PCOS Messages for April, 2002: Re: 10 years too late

Re: 10 years too late

From: Belle (anonymous@obgyn.net)
Mon, 22 Apr 2002 18:23:37 -0500 (CDT)

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Reply: Kristin: "Re: 10 years too late"

PCOS is genetically transferred. It is very possible that you do have PCOS. You should have a period within three months after going off of the pill but sometimes it takes a little longer, so that does not necessarily stand out. Neither does the late start on the menstrual flow. Some women with PCOS start very early,others do not. The larger waist and the high cholesterol in a lean person do strike me as being possibly insulin resistant which seems to be the root cause of PCOS.

As far as an OBGYN versus an endocrinologist, it is a choice between which doctor is more up to date on PCOS research and with which you feel more comfortable. If you have a highly recommended fertility clinic in your area (that is on your insurance list) and the doctors there are familiar with PCOS, I would go there because they would have greater knowledge about the fertility process. It really just depends on how much the doctors in your area know about PCOS.

You should expect to hear about insulin sensitizers such as Glucophage (metformin), Avandia and Actos. You should expect to have your progesterone levels checked as well as fasting and non-fasting insulin and glucophage; testosterone, DHEA-S, estradiol, TSH, LH and FSH.

Many of us have had lean hairless bodies at one time and many (not all) have suddenly put on weight after going off of the pill or getting pregnant. The fact that you know what to look for and you know that you need a good doctor now puts you in a super position to avoid the problems associated with PCOS.

At Sun, 21 Apr 2002, Kristin wrote: >
>She didn't get her period
>until she was 17(!!), so when mine hadn't come by the end of my 16th
>year, I was upset but not panicked (just a "late bloomer" like Mom, you
>know). Now, more than ten years later, married, and
>ready to think about having children, I discovered that I, too, most
>likely have PCOS. They are doing more tests to confirm, but that's the
>initial diagnosis. I only went off the pill this January, and I haven't
>had a period since. I don't have facial hair problems though my actual
>hair has always been very fine, and I have a lean body...except for my
>waist, which has always been out of proportion to my small frame. I
>also have high cholestrol and suffered through anxiety-based depression
>over the past few years. Is OBGYN better than endocrinologist? Or
>should I seek out a fertility clinic?

-- Hope this helps,

Belle

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