PCOS Messages for February, 2002: Re: What should I be doing?

Re: What should I be doing?

From: Belle (anonymous@obgyn.net)
Mon, 18 Feb 2002 22:43:39 -0600 (CST)

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Since you have PCOS, you likely have insulin resistance even if you do not test as having an insulin problem. This is because there is no really good test for insulin resistance available to most of us. The test that we do take is not terribly sensitive enough. Some doctors only take fasting levels which are not as informative as the 2 hour glucose tolerance test with insulin levels.

The thing about PCOS is that you can continue to have worsening problems throughout your life, even after menapause, when many women think that PCOS should be gone. The fact that you are not currently having problems does not mean that you will continue with your good fortune. I would watch my carb levels so that I did not make the insulin problem worse. I

Women who do not have an obvious insulin problem but do have PCOS have seen improvement with Glucophage/metformin or other insulin sensitizing drugs. Diane is one of the better BCPs out there for us but still the pill is not a good *treatment* for PCOS. It is good for preventing birth.

If PCOS is left untreated, it can lead to heart disease and diabetes. If we do not have regular periods, it can lead to endometrial cancer. The diabetes risk is really huge. We have a 40% risk of having diabetes by age 40 and a 60% of us will have it by age 50. This is compared to approx. 5.8% of the American public in general.

At Mon, 18 Feb 2002, anonymous wrote: >
>Hi.I`m 25 and Ihave PCOS.I have irregular periods,bad mood swings ,a
>little trouble with acne and excess hair and some trouble falling
>pregnant (but not as bad as many).I don`t have a lot of the distressing
>problems associated with this condition and I have been told that my
>insulin is within acceptable levels.My question is - how much should I
>be doing to control my condition? I am taking Diane 35ED and vitamin B6
>but doing nothing else concerning diet and lifestyle. Is there further
>risk of illness if I don`t make changes?

-- Hope this helps,

Belle

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