|
Re: Advise before Doctor's visit Please!!!
From: Nav (anonymous@obgyn.net)
Fri, 12 Jul 2002 22:57:50 -0500 (CDT)
Jodi
Thank you so much for your detailed reply. It helps to clear up my mind.
The laser (without any med) is effective but not as much as I would like
(maybe I was expecting too much).
The FSH test was so long ago - I don't really remember which phase of my
cycle I was in.
For now I'm just waiting to go see the doctor (and once again getting my
hopes up too high :)
Thanks !
Nav
At Fri, 12 Jul 2002, jodi wrote:
>
>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.
|
|
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)