PCOS Messages for April, 2002: Re: (long)new, sort of

Re: (long)new, sort of - Reply to Belle

From: cj (anonymous@obgyn.net)
Wed, 3 Apr 2002 15:11:20 -0600 (CST)

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Reply: Belle: "Re: (long)new, sort of - Reply to Belle"

yes, of course getting pregnant while on spiro is a serious risk. that would certainly be the first reason to prescribe bcp's. but i have been told by all my endo's about spiro causing double bleeding (eventually) if taken alone.

i have been considering trying other bcp's. i've been on ortho-cyclen, but recently (like just this past month) had a prescrip. filled for ortho-tri...knowing that tri-phasics have been ill-advised for women w/ pcos. but i just needed any and all help w/ my skin now, before i have a chance to see an endo. (at this point i think i'm going to make an appt w/o the referrals that i asked about.)

when i was seeing dr. futterweit he did not consider me a good candidate - yet at least - for glucophage. i know there are several med's available, i was just hoping to get a sense of others that might be as helpful for us as spiro seems to be.

i've only stopped taking the spiro approx. two weeks ago when i couldn't take the bleeding. (again, the bleeding was exactly as it happened before when dr. futterweit said it was b/c of the spiro.) but i started back last night after looking at my skin, the changes in the past two weeks!!!

pcos is definitely far more than a cosmetic problem. these are just the symptoms that are my most pressing right now. i certainly have to address the others as well.

while seeing dr. futterweit, i didn't seem to be having as many insulin problems as most with pcos...nothing really showing up on basic blood tests (and i'm aware - at least i think i recall - that the basic screens might not show some of the insulin problems)...and me not having the common complaints re: reactions to food, carbs etc. (these are all part of why we really didn't consider glucophage - which was relatively newly emerging as a treatment choice - and took a more conservative approach in terms of meds.)

yes, most of the research shows insulin is the underlying problem...i just say all this to say: while i'm aware of insulin, diabetes, etc...this isn't my most pressing issue right now. neither emotionally, nor bio-chemically (if that's an appropriate term to use here). looking at my recent blood screens, i've got to be more immediately concerned w/ my chol. and fat levels. (hello heart disease for sure!)

but i certainly want to ascertain what's going on w/ insulin in my body w/ my next endo. (especially since my experience runs somewhat contrary to most...low carbing was a nightmare.) and discuss all med options, including glucophage.

thanks for your reply. very much appreciated.

----- Most doctors prescribe BCPs with spiro because of the bad things that spiro can do to the male fetus in case of pregnancy. If you are on the pill and you are bleeding between the cycles, your pill is probably not strong enough. Are you on a mono-phasic or a tri-phasic pill? The tri-phasic pill is especially notorious for causing this in women with PCOS.

Glucophage has helped me a great deal with the hair. To help it along, I do take another medication. There are a couple of different ones to choose from. A doctor who is knowledgable about PCOS should be able to help you. All of them take several months to have a noticable effect.

Spiro. helped reduce the testosterone in your body. Since you stopped the spiro, you testosterone is running unchecked. Since you are taking the pill, there is a good chance that you are making your PCOS worse by decreasing your glucose metabolism.

PCOS is far more than a cosmetic problem. It seems quite clear that we have a problem with our insulin. We have a serious risk of diabetes. By age 40, we have a 40$ chance of having diabetes. By age 50, we have a 60% chance. This is FAR greater than the "normal" person. We have a higher risk of heart disease and endometrial cancer as well. That is why you will see that so many women take Glucophage (metformin) for PCOS. Glucophage is a drug that helps our body use the insulin properly.

>
>PCOS is far more than a cosmetic problem. It seems quite clear that we
>have a problem with our insulin. We have a serious risk of diabetes. By
>age 40, we have a 40$ chance of having diabetes. By age 50, we have a
>60% chance. This is FAR greater than the "normal" person. We have a
>higher risk of heart disease and endometrial cancer as well. That is
>why you will see that so many women take Glucophage (metformin) for
>PCOS. Glucophage is a drug that helps our body use the insulin
>properly.
>

Next message: Kris: "Re: Menstrual Cycle Questions.."
Previous message: cj: "reply to tyrany"
In reply to: Belle: "Re: (long)new, sort of: ? re: spironolactone, other meds for hirsutism, complexion problems and dr's in ny (including dermatologists)"
Next in thread: Belle: "Re: (long)new, sort of - Reply to Belle"
Reply: Belle: "Re: (long)new, sort of - Reply to Belle"

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