PCOS Messages for January, 2003: Re: Any advice? (sorry, long)

Re: Any advice? (sorry, long)

From: Sally (anonymous@obgyn.net)
Wed, 22 Jan 2003 23:06:21 -0600 (CST)

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Hi,

tough luck about your doctor.

I would:-

- try everything possible to convince the doc to let you try met - even if he will agree to let you trial it for say 3 - 6 months at a reasonable dose, then review to continue or not. I actually have discussions with my doc and we try to experiment as to what works for me - she knows I have to be convinced what I am trying is working. - continue to try to get to your ideal wieght. - exercise as much as you can manage - helps with the insulin resistance. - follow a lower carb diet (particularly the complex carbs).

Best wishes

--
Sally
At Wed, 22 Jan 2003, anonymous wrote:
>
>I was recently diagnosed with PCOS (well, at least the doc suspects
>that, he couldn't see any polycystic ovaries but rest of the symptoms
>points toward that).  I had pretty regular periods until 4 years ago
>when I put on some weight (mind you, I was never overweight but 10-15
>pounds more than I used to be) and I started to have every other cycle
>totally messed up (I'd start bleeding around ovulation time and it
>wouldn't stop for weeks sometimes).  I have lost some weight the last
>year so I am almost back to my "normal" weight and I don't bleed forever
>any longer.  My cycles are better, I ovulate, although late, and some
>cycles tend to be very long.  My husband has some issues with his
>fertility too, he just started the treatment.  And we really do want to
>get pregnant soon (I am 35 now).
>
>I talked to my doctor last week since I felt something needed to be done
>about me too.  I told him my concerns and asked if I should be
>prescribed metformin.  His response was that it really isn't proven that
>it'd make things better, it's better to lose weight (I should point out
>that I live in Europe and apparantly the leading expert in this area in
>Europe does not think that it is metformin itself that has effect,
>rather it's the weight loss that often follows it that is effective).  He
>also said that the side effects are not very nice.  He felt I should
>wait in any case until my husband's problems have been solved.  I don't
>agree with the doctor, I have read some papers in medical journals (and
>I have a background in molecular biology so I have no problems in
>understanding them either).  I cannot change doctor either since he's
>the one in charge for the IVF department in case we might need to do
>that (IVF is free here but you have to be in queue for at least a year
>or so).  I am not sure that any other doctor would be better either
>since the gynocologist I saw earlier even couldn't come up with an
>explanation to my problems.  So, what should I do? Try to convince my
>doctor with papers or just wait and see what happens? Try to lose some
>more weight?
>
>Billi

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In reply to: anonymous: "Any advice? (sorry, long)"
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