tag:blogger.com,1999:blog-1851682447163727760.post2486850484948667215..comments2023-09-08T06:11:33.395-07:00Comments on Women's Health and Fertility: Interview on PCOS Challenge Talk Radio Part Two: Insulin Resistance, The Metformin Myth and Infertilitywomen:s health and fertilityhttp://www.blogger.com/profile/08894216102467479481noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-1851682447163727760.post-24310356271284897082013-03-27T16:40:22.189-07:002013-03-27T16:40:22.189-07:00I am 25 years old. My intravaginal ultrasound show...I am 25 years old. My intravaginal ultrasound showed 12 follicles in the right ovary (0.5*0.5cm) and left ovary had less than 12 follicles(1.1*0.9cm) on day 11 of my cycle. testosterone level was 42.88, Prolactin 17.5, Fsh 2.13, Lh 1.60, Dhea 396, Androsten 1.98, random glucose 100, tsh 4.59 and insulin of 4.77 (these tests i did few days before getting my period) i weight 140 pounds at 5'2 height so i was diagnosed with pcos and my doctor put me on metformin. i got pregnant at first month of trying and had a early miscarriage at 6 weeks. continued the use of metformin, ascard, thyroxine and prenatals, did not lose any weight in fact gained more. after 3 months of waiting i got pregnant again on the first try but this was a chemical pregnancy. Although this time i was taking progesterone orally and vaginally. Before the chemical pregnancy my LH was 2.74 and FSH was 7 (at day 3 of the cycle) testosterone had gone down to 24.80 and tsh 2.32Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1851682447163727760.post-4133057479406033022010-06-20T19:44:29.362-07:002010-06-20T19:44:29.362-07:00Yaz is an appropriate treatment for PCOS and insul...Yaz is an appropriate treatment for PCOS and insulin resistance patients. If you have diabetes, that would be in addition to your diabetic management with insulin, oral hypoglycemics or Metformin. The progesterone in YAZ is an aldosterone analogue and block testosterone receptors, which will help to reduce the increases testosterone levels in PCOS patients. The Estrogen will help to overcome the production of testosterone and also suppress the ovarian production of testosterone as well. It has the potential to help with weight by correcting the abnormal hormonal situation caused by PCO, and has the potential to help lipids because of the estrogen but that is not an absolute.women:s health and fertilityhttps://www.blogger.com/profile/08894216102467479481noreply@blogger.comtag:blogger.com,1999:blog-1851682447163727760.post-30423837432153996762010-05-31T21:21:16.910-07:002010-05-31T21:21:16.910-07:00I am an Type i diabetic for 26yrs now aged 30yrs ...I am an Type i diabetic for 26yrs now aged 30yrs , have PCOS abd hirsutism, is Yaz suitable for me to try to reduce the hair growth , will it help with the insulin resistance and what about weight increase and lipid alteration. thank You ElspethAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1851682447163727760.post-47887244453962996412010-03-05T17:23:08.937-08:002010-03-05T17:23:08.937-08:00The purpose of the birth control pill in the treat...The purpose of the birth control pill in the treatment of PCOS is to correct and over-ride the hormonal imbalance that exists with this disorder. It is not just to give regular cycles. There is no other treatment that can do this. In your case, where there are side effects from previous birth control pill usage, what you will need to do is, through trial and error, try different types of pills until you find one that works for you. The pill I recommend for PCOS are the new pills, Yasmin and Yaz (lower dose) that have a new type of progesterone, called drospirenone. This is an analog of the diuretic aldosterone that is used in the treatment of hirsuitism (facial hair) because it blocks testosterone at the receptor. Drosperinone has similar properties. Increased testosterone levels is part of the hormonal imbalance in PCOS. <br /><br />Most of the side effects that women get from birth control pills are from the progesterone. This one may work better for you. The progesterone type is what makes each pill different and that is why you have to try different ones. I've had a good response from my patients using this pill.<br /><br />The weight gain, unfortunately, is an estrogen effect. Estrogen will increase your appetite, and if you follow that urge and eat more, you will gain weight. On the other side, you also have to burn off the increased calories so that comes with increased activities such as exercise. Remember, our metabolism also decreases with age, so we inherently burn less calories as we get older.<br /><br />I hope this answers your question.women:s health and fertilityhttps://www.blogger.com/profile/08894216102467479481noreply@blogger.comtag:blogger.com,1999:blog-1851682447163727760.post-41564502243125399602010-02-28T20:07:57.148-08:002010-02-28T20:07:57.148-08:00I will say that I saw success with only 50mg of Cl...I will say that I saw success with only 50mg of Clomid, on my very first cycle. I'm a PCOS patient without insulin resistance, who was completely annovulatory... So there is hope for the lower dosages working.<br /><br />I was also not monitored as here in Canada, ultrasounds are much harder to come by... But I am now 16 weeks pregnant with our first, so something must have gone right :)<br /><br />I am curious though - I have always responded very, very poorly to birth control pills - gaining huge (60+ lbs) of weight, getting irritable and depressed, etc.<br /><br />What is an option for a PCOS patient who is not insulin resistant once the baby is born, who responds poorly to birth control? Is diet & exercise the only option?<br /><br />Thanks!Cherylnoreply@blogger.com