search:

Re: Advise before Doctor's visit Please!!!

From: jodi (anonymous@obgyn.net)
Fri, 12 Jul 2002 12:34:08 -0500 (CDT)


At Fri, 12 Jul 2002, Nav wrote: >
>I was diagnosed with PCOS about 2 1/2 yrs. ago but the treatment I've
>been getting is sporadic at best. I was put on bcp 'orthonovum' for 6
>months to treat facial hair (my top priority at that time). It wasn't
>effective and I really didn't like it so I discontinued. Last year I
>was put on orthotricyclene. It made me completely whacky and I even had
>a panic attack (something which I hadn't believed in till then) so the
>doctor took me off after 1 month.

tri-phasic BCPs are no good for PCOS.

yes panic attacks are real. :-) i also used to think they were phoney. yikes!

Over the past few years my periods >have been regular like clockwork, birth control was not really an issue
>so the doctor told me to forget everything else and get laser done.

How has the laser been working, without any meds ?

>These were all different doctors at different University Health Centers
>(I moved 3 times in the past 2 yrs).
>Now, I'm looking for serious treatment and have made an appointment with
>an obgyn for next week (who I hope knows something about PCOS). I'm
>confused - what should I ask for - spiro, met, gluco, IR
>test...bcp...another hormone test...? What?

It depends on your goals. You need a hormone test no matter what.

Ask for insulin levels to be checked as well. High fasting insulin levles indicate insulin resisatnce.

If you can get a doc to try met or another insulin med on you, do so. They have worked wonders for many of us.

If hair is still an issue for you, spiro or the right BCP can work wonders for you. You should know that spiro can do weird things to your "periods" (if frequent constant bleeding can be called "periods...") and it can cause birth defects, so many women who take spiro also elect to take birth control pills.

the right birth control pill can do wonders for you. finding the right BCP can be tricky. I have tried a lot. i am considering trying another... but scared of side effects...

if you have regular periods,though, that is one PCOS problem you don't have to worry about. Too far apart periods raise our risk of endometrial cancer. BCPs may still help with hormone levels, but it is a temporary fix.

>My test (the only one they did) results (Prolactin 9.5, DHEAS 2.7, LH
>22.6, FSH 8.9, TSH 1.8) from 2 yrs. ago seemed normal except for the
>testosterone - 100 (HI). Free testosterone was 2.3.
>Androstenedione Serum was high too at 299 ng/dL - what is it?

your LH:FSH ratio is less the 3:1, which is good, from a PCOS standpoint. Your FSH seems pretty high, though, for a 25 year old... where in your cycle were you when you had this test done???

I don't know much about the androstenedione... your free T is good. much lower than mine! :-)

>I'm not really overweight and don't watch my diet too much. BUT from
>the amount I work out and exercise I should be a lot slimmer than I am
>now. I started getting my periods when I was 11yrs. old and am now 25.
>To get too the point - what 'lifestyle changes' can I make and what
>treatment should I ask my doctor for?

modified carb dieting can do wonders... i am not an advocate of strict low carbing...

>Another question - so far I do not want kids before my mid 30's. Now
>I'm thinking will it be impossible for a woman with PCOS in her 30's to
>get pregnant?

it depends on what's going on in your body, and who you ask...

in theory women become less fertile as they age. however i have read that women with PCOS become MORE fertile as they approach menopause... since dropping hormone levels means more normal levels, for them.

don't know how true this is... BUT have kids when you are mentally ready to handle them. don't rush having kids out of fear that you might not be physically capable of doing so later. it is by no means impoissible for a woman with PCOS in her 30s to get pregnant.




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the pcos forum...
Enter search keywords:
Returns per screen: Require all keywords:
Return to [ PCOS Discussion Forums ] Technical Problems: webmaster@obgyn.net
Last Updated: Mon May 19 17:06:49 2008

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com