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Re: pcos but not insulin resistant- lots of questions!

From: Sonnet (anonymous@obgyn.net)
Wed, 27 Nov 2002 23:18:51 -0600 (CST)


I can try to help with the last two -

I have heard that the miscarriage rate for women with PCOS tha is totally UNTREATED is about 40%. That's pretty high, but the rate for women whose insulin levels are treated is something like 10%, which is about where the risk level is for your average woman.

Every month (at least in theory) an egg develops inside your ovary. It matures and gets ready to be released and (hopefully) fertilized. But the problem with our PCOS egg cycle is that once they mature, they often don't release. So you have all of these matured eggs and some fluid, which form cysts. They're like all these little bubbles spotted all over the ovary.

As far as I know, cysts like this are overall not harmful. There are some hormonal issues that they contribute to but they are not the cause of these problems - more like another symptom. Eventually they are reabsorbed by the body, and don't seem to have a higher cancer rate or anything of the sort. You can shrink them by using artifical hormones (as in birth control) and they also seem to go away with PCOS treatment. I do hear every once in a while a woman on hos board saying that she has had very large cysts that ruptured and caused pain, BUT as far as I know that is no more common among PCOS women than in the general population.

>>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?
>
>Quite common. But not all women with PCOS have miscarriages. Sorry I
>don't have the stats.
>>
>>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?
>
>Sorry, can't answer this one. Maybe smoeone else.
>
>--
>Sally
>>This is all so overwhelming! Sorry to post so many questions at once.
>

--
email always welcome: sonnet_fitz@hotmail.com



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