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Re: PCOS- effect of BTL or perimenopause

From: Nancy (anonymous@obgyn.net)
Sun, 12 Nov 2000 14:56:51 -0600 (CST)

At Sat, 11 Nov 2000, Harvey S. Marchbein, M.D. wrote: >
>Now that you've shared the enormous amount of data from the previous
>post, you may indeed have PCO with normal ovaries as some women do have.
>I agrtee with Dr. Shanahan about the potentila for Glucophage. Since
>you've never had blood tests, FSH & LH may be helpful. There are some
>women with insulin resistance and hyperandrogenism who have normal
>FSH/LH as well.
>
>HSM
>

#1- Would AVANDIA be as good as Glucophage or do they do different things? My blood sugar is low at times,especially after I eat. #2- Seeing my Family Practice doctor this week. It will be day 7 of my cycle. Can I have labs that day or should they be timed differently. On another board, an M.D. suggested I should have a midcycle estradiol level to assess for decreasing levels- possible perimenopause. #3- If I have high levels of estrogens or androgens, could this explain why my thyroid tests always appear normal even though I have 90% of the symptoms of hypothyroidism (plus a nodule)? I read that high levels of estrogen could affect thyroid binding globulin. >At Sat, 11 Nov 2000, Nancy wrote:
>>
>>At Sat, 11 Nov 2000, Harvey S. Marchbein, M.D. wrote:
>>>
>>>PCO, if it's there, is usually picked up way before tubal ligations or
>>>perimenopause, so the question is unable to be answered unless there
>>>were problems before that were overlooked.
>>>
>>>When monoapuse is complete, PCO does'nt exist but the precursors may
>>>still be there - insulin insensivity and hyperandrogenism. The course
>>>after menopause is variable with respect to lipids, glucose and weight.
>>>
>>>Hope this helps and write back anytime for more information.
>>>
>>>HSM
>>
>>COULD YOU ALSO SEE MY PREVIOUS POST WRITTEN NOV 10TH:
>>"LONGSTANDING UNDIAGNOSED PROBLEM- PCOS? HYPOTHYROIDISM?
>>I'm just trying to make sure I ask for the right tests at the right time
>>etc. I too have disregarded PCOS as a possiblity in the past because
>>multiple doctors have had opportunity to figure this out over the years
>>but have not come to any conclusion. However, I've also been treated
>>with BCP, danazol and synarel, thinking it was an endometriosis type
>>thing although the timing certainly was bizarre. Then had 3 pregnancies
>>in three years and later had my BTL, so I'm thinking all of these things
>>could have controlled or masked some of the signs and symptoms,
>>particulary if I had the more atypical type without the PCO appearance
>>and with maybe a milder androgenic effect. Details in other post.
>>Thanks. Have several appts coming up next week and want to finally get
>>answers. I've been having problems for 25 years now and have never had
>>any female/male hormone levels done. Oh yes, one thing not mentioned in
>>the other post is that I tried very hard to nurse my first 2 34 week
>>babies with no success. Even with round the clock ,double electric
>>breast pump every 3 hours, plus allowing the baby to nurse first each
>>time, I just never made more than about 2-3 oz of milk per DAY.
>>Lactation consultant could not see a problem with how either baby
>>nursed. Thought this might also have a hormonal clue.
>>
>>>At Sat, 11 Nov 2000, Nancy wrote:
>>>>
>>>>Would hormonal changes that occur with post tubal ligation syndrome (if
>>>>it truly exists) or with perimenopause, make it difficult to diagnose
>>>>PCOS?
>>>>Also, when menopause is complete, how do symptoms of PCOS change? Do
>>>>lipid or glucose abnormalities improve or worsen? Does weight change?
>>>>
>>>>--
>>>>Nancy
>>>>
>>>--
>>>Harvey S. Marchbein, M.D. FACOG, FACS
>>>Great Neck, New York
>>>
>>>**Note: Opinions expressed here are for educational purposes only
>>>and, as such, do not constitute a physician-patient relationship.
>>>This information is not intended to supplant the need for you to
>>>consult with your physician prior to choosing therapeutic options
>>>and/or interventions.
>>>
>>>**Private emails cannot be entertained due to time constraints,
>>>consequently no private emails will receive a response.
>>>
>>>**Thank you for your understanding ;-)
>>>
>>>Please be aware that all e-mail on this forum is archived and can be viewed at
>>>http://forums.obgyn.net/womens-health,
>>>http://forums.obgyn.net/pregnancy-birth or
>>>http://forums.obgyn.net/young-women
>>>and is accessible to anybody on the
>>>internet including internet search engines. This should be taken into
>>>consideration before sending postings of a personal or confidential nature.
>>>
>>--
>>Nancy
>>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
>Please be aware that all e-mail on this forum is archived and can be viewed at
>http://forums.obgyn.net/womens-health,
>http://forums.obgyn.net/pregnancy-birth or
>http://forums.obgyn.net/young-women
>and is accessible to anybody on the
>internet including internet search engines. This should be taken into
>consideration before sending postings of a personal or confidential nature.
>

--
Nancy





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