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Re: Negative disgnosis?

From: anonymous (anonymous@obgyn.net)
Wed, 17 Sep 2003 21:01:10 -0500 (CDT)


Your symptoms sound very much like pcos and insulin resistance.

My gyn told me that, yes, the Pill can make a difference in the outcome of some tests, one of those tests being the insulin test. Some tips I can give you are: When you see the doctor and are ready for some blood tests, make sure it is the 6th or 7th day that you are off the pill, the end of your period week. And get an early morning appt. so you can get some fasting blood tests done.

Get these 3 blood tests: Fasting glucose, fasting insulin, and fasting c-peptide. If your glucose is normal, and one or both: your fasting insulin is 10 or higher or your c-peptide is as little as 1 point high, chances are there is an insulin resistance problem present. Don't let the doctor try to talk you out of any of this. Look at your own blood test results and get a copy for yourself.

Additionally, get the other pcos tests such as testosterone, LH, FSH, etc. Get your cholesterol and triglycerides checked again. Insulin resistance can be a big culprit in the rise of cholesterol and tri levels even with perfect diet and exercise.

Cutting your calories to 800 will probably create a worse problem. Instead, cut your carbs and raise your protein and omega 3 fats. The book "sugar busters" explains this well.

Yes, acne can be a sign of pcos.

Don't feel bad. I went over 20 years without a proper diagnosis. Then when I was diagnosed, it took me 2 more years to find 2 good doctors who would listen and give me what I needed, and get me to the point where I can say, yaaay, I feel good finally. The best weapon is KNOWLEDGE and PERSISTANCE. Make the doctor do what you what him/her to do.

I don't know if it makes a difference that the doctor is a DO or MD, just as long as they understand pcos and can give you what you need. Although I never heard of a DO Endocrinologist...I thought Endo's had to have heaps of education, but maybe I am wrong. Find out what kind of doctor you are getting. If it is not an Endo, just a simple DO who is like a GP, and you don't feel comfortable with that, then look elsewhere.

At Wed, 17 Sep 2003, anonymous wrote: >
>I am having such a bad day that I hope that I can get this out
>coherently.
>
>5 years ago I was diagnosed with PCOS by my PCP after not having periods
>for several moths at a time, and my LH:FSH was over 3:1...she put me on
>the pill and since that time I've gotten the skin tags (although not
>excessively), weight gain that I can't make go away (even with weight
>watchers), oily skin, and acne. Oh and after a big carb filled meal I
>could fall asleep wherever I am. However, my doctor moved, then I moved
>and I've been to two doctors since both general practioners. The first
>said I didn't have PCOS since my 1st doctor didn't do an ultrasound. The
>second did bloodwork, said my testosterone was slightly elevated but
>within limits, said my cholesterol was high but not too high, I have
>normal blood pressure, and didn't mention my LH:FSH even though the test
>was done. Oh and I was on the pill for these test so I am not even sure
>that they are worth the paper that they are printed on. Oh and by the
>way nothing is wrong with me, maybe I should cut my calories to 800 a
>day.
>
>I've decided that I want to consult a specialist but since my Dr. won't
>refer me to an endo I am going to go and pay for it myself just to
>figure out if I have PCOS once and for all. To top all of this off, I
>just found out that the endo I picked out is a DO and not an MD.
>
>At this point I don't know if I am more scared that I have PCOS or if I
>don't. Because if I don't, why can't I lose this weight if I am doing
>everything right? Why do I have to pluck my chin regularly? Why do I
>have the same amount of acne sicne I was 17?
>
>Any words of wisdom on how many doctors I am going to have to see before
>I can trust one? its fine if I don't have PCOS, but I need someone to
>explain all these symptoms to me. And so far no one has been able to do
>that.
>
>Should I be concerned about teh DO and try to find a MD?
>
>Thanks for listening, sorry this is so long!




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