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update on pcos? (long, but worth it-i think)From: carrie (anonymous@obgyn.net)Fri, 9 Aug 2002 16:19:50 -0500 (CDT)
i was diagnosed with pcos nearly 15 years ago, when i was just 14. since then, i have wandered from dr. to dr. trying to find answers AND some sort of interest or compassion for my condition. i have found the medical community to be...shall we say...lacking. my latest encounter, however, was the worst i have ever experienced. i am currently a member of group health, which i have been very happy with in the past. i have been aware for a long while that some doctors believe there to be a connection between hyperinsulinemia and pcos. from what i can see, it seems to be growing in acceptance as the years pass. so, i talked to my new dr. about taking glucophage or similar. after the first appointment, where she seemed very stand-offish and kept insisting that i just ate too much and needed to lose weight (even after i had vehemently stated that i watched what i ate-only whole grains, no sugar,lean meats, lots of veggies), she sent me through a battery of tests to check my fasting blood sugar and liver and kidney functions. the results came back normal. so, i went with high hopes to my next appointment. i thought she would do further tests to ascertain whether or not my insulin/sugar levels were normal (since i'd had a glucose tolerance test a few years ago and my levels were VERY high-almost diabetic). but she did not. instead she threw a tantrum (okay, i'm exaggerating a little, but not much). she growled at me, "i told you last time, that i was not going to prescribe this. it is a policy of group health's to not prescribe medications for conditions other than that which they were intended for. there are no studies to indicate that these medications are viable for treating pcos, blah, blah, blah". needless to say, i hate her. but, my questions are...what is the position of the medical establishment towards treating pcos with insuling sensitizing drugs? is she right that there are no studies to support doing this? what are people's experiences with low carb diets/metformin-glucophage/other treatments? what do you think of my expereince with her? any other info. you find pertinent would be helpful too. thank you...
-- carrie
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