PCOS Messages for December, 2002: Re: What type of Dr do you see if you NOT concerned about fertility aspect?

Re: What type of Dr do you see if you NOT concerned about fertility aspect?

From: jodi (anonymous@obgyn.net)
Thu, 26 Dec 2002 14:13:23 -0600 (CST)

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In reply to: Sugar: "What type of Dr do you see if you NOT concerned about fertility aspect?"

You should see a doctor who gives a hoot about PCOS and its effects on the total woman as opposed to the woman's plans for conception. :-)

I used to see a regular endocrinologist. We have moved, and now I am seeing a reproductive endocrinologist, even though I am not trying to concieve. Some women get PCOS care from their regular primary care doc, some from their gynecologists. It really depends on the doctor and how knowledgable they are with regard to PCOS. In an ideal world, women with PCOS should be treated seriosuly regardless of whether or not they are trying to concieve... but in reality, I know a lot of doctors seem to be all too happy to show us the door if we are not currently set on getting pregnant.

As for nursing while on glucophage, however... I didn't know that many women do continue with the meds while nursing. I thought a lot of women tended to go off the meds while nursing. According to the inciid faq (http://www.inciid.org/faq/pcos7.html)

"7.7 Does PCOS cause problems breastfeeding?

There are no adequate studies on the topic, but the hormone imbalances that go along with PCOS appear to reduce ones ability to breastfeed exclusively. Most PCOS women have no trouble, and breastfeeding may improve glucose tolerance a short time after giving birth."

and

"7.8 Is it safe to use insulin-sensitizing medications while breastfeeding?

Since many medications are excreted in breastmilk, it is usually recommend that insulin-sensitizing medication not be used while breastfeeding. The effect such medications may have on the nursing baby or toddler is not known."

... I would think that if you are able to breastfeed, it is possible that that alone is helping to control your PCOS. I don't know how possible, but it seems possible! :-) So ... even if you aren't trying to get preg now, given that you you are breastfeeding, I think you need to still find a doc who is at least marginally experienced with PCOS and fertility. Theoretically, they would know best about whether or not starting glucophage while nursing is a good idea or not (or even, if there is any merit to 7.7, whether or not it would even be of much benefit!)

At Tue, 24 Dec 2002, Sugar wrote: >
>I was diagnosed with PCOS in 1999 when trying to get pg with my first
>child. I now have 2 clomid babies, clomid worked well for me and
>glucophage was just coming into use for PCOS from what I understand. I
>saw an endocrinologist the month I got pg with #2 (early 2001) and she
>said if I didn't get pg from that cycle of clomid from ob gyn to come
>back for glucophage or if I did get pg to wait until I was done nursing
>the next baby then start glucophage then.
>
>>From what I understand many nursing moms are already using glucophage so
>I wanted to make an appt. My dd is 9mths and I imagine we will still be
>nursing for awhile. I have since moved and need to find a new Dr.
>Should I see a regular Endocrinologist, as opposed to a Reproductive
>Endocrinologists as I have no plans to get preganant again. I am
>interested in treatment due to the other health risks pcos poses such as
>diabetes, heart disease etc so seems like a regular endo is better?
>Interested to know who others see. thanks!

Next message: Sonnet: "More baby news!"
Previous message: carlene: "Re: Pogesterone pills side effects?"
In reply to: Sugar: "What type of Dr do you see if you NOT concerned about fertility aspect?"

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