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Re: I feel like giving up--bad doctor experience
From: anne (anonymous@obgyn.net)
Fri, 12 Apr 2002 05:03:38 -0500 (CDT)
Why does he think you are not I.R? Have you had one of those tests they
use in research studies? I got the impression that even the IGTT is not
infallible. I thought lack of ovulation was particularly closely
associated with insulin resistance. Whatever.... I don't know what to
say, but I guess we've got to keep on trying.
At Thu, 11 Apr 2002, J.W.J. wrote:
>
>I realize two other people very recently wrote about their bad doctor
>experiences. I just have to vent and write some about mine. I think I
>had built myself up way too much for a let down--I had been waiting for
>this appointment for three months, and I had called two different people
>from the clinic to make sure that this doctor could and had treated
>PCOS.
>First of all, he told me, "Do you know that PCOS is really common? Yeah,
>9% of women have PCOS." Okay, so I'm supposed to feel better knowing
>that. Then, when I asked him about hypoglycemic episodes, he said, "You
>know, 25% of the population have those episodes and they just learn to
>live with them."
>His basic theme was, there are two groups of women who have PCOS, the
>ones that have IR and the ones that don't have IR. I belong to the
>group that doesn't have IR. So, I am an exception to the rule, he said.
>If I had IR and I wanted to get pregnant, he would give me glucophage.
>If I had IR and had hair issues he could give me medications for that.
>If I had IR the glucophage might help me lose some weight, but in most
>people it doesn't help them lose, it merely helps them not to gain.
>Since I don't have IR, the glucophage I'm taking now (1500 mg. per day
>prescribed by my OB) isn't doing me any good at all. I don't ovulate
>regularly, but at least I'm having periods, not like many of the women
>with IR that don't have them at all. (I'm still paraphrasing his
>words). I'm doing all the right things with my diet and exercise, so,
>just eat what I want. Low-carb diets only help those with IR. Everyone
>loses weight on low-carb diets, but you can't stay on them forever, and
>when you go off you gain more weight back than you lost. He doesn't
>know why I don't ovulate regularly, and why I have acne and weight gain,
>but since I don't have IR, there is nothing he can do for me. I told
>him people have said that even people without IR benefit from glucophage
>but he had not heard of any studies at all that said that.
>So, maybe PCOS isn't causing my problems after all, huh?
>I am so depressed. I have no other ideas. The only reason I was
>diagnosed with PCOS was my weight gain, irregular periods, and high LH
>to FSH ratio (slightly higher than 4:1) and this doctor even discounted
>the significance of that ratio actually being a problem.
>I had hope and it has been dashed into a million pieces. I guess I am
>just destined to look like I am four or five months pregnant for the
>rest of my life. At least when I turn old and gray people will no
>longer ASK me if I am! I absolutely cannot exercise longer than one hour
>a day, five days per week. It is hard enough to get that in. I have
>read so many different opinions about eating that I don't even know what
>to eat anymore.
>I really don't want you to feel sorry for me--maybe it will help someone
>else to read of my experience. This is the fifth doctor I have talked
>to about my problem and I am about convinced that in the weight area
>it's a pretty big mystery out there in the medical field.
>Jessica
>
>--
>J.W.J.
>
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