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Re: A couple of questions???

From: tera (anonymous@obgyn.net)
Wed, 12 Jun 2002 23:30:09 -0500 (CDT)


Hi!

You absolutely need to get regular periods!!!!!!! Regular periods shed the lining of the uterus. You must shed the uterine lining regularly - not doing so will put you at a high risk for uterine cancer. Many of us take Provera every few months to have a period. It means taking a pill everyday for a week or so which will cause you to get a period. I needed to do this every few months to get a period. Now I am on a very low dose of Glucophage and I am now getting a normal period every month.

Cysts associated with PCOS are real cysts. They are essentially benign, fluid filled sacks. Most cysts with PCOS are very tiny. On occasion some can get larger and cause pain and yes, some can twist and cause pain. The location of the cysts can also cause pain. Usually surgery is recommended for cysts unless they are quite large (at least 4-5 centimeters).

You said you are possibly IR. Yes, get tested. As you have probably read on this board, the subject of PCOS and IR absolutely going hand in hand is a contested topic. I have a few things to say about it that may help you. When I was first diagnosed I did not have as many symptoms as I do right now and I did not test positive for IR. My PCOS has progressed more each year (PCOS is a progressive syndrome). The values that many labs use to interpret the results of tests can be high in many labs. You do not have to be severely IR to have it screw up your body. Many women with PCOS have levels of IR that are too low to be picked up by most labs. Thus, many women with PCOS are walking around with NOT IR on their charts. I have read in many places that EVEN WOMEN WITH PCOS WHO ARE NOT IR CAN BENEFIT FROM GLUCOPHAGE or from going on a low carb diet and exercising. I am one of those people. There are women out there who have "tested" not IR. That does not mean that doing something for IR will not help them - I'm living proof of that. As far as treatment goes, doing something for IR is about all we have for now and for that vast majority of women, it is helping ALOT so if there is not connection to IR then in theory, doing something about it would not help us - does that make sense? I hope your appointment goes well. And yes, have them put you on Provera (progesterone) for a few days to get a period. You should go on it again every 2-3 months if you need to in order to shed your lining. God bless, Tera

At Wed, 12 Jun 2002, Kirstie wrote: >
>I am seeing a gyno who specialises in PCOS on Sat so I want to get my
>facts straight so I recieve the best treatment possible. The only
>symptoms I have are scattered periods (1 every few years), cysts on
>ovaries, fatigue, very slight hiruitism & I suspect IR. I will ask for
>the insulin resistance test so I can make sure I am on the right diet
>but I have a couple of other questions.
>
>1)I asked my GP if I need to take meds to have periods as I was
>concerned about any side affects there are from not menstrating as I
>only have periods every few years, but he said no that it was fine not
>to have them. But I have been reading on here that some of you take
>provers(?)to flush out your system. Can complications arise if you do
>not have periods?
>
>2)I have also been having some occassional pains around my ovaries/
>kidneys, anyway my GP diagnosed this as "the cysts on your ovaries are
>either swelling up/ twisting. He has told me to tell the GYNO on
>Saturday who can treat this. Well I didn't think PCO cysts were real
>cysts, can they do this?
>
>Thanks for your help
>Kirstie

--
Tera



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