|
Re: PCOS: Looking for Advice about PCOS
From: Pat Sonnenstuhl (anonymous@obgyn.net)
Fri, 22 Jun 2007 16:25:47 -0500 (CDT)
At Fri, 22 Jun 2007, Walter Futterweit, MD, FACE,FACP wrote:
I couldn't agree with you more. I feel more vigilant screening needs to
be done, especially of teens, and getting a referral to an
endocrinologist is the first order order of business. I think for too
long this condition hasn't been appropriately screened and treated, and
catching things early is critial, for self esteem and improved health
care. Depending on health goals, a reporductive endocrinologist is also
appropriate, and ideally, in this situaiton, an endocrinologist that
works with adolescents.
>
>The issue of whom to see first in a woman with PCOS who is not seeking
>fertility at the time of diagnosis, or in assuring the diagnosis of
>PCOS, is debatable. I contend, as many do, that medical
>endocrinologists who are well experienced in PCOS, is the first step.
>
>PCOS is a syndrome, with fertility being a part of the whole pie of
>factors involved in its presentation. These include contending with
>insulin reistance which is often seen even in nonobese women with
>oligoamenorrhea,
>the others being risk factors and markers for the later development of
>type 2 diabetes mellitus and cardiovascular disease, and the handling of
>lipid abnormalities, possible hypertension, sleep apnea and many more.
>Medical endocrinologists would be more likely, for instance, to order
>these and do a glucose tolerance test with insulin levels. Furthermore,
>remember that 20% of women with PCOS have regular menses. On reading
>about PCOS, you will note these facts, and the literature is full of
>articles written by medical endocrinologists around the world, for
>instance, Dr. John Nestler, Dr. E. Diamanti-Kanderakis, and others.
>
--
Pat Sonnenstuhl, CNM, CHT
Hypnosis for Healing and HypnoFertility Therapy
http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
http://home.comcast.net/~prebirthhealth/birthcounseling.htm
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)