WOMENS-HEALTH Messages for December, 1999: Re: Question about BCP, PCOS and fertility treatments

Re: Question about BCP, PCOS and fertility treatments

From: Pat (anonymous@obgyn.net)
Sat, 4 Dec 1999 19:54:52 -0800

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Theories about PCOS are changing, and you can do lots of research on the Web. Some providers prescribe the birth control pill which will regulate your periods. There are some medications that seem to help PCOS and treat the underlying Insulin Resistance which seems to be a thread about the conditions. There are several excellent web sites, that might provide you with some background information to that when you see your doctor you can as specific questions. The good web sites are: http://www.pcosupport.org/ http://www.ivf.com/mpmd.html http://www.ivf.com/links/pcoslinks.html

Kidson, W., (1998). Polycystic Ovary Syndrome: a new direction in treatment. Medical Journal of Australia 169:537-540. Available: http://www.mja.com.au/public/issues/nov16/kidson/kidson.html

Some individuals suggest you go to a reproductive endocrinologist who will know the current recommendations for PCOS. There is also a PCOS web ring, with a variety of web sites about women with PCOS: http://www.members.home.net/cnmpat/favlowcarb.htm Pat Sonnenstuhl, ARNP, CNM

"To love what you do and feel that it matters, how on earth could anything be more fun."- Katherine Graham

-----Original Message----- From: anonymous@obgyn.net [mailto:anonymous@obgyn.net Behalf Of Rucia Sent: Saturday, December 04, 1999 8:09 AM To: Multiple recipients of list WOMENS-HEALTH Subject: Question about BCP, PCOS and fertility treatments

I am currently suffering from hormonal imbalance and abnormal bleeding, which could be blamed on possible PCOS. I'm currently on a treatment for regulating my cycle by using BCP. I don't quite understand how the BCP are supposed to regulate it if they actually stop you from ovulating. I thought that one needed to ovulate in order to have a period. I didn't think they were separate processes but apparently there is something else going on because people get their periods while using BCP! I am wondering how using BCP will help me ovulate if the follicles that have not matured and are accumulated in my ovaries, will still be there after I'm done with the treatment. What I'm asking is how can BCP help me get rid of all those unmatured follicles in my ovaries, help me to control PCOS? May be a silly question for the doctor, but I'm totally clueless of what goes on in these reproductive/hormonal processes! Are fertility drugs such as Clomid used to induce ovulation for PCOS patients who are not interested in being pregnant at the time? I've read that in many instances fertility drugs can induce ovulation in all the follicles, so for someone who wants to get pregnant is really NOT recommendable to have 20+ eggs fertilized! But for someone who is not planning to get pregnant, could Clomid (or whatever drug) help on decreasing the amount of unmatured follicles in the ovaries, and later regulate the process where one could ovulate naturally? I'm guessing this is not as simply as I've described it here (too bad I'm used to methodical thinking being an engineer!) But I know the body doesn't react methodically in most occasions, so I would greatly appreciate any inputs to these questions. Thanks in advance!

Next message: Jas: "Retained piece of placenta"
Previous message: Pat: "Re: Would like to hear from a doctor re: bleeding"
In reply to: Rucia: "Question about BCP, PCOS and fertility treatments"
Next in thread: Harvey S. Marchbein, M.D.: "Re: Question about BCP, PCOS and fertility treatments"

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