PCOS Messages for September, 2003: Re: Spironolactone and Pregnancy

Re: Spironolactone and Pregnancy

From: Janet (anonymous@obgyn.net)
Fri, 26 Sep 2003 10:23:34 -0500 (CDT)

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Reply: anonymous@obgyn.net: "Re: Spironolactone and Pregnancy"

Please, please, go find another endo. Spironolactone is expressly forbidden when you are pregnant, primarily in the first few months of conception when sexual organs are being developed. In boys it results in obscured sexual organs. In girls spiro can result in polycystic kidneys, as well as deformed genitalia. This occurs very early into a pregnancy, often before a woman even realizes that she is pregnant. Most doctors will not even prescibe spiro unless you are on BCPs, have had a tubal ligation or some other permanent reason to be unable to have children. Not being a doctor, maybe there is something that I unaware of reguarding your specific treatment, but you deffinately need a second opinion on this. This is not a normal route to take. Just like in every profession, not all doctors know what they are doing. I usually recommend endocrinologists over Obgyn because they specialize in treating hormonal imbalances, which is what PCOS is. Frankly, this guy scares me. You didnt mention if this endo tested you for insulin resistance. Often, that is what causes the elevated tesetosterone and if treated can help reduce it.

If you werent planning for children right now, I would highly recommend spironolactone. It has done wonders for me. But I would never recommend somebody go this route if they were trying to become pregnant.

-- Janet Heller

At Fri, 26 Sep 2003, anonymous@obgyn.net wrote: > >After 2 miscairages at 5 and 6 weeks and preterm labor at 22 weeks I >have decided to move on to a Reproductive Endocrinologist instead of my >regular OB/GYN. The first appointment went well he drew blood and found >out I had Protien S deficiency which wasn't the reason I went into >preterm labor but it could cause future problems. He also found that my >Testosterone was 4.1. So he gave me a prescription for Spironolactone >which he says should bring on my cycle and he wants to test my >progesterone on day 24 to see if I ovulated. He says he wants me to >take Spiro until I am 14 weeks in my next pregnancy. I have read that >this is a bad drug to take while pregnant and I do not feel I really >need to risk using it during pregnancy. I have called him and tried to >explain I am not comfortable taking it. Am I being unreasonable?? I >just cant see taking a risk that is not really necsasary. I also feel >like I have lost some trust in this doctor... that he could suggest >something that could possibly be not safe for the baby.

--
Email always welcome
Janet at JanetHeller@msn.com

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