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Frustrated with doctors' lack of knowledge..From: Natasha (anonymous@obgyn.net)Sun, 27 Jul 2003 02:27:34 -0500 (CDT)
Hi again, girls.. I just felt like posting again, as I'm getting increasingly frustrated by all the doctors' responses. How can this be? They barely seem to know anything about PCOS and how it works. I recently visited a top of the line obgyn for the second time, and he told me to take the next 6 months to lose weight. (Gee, why didn't *I* think of that!?!) This is supposed to determine whether or not there is really any hope for me, and if I should seriously consider getting my stomach stapled, as has been suggested by 2 other doctors besides him. The guidelines that he set are roughly: No sweets whatsoever, no carbs at ALL, no eating after 6PM. Exercise should be done twice a day, once in the morning, and once in the evening. Well.. I'm having a little problem with that. First of all, I have been on Atkins (among a thousand other diets), and it didn't work for me past the first 2 months (Total time spent on the diet was 1.5 years in strict induction phase). I've come off it, but as I've mentioned when posting before, I still cut most of my sweets and simple carbs out, and am very mindful of the ingredients I utilize. However, I'm really hating myself lately for all this weight(256lbs at 5'8), and find that the energy to start working out again is proving to be more than difficult. Plus, I'm really tired of having doctors look at me as if I have no self-control whatsoever. You girls know what I mean.. they treat you like it's completely your fault you have PCOS. It's making me feel even more embarrassed and uncomfortable about my weight than I already am (if that's possible). I know starting to exercise again is crucial, but I couldn't take all the bulky muscles I would get every time I did any kind of exercise (even from just walking). I'm hoping this time might be a little different, as my testosterone levels seem to have gone down. It's just I find that going to doctors can be so counterproductive.. you get so depressed after the visit, and then it's even tougher to find the energy and motivation you need to keep going. As far as my metformin intake is going, I've been on it something like 4-5 months (500mg 3x day), but my doc started me off with a large dose, and my stomach never quite got used to it. I still have major bloating, and other probs. I don't want to lower the doseage though, because I've lost a few pounds (about 17 now), and my insulin level has gone down from 28.5 to about 22. What do you guys think I should do in terms of the metformin? I just read that it's considered to be IR if insulin levels are over 10, so should I be taking a larger dose to get the insulin down more? What about what the obgyn suggested (the diet/exercise routine)? I'd really welcome any input. Thanks so much for your time in advance.
-- -Natasha
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