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pcos but not insulin resistant- lots of questions!

From: ksbdca (anonymous@obgyn.net)
Wed, 27 Nov 2002 03:00:28 -0600 (CST)


I am 24 and I was just diagnosed with PCOS. However, according to my doctor who has admitted that she doesn't really know very much about PCOS, I am not insulin-resistant; But I am overweight and I menstruate only about 3 or 4 times a year, have ovarian cysts, moderate/mild acne, moderate facial hair growth, etc. So I have major questions:

1. Should I still push to go on met/glucophage? I understand that it may help anyway, regardless of what the blood tests say. There was a study released in June that said it could very well help. Is this generally known? In other word, will my doctor think I'm crazy if I ask for this?

2. In the case that glucophage has the effect of weight loss, and in turn, restoration of normal hormone levels and periods, is it possible to get pregnant normally with out any fertility drug or other intervention? Has anyone had this happen? Are the positive effects of glucophage long-term? I'm not looking to get pregnant right now, but I am very freaked out by the high? probability that I will not be able to get pregnant when I want to. So my whole thing is that I want to do whatever it takes to prepare for the time when I do want to.

3. It really scares me that my doctor (a very new general practitioner doctor) says she doesn't know much about PCOS. She said she will refer me to a ob/gyn. But so many people seem to have such bad experiences-- how can you 'screen' your doctor to know if s/he is knowledgable about and sensitive to PCOS?

4. How common are miscarriages and other pregnancy complications with PCOS? I keep reading stories in which this occurs, but I want an overall picture-- maybe statistics or something?

5. Finally, PCOS 101 question: I cannot seem to get a grasp on the difference between eggs and cysts. The ovum become cysts, right? What does that mean for my physical health? Are you supposed to remove the cysts? Can the cysts rupture or cause other damage? Do all of my ovum become cysts?

This is all so overwhelming! Sorry to post so many questions at once.




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