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Re: PCOS: Early Treatment for PCOS - disease in adolescence

From: anonymous (anonymous@obgyn.net)
Wed, 16 Jan 2008 08:52:45 -0600 (CST)


This sounds all too familiar to me. I had no weight problems at all as a child, but around age 12 began to gain weight around the time my period started. I went from about 130 lbs to 185 by age 16. But I am worried now that it might be too late to treat this condition effectively as I am now 31, and have not always done as much as possible consistently for the last 13 years. But I have only been told by a doctor that I probably do actually have PCOS within the last year, although my symptoms pointed to it all along. I no longer had any periods at all by age 17 and excess hair, greasy skin, acne, weight gain that continues up to the present. I only found out I have insulin resistance a couple of years ago. And I am not only concerned with the so-called cosmetic effects, but since these are most conspicuous and most inconvenient at the moment, I may seem to obsess on this aspect, but I am equally concerned about the long term health risks too. I saw a reproductive endocrinologist several years ago (1999) who did a lot of tests, but concluded that I did not even have PCOS, because I did not look like a typical case to him. Last year I had an ultrasound, but the obgyn only reported that my ovaries looked slightly enlarged consistent with PCOS and never mentioned seeing the cysts that I thought should be present for PCOS. But she did seem to think I had this condition, and I can't imagine what else it could be. But my main concern is that it is too late for me to avoid bad complications. I have skipped exams over the years and have only received intermittent treatment and I have never been successful in losing enough weight. I know it's my fault for not going in for regular exams, but I only avoid them because they are so terrifying and uncomfortable, and I have never had sex, so I'm not likely to have any other problems. So, is it too late for me?

At Sat, 12 Jan 2008, Walter Futterweit, MD, FACE,FACP wrote: >
>Let Hope Watman's brief but importantly quoted article be a major
>influence in directing your life whether there is PCOS or not.
>Indeed, weight loss amd lifestyle changes including exercise, adequate
>sleep, and proper nutrition are the foremost means of minimizing the all
>too frequent insulin resistance which starts at puberty, Early
>intervention is the key.
>These are the changes that will keep your potential tendency to weight
>gain to a minimum. Therapy without the above are not too helpful. The
>time to act as a teen ager or young woman is NOW.
>Dr.Futterweit
>
>--
>Walter Futterweit, MD, FACP, FACE
>Clinical Professor of Medicine, Division of Endocrinology
>Mount Sinai School of Medicine, New York, NY 10029
>http://www.aacehost.com/pages/page.php?r=716
>






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