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Re: PCOS Diagnosis today. - Help

From: Belle (anonymous@obgyn.net)
Thu, 18 Apr 2002 22:49:53 -0500 (CDT)


1. If you do not have regular periods, your endometrial lining will build up and provide the perfect place for cancer cells. The thickness is not an indication of cancer. This is rare but possible problem.

2. I do not know about the exact percentage of women who have tissue between cysts. Cysts involved with PCOS are usually fluid filled and may come and go at any time.

3. a. Genetics cause PCOS. It is thought to be a problem with our insulin. While it was once thought that weight created the problems, it has since been discovered that thin women can have PCOS. They can also have the insulin problems which may be the actual cause of PCOS. b. You have a genetic problem where the carbs (glucose) that you eat cannot be used by your body effectively. The insulin is the "key" to open the cell for the glucose. We have a problem where the cells will not let the insulin inside. There is also the possibility that our insulin is misformed (not yet proven). If you are eating a low fat diet, much of the fat has been replaced by carbohydrates, this makes your body have to work harder in order to use the food that you eat. c. No, there is no cure for this genetic problem as yet. Losing weight will help with the symptoms.

4. -Provera will induce a period which will reduce the endometrial lining. This is an excellent idea. -It would be a good idea to see if the cysts are improving. I think that your chances will be greater if you begin a low carb diet with exercise and insulin sensitizing drugs (Glucophage (metformin), Avandia, or Actos) - Clomid in combination with Glucophage has been shown to have over a 90% rate of ovulation in anovulatory women.

5. While part of your weight may be due to overeating, chances are that the insulin problem is the real cause. A low carb diet and exercise in conjuction with Glucophage is likely to result in weight loss as well as helping you become far more healthy. A low carb diet may decrease you hunger (cravings) by itself.

http://www.pcosupport.org has a lot of information that you may want to look at. You can also search these archives for questions that you may have.

At Thu, 18 Apr 2002, Charly wrote: >
>I have been diagnosed with PCOS. I have a few questions
>1. The Doc took a sample of my end. lining because it is so thick to
>ensure that it isn't cancerious. Should I be worried? (it is 25 mm)
>2. Two of the larger cysts I have, have tissue growing between them. Is
>this normal?
>3. I am overweight (yep, one of the 50%) and am wondering 3 things,
>a: Is this caused by being overweight? It seems as though all symtoms
>started at once (gained 70 lbs and had started have irreg periods) b:
>Why isnt diet and excersise working for me? c: If I lost weight, will it
>'cure' me.
>4. Here is my treatment plan, which I want a 2nd opinion on...
>-Provera to reduce my lining (2 months)
>-Ultra sound in 2 months to ensure the cyst with tissue is gone
>- Clomid to help me get pregnant
>
>5. If I take weight loss medicine, is it going to effect the provera or
>clomid?
>
>Charly

--
Hope this helps,

Belle




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