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Re: Spironolactone and Pregnancy
From: anonymous@obgyn.net
Fri, 26 Sep 2003 11:09:47 -0500 (CDT)
Thank you for your response! I just wanted to make sure I was not being
unrealistic by refusing to take Spiro. I am already taking Metformin
which was prescribed by my family doctor a few years ago to treat PCOS
related issues. It helps but it isnt a cure by any means. The RE I
have been seeing wants me to stop Met and use Spiro. agree with you I
need to find a new RE (which this was the closest one and is 2 hours
from me!) but I do not feel as though I can trust him now.
Thanks
At Fri, 26 Sep 2003, Janet wrote:
>
>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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