNANT. AFTER PREFORMING THE PAP SHE TOLD ME THAT
> I HAVE VERY LARGE OVARIES AND A BATERIAL INFECTION. IF I WANTED TO
> BECOME PREGNANT I WOULD HAVE TO COME IN FOR TESTS. WHEN I MADE AN
> APPOINTMENT TO TALK TO HER ABOUT IT, IT WAS REALLY NOT DISCUSSED. I
> WANTED TO KNOW IF THERE IS A TUMOR AND WHY DOES IT HAVE AN AFFECT ON ME
> GETTING PREGNANT OR MAY IT BE ANOTHER PROBLEM. RIGHT NOW I'M LOOKING AT
> THE SITUATION LIKE I CAN'T GET PREGNANT. IS THERE SOME OTHER RESOURCES
> I SHOULD BE LOOKING INTO? PLEASE
> H**E**L**P**!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 20:50:44 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com (CRYSTAL)
> To: PCOS@OBGYN.NET
> Subject: ADVICE
> Message-ID: <200202010250.g112oir16071@mail.medispecialty.com>
>
> I AM THINKING ABOUT HAVING A BABY WHAT ARE THE BEST STEPS I SHOULD TAKE
> AND WHO WOULD BE THE BEST PERSON TO GET ASSISTANCE IN CASE OF ANY
> OBSTACLES.
>
> --
> CRYSTAL DOWD
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 21:01:55 -0600 (CST)
> ------------------------------
> From: ROB2456711@NETZERO.NET (CRYSTAL)
> To: PCOS@OBGYN.NET
> Subject: IS IT A FUNGUS
> Message-ID: <200202010301.g1131tB24558@mail.medispecialty.com>
>
> I GET RISENS WHERE MY PUBIC HAIRS ARE LIKE THEIR HAIR BUMPS, BUT NO HAIR
> GROWS IN THE SPOT WHERE THE RISEN WAS WHAT DO YOU THINK IT IS AND WHAT
> SHOULD I DO TO PRVENT THIS FROM HAPPENING.IS AIT A FUNGUS?
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 21:41:09 -0600 (CST)
> ------------------------------
> From: q_T_pie70345@hotmail.com (Dee)
> To: PCOS@OBGYN.NET
> Subject: PCOS
> Message-ID: <200202010341.g113f9D08772@mail.medispecialty.com>
>
> Need more info on PCOS Just diagnosed w/ it.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 21:55:39 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com (Belle)
> To: PCOS@OBGYN.NET
> Subject: Re: MY PREVIOUS PAP SMEAR
> Message-ID: <200202010355.g113tdc13639@mail.medispecialty.com>
>
> If you have PCOS, it is highly likely that you will be able to become
> pregnant. You have not make it clear in your post whether you have PCOS
> or not. You may want to visit http://www.pcosupport.org .
>
> Especially at 18, it is far more important that you find out what is
> necessary for your long term health. PCOS can and does lead to
> diabetes, heart disease and endometrial cancer. You need to wait until
> you are in your best health before you attempt to get pregnant. It is
> not fair to the little child you would bring into this world if you are
> not able to give them your full attention.
>
> Large ovaries could be a number of different things. I need more
> information to help you further.
>
> At Thu, 31 Jan 2002, anonymous@obgyn.net wrote:
> >
> >I AM 18 YEARS OLD WITH NO KIDS AND MY BOYFRIEND IS 25 YEARS OLD WITH A 1
> >YEAR OLD CHILD. THE LAST TIME I WENT TO HAVE MY CHECK UP, MY DOCTOR WAS
> >ASKING ME QUESTIONS. AND MY ANSWERS WERE: NO,I HAVE NEVER BEEN
> >PREGNANT, I HAVE HAD CHLAYMIDIA (ABOUT 2 YEARS AGO),TRICH(ABOUT 2 YEARS
> >AGO),BACTERIAL INFECTIONS, AND PID(ABOUT 6 MTHS AGO). I HAVE BEEN WITH
> >MY BOYFRIEND FOR A YEAR AND A HALF, WE ALWAYS HAVE UNPROTECTED SEX, AND
> >I HAVE NEVER GOTTEN PREGNANT. AFTER PREFORMING THE PAP SHE TOLD ME THAT
> >I HAVE VERY LARGE OVARIES AND A BATERIAL INFECTION. IF I WANTED TO
> >BECOME PREGNANT I WOULD HAVE TO COME IN FOR TESTS. WHEN I MADE AN
> >APPOINTMENT TO TALK TO HER ABOUT IT, IT WAS REALLY NOT DISCUSSED. I
> >WANTED TO KNOW IF THERE IS A TUMOR AND WHY DOES IT HAVE AN AFFECT ON ME
> >GETTING PREGNANT OR MAY IT BE ANOTHER PROBLEM. RIGHT NOW I'M LOOKING AT
> >THE SITUATION LIKE I CAN'T GET PREGNANT. IS THERE SOME OTHER RESOURCES
> >I SHOULD BE LOOKING INTO? PLEASE
> >H**E**L**P**!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>
> --
> Hope this helps,
>
> Belle
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 22:03:00 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com (Belle)
> To: PCOS@OBGYN.NET
> Subject: Re: ADVICE
> Message-ID: <200202010403.g11432i17859@mail.medispecialty.com>
>
> Crystal, this board is dedicated to women with PCOS, you do not say
> whether this is your problem or not.
>
> We have has some success with using reproductive endocrinologists. This
> has been especially helpful since the information has come out that PCOS
> is most likely related to an insulin problem.
>
> At Thu, 31 Jan 2002, CRYSTAL wrote:
> >
> >I AM THINKING ABOUT HAVING A BABY WHAT ARE THE BEST STEPS I SHOULD TAKE
> >AND WHO WOULD BE THE BEST PERSON TO GET ASSISTANCE IN CASE OF ANY
> >OBSTACLES.
> >
> >--
> >CRYSTAL DOWD
> >
>
> --
> Hope this helps,
>
> Belle
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 22:18:28 -0600 (CST)
> ------------------------------
> From: anonymous@medispecialty.com (Belle)
> To: PCOS@OBGYN.NET
> Subject: Re: PCOS
> Message-ID: <200202010418.g114ISF23554@mail.medispecialty.com>
>
> This board has an archive that is searchable. You can look up about any
> symptom and find that someone else has asked about it.
>
> One of the greatest resources is http://www.pcosupport.org. Another is
> by my doc at http://www.inciid.org/faq/pcos.html. Dr. Sills and Dr.
> Perloe have their own website as well at http://www.ivf.com/ , you can
> do a search on this page for PCOS and you will get a presentation that
> is veiwable by RealMedia (I think!). A site with recent research is
> http://www.obgyn.net/pcos/pcos.asp . Dr. Glueck is another one of the
> PCOS "heroes" who is doing research with PCOS. His website is
> http://blues.fd1.uc.edu/~gartsips/polycyst.htm
>
> A little easier to read is a copy of a Boston Globe article that is
> transcribed here. http://forums.obgyn.net/pcos/PCOS.0110/0220.html
>
> This should give you enough to give you information overload but if you
> still have questions, ask. :-)
>
> At Thu, 31 Jan 2002, Dee wrote:
> >
> >Need more info on PCOS Just diagnosed w/ it.
>
> --
> Hope this helps,
>
> Belle
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 22:34:30 -0600 (CST)
> ------------------------------
> From: jasonandtera@att.net (tera)
> To: PCOS@OBGYN.NET
> Subject: Re: MY PREVIOUS PAP SMEAR
> Message-ID: <200202010434.g114YUT31307@mail.medispecialty.com>
>
> Hi!
>
> I just read this post. Belle, you said that it is "highly likely" that
> she will be able to become pregnant if she has PCOS. Did you mean
> "highly likely" or "highly unlikely"? Just curious as to your reasoning
> if you meant "highly likely". Did you say that because of her age since
> the chances of getting pregnant with PCOS are probably greater the
> younger you are when you try? I enjoy reading your posts by the way.
> Always informative.
>
> To the young lady who is trying to become pregnant. I agree with Belle.
> Now that you know that something is up (enlarged ovaries, infection)
> focus on getting well. You mentioned that you have had a few STDs. STDs
> can in themselves have effects on fertility in some cases. Make sure
> that your current doctor has your medical records so that he/she has all
> of the information in order to treat you properly. If you weren't
> tested at your last appt. for STDs you may want to be tested again. I
> have read that sometimes antibiotics don't knock STDs out completely the
> first time. If you were treated at different clinics have your records
> sent to your current doctor. Hope it works out, dear. God bless! Tera
>
> At Thu, 31 Jan 2002, Belle wrote:
> >
> >If you have PCOS, it is highly likely that you will be able to become
> >pregnant. You have not make it clear in your post whether you have PCOS
> >or not. You may want to visit http://www.pcosupport.org .
> >
> >Especially at 18, it is far more important that you find out what is
> >necessary for your long term health. PCOS can and does lead to
> >diabetes, heart disease and endometrial cancer. You need to wait until
> >you are in your best health before you attempt to get pregnant. It is
> >not fair to the little child you would bring into this world if you are
> >not able to give them your full attention.
> >
> >Large ovaries could be a number of different things. I need more
> >information to help you further.
> >
> >At Thu, 31 Jan 2002, anonymous@obgyn.net wrote:
> >>
> >>I AM 18 YEARS OLD WITH NO KIDS AND MY BOYFRIEND IS 25 YEARS OLD WITH A 1
> >>YEAR OLD CHILD. THE LAST TIME I WENT TO HAVE MY CHECK UP, MY DOCTOR WAS
> >>ASKING ME QUESTIONS. AND MY ANSWERS WERE: NO,I HAVE NEVER BEEN
> >>PREGNANT, I HAVE HAD CHLAYMIDIA (ABOUT 2 YEARS AGO),TRICH(ABOUT 2 YEARS
> >>AGO),BACTERIAL INFECTIONS, AND PID(ABOUT 6 MTHS AGO). I HAVE BEEN WITH
> >>MY BOYFRIEND FOR A YEAR AND A HALF, WE ALWAYS HAVE UNPROTECTED SEX, AND
> >>I HAVE NEVER GOTTEN PREGNANT. AFTER PREFORMING THE PAP SHE TOLD ME THAT
> >>I HAVE VERY LARGE OVARIES AND A BATERIAL INFECTION. IF I WANTED TO
> >>BECOME PREGNANT I WOULD HAVE TO COME IN FOR TESTS. WHEN I MADE AN
> >>APPOINTMENT TO TALK TO HER ABOUT IT, IT WAS REALLY NOT DISCUSSED. I
> >>WANTED TO KNOW IF THERE IS A TUMOR AND WHY DOES IT HAVE AN AFFECT ON ME
> >>GETTING PREGNANT OR MAY IT BE ANOTHER PROBLEM. RIGHT NOW I'M LOOKING AT
> >>THE SITUATION LIKE I CAN'T GET PREGNANT. IS THERE SOME OTHER RESOURCES
> >>I SHOULD BE LOOKING INTO? PLEASE
> >>H**E**L**P**!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
> >
> >--
> >Hope this helps,
> >
> >Belle
> >
>
> --
> Tera
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 22:36:27 -0600 (CST)
> ------------------------------
> From: snowchik@aol.com (Randi)
> To: PCOS@OBGYN.NET
> Subject: Recent PCOS Articles...YEAH!!!
> Message-ID: <200202010436.g114aRQ00313@mail.medispecialty.com>
>
> Friends -
>
> I am excited to say that I read articles from 3 different magazines this
> week on PCOS...Women's Day (both Feb 1st edition - page 45 and Feb 19th
> edition - page 94 and Redbook (March - page 19). I am very happy to see
> this getting out to the public more!!
>
> --
> Randi
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 20:46:27 -0800
> ------------------------------
> From: Renee <rcordrey@earthlink.net>
> To: pcos@obgyn.net
> Subject: Re: Recent PCOS Articles...YEAH!!!
> Message-ID: <3C5A1D9A.39697D3D@earthlink.net>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> In the current Women's Day issue, the teaser of what's coming in the next
> issue is an "exclusive" on the latest PCOS info.
>
> Renee
>
> Randi wrote:
> >
> > Friends -
> >
> > I am excited to say that I read articles from 3 different magazines this
> > week on PCOS...Women's Day (both Feb 1st edition - page 45 and Feb 19th
> > edition - page 94 and Redbook (March - page 19). I am very happy to see
> > this getting out to the public more!!
> >
> > --
> > Randi
> >
>
> --
> Renee Cordrey, MSPT, MPH, CWS
> ---
>
> Don't follow in the footsteps of the masters. Seek what they sought.
> --Zen saying
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 23:11:03 -0600 (CST)
> ------------------------------
> From: snowchik@aol.com (Randi)
> To: PCOS@OBGYN.NET
> Subject: Re: Free Cookbook!
> Message-ID: <200202010511.g115B3i18842@mail.medispecialty.com>
>
> When they say 4-6 weeks, they mean it! It's been exactly 5 weeks...I got
> the cookbook in today's mail! Very nice...96 pages with photos...recipes
> from all over the United States. Just wanted to remind anyone in case
> they didn't order it and wanted to - I'm assuming it's still free.
>
> Randi
>
> At Fri, 28 Dec 2001, Randi wrote:
> >
> >Koolaide - For some reason, your posting isn't here, but I got it on my
> >personal one...strange!!
> >
> >(for anyone else who didn't see it, you wrote - Hi Randi, thanks for the
> >info. Is Jane Seymour IR ? She is so beautiful, my dad used to love
> >watching her show ! I'm going to call the number today !)
> >
> >Anyway, in answer to your question, I don't know if Jane Seymour is IR,
> >but her Grandmother was before she died.
> >
> >--
> >Randi
> >
> >At Fri, 28 Dec 2001, Randi wrote:
> >>
> >>Just saw Jane Seymour on "The View". She spoke about IR and mentioned
> >>that there is a free cookbook available to all (for a limited time) if
> >>you call (888)844-8156. The cookbook has recipes from Celebrity Chefs
across
> >>America and is used for managing Type 2 Diabetes/IR.
> >>
> >>It's an automated recording, taking your name, address, etc. and should
> >>arrive in 4-6 weeks.
> >>
> >>Just thought I'd pass it along...
> >>
> >>--
> >>Randi
> >>
> >--
> >Randi
> >
>
> --
> Randi
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 31 Jan 2002 21:30:30 -0800 (PST)
> ------------------------------
> From: Kristy <sokokl@yahoo.com>
> To: pcos@obgyn.net
> Subject: Re: gynae questions
> Message-ID: <20020201053030.70608.qmail@web13302.mail.yahoo.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=us-ascii
>
> Cathy,
>
> My favorite site to help ladies that are new to gyns is called
> Gyn101. Here's the link: http://www.gyn101.com.
>
> Also check out the Women's Health Forum (a sister forum to this
> one) by going to: http://forums.obgyn.net/womens-health b/c you
> can find a lot of additional information there too about first
> time visits to gyns.
>
> Also, if you would like to talk to me one on one about this feel
> free to e-mail me directly.
>
> Take care,
>
> =====
> Kristy :)
>
> http://www.geocities.com/sokokl/kristyspersonalpage.html
>
> Hoping to be a nurse soon but for now just a Medical Secretary who does a lot
of learning from reading on the Net, books, my dr(s), as well as sharing my own
personal experiences.
>
> Great stuff seeking new owners in Yahoo! Auctions!
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 1 Feb 2002 04:25:18 -0600 (CST)
> ------------------------------
> From: maura.begley@marine.gov.ie
> To: PCOS@OBGYN.NET
> Subject: Weight gain with pregnancy
> Message-ID: <200202011025.g11APId08506@mail.medispecialty.com>
>
> Hi
> I am looking for some advice please. I had a little girl 18 months ago
> after taking provera and clomid for some months. On my pregnancy I
> gained 3 stone and have not been able to shift a lb. Now I am back on
> the provera and clomid but I am afraid that if I get pregnant I will
> gain another 3 stone. I know it is possible for people who are pregnant
> to lose weight but can you advise me what is the position with people
> with PCOS when they are pregnant. I know it is a small price to pay for
> a baby but my weight gain is hard to deal with. Also has anyone
> discovered a good doctor in Ireland who deals with PCOS.
>
> Many thanks
>
> Maura
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 1 Feb 2002 07:39:10 -0600 (CST)
> ------------------------------
> From: brdmadgrrl@aol.com (jodi)
> To: PCOS@OBGYN.NET
> Subject: Bleeding for a week - when should I REALLY worry?
> Message-ID: <200202011339.g11DdAo31132@mail.medispecialty.com>
>
> Hi all... I decided some time ago to stop reading PCOS-related stuff on
> the net in an effort to stop obessing over this damn disorder. Something
> WOULD happen to prevent my not thinking about my reproductive organs
> 24/7, though...
>
> For the last week, I have been bleeding. It is NOT a period - not a
> normal period, at any rate - since I just had a period starting January
> 15. At first I thought maybe this was ovulatory spotting, even though I
> had never had that... but by the second day when I had cramps and
> needed to wear a pad, I knew this was just too heavy to be that. This
> is now the 8th day of bleeding, if I count the two light days of
> spotting before I started really bleeding... and I'm quite freaked out.
> I have always been the sort to go forever without bleeding, not the sort
> to bleed frequently. So, I have never had anything happen like this
> before. I did start a new job recently, and I have had two people tell
> me it's probably the stress of the new job... but I don't know. I have
> been under stress before. Compared to the stress I have been under in
> college, I really don't feel stressed out at all these days, actually...
> so I really don't think I buy the new job explanation.
>
> I just have no idea what is happening and I have all these fears of
> cancer or SOMETHING terrbily wrong...
>
> How long should I wait before I try to see a doctor?
>
> - jodi
>
> ------------------------------
>
> ------------------------------
> End of PCOS Digest 1766
> ------------------------------
> ***********************
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)