RE: Interesting PCOS article (Full Version)

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artemis -> RE: Interesting PCOS article (3/26/2008 3:43:03 PM)

My doctor said that if the re-tested bloodwork shows PCOS, she'll have me do a sonogram to look for cysts. Wouldn't they have seen cysts when they did a sonogram when I was pregnant? Or maybe not. I just thought maybe that would have been caught during the sonograms that diagnosed my miscarriage or during the D&C or something. I don't know...

Anyhow... I'm going to the grocery store next week, so I'll look for low (or lower) carb foods while I'm there. I can ovulate and do ovulate from time to time, just not on a monthly basis. So if I have PCOS, would that indicate a mild case?



clag4christ -> RE: Interesting PCOS article (3/26/2008 3:51:18 PM)

quote:

ORIGINAL: artemis

My doctor said that if the re-tested bloodwork shows PCOS, she'll have me do a sonogram to look for cysts. Wouldn't they have seen cysts when they did a sonogram when I was pregnant? Or maybe not. I just thought maybe that would have been caught during the sonograms that diagnosed my miscarriage or during the D&C or something. I don't know...

Anyhow... I'm going to the grocery store next week, so I'll look for low (or lower) carb foods while I'm there. I can ovulate and do ovulate from time to time, just not on a monthly basis. So if I have PCOS, would that indicate a mild case?

Not all women with PCOS have cysts...it's not the only indicator. Insulin resistance is a bigger indicator, imo than cysts. When I'm not on the Metformin I don't ovulate but I don't get cysts. Some women with PCOS start to try and ovulate but their eggs don't quite mature all the way to be released and thus then calcify and turn to cysts. My body just doesn't have enough hormone to make my eggs ripe! [8D]

When you are at the store buying lower carb breads/tortillas, etc. Just remember to look at the fiber content as well...you can subtract the fiber content from the carb content on the label. [:)] You can also buy a fiber supplement which will help your body with the blocking of carbs. Oh! And cereals are notoriously hard to buy for someone with PCOS. Their carb content per serving is usually very high (I can eat the vanilla cheerios though) and the fiber content very low. Lots of sugars in those things.

Is your doctor a Reproductive Endocrinologist or just a 'fertility doctor'? It sounds like he/she doesn't quite know that there are different types of PCOS out there...



Mrs.Wifey -> RE: Interesting PCOS article (3/26/2008 3:52:18 PM)

Not always, Amy(btw, it's nice to have you around again). I have pretty bad androgen issues but I still tend to ovulate on a somewhat regular basis, especially right after I stop bcp's. When I stopped them with Gabby I had 5 28-30 day cycles, and then on the 6th one I got pregnant. But, I was also very, very low carbing and taking cinnamon supplements.



SweetLittleErin -> RE: Interesting PCOS article (3/26/2008 3:52:30 PM)

My bloodwork never showed PCOS, nor did my ultrasound really, we just determined that thats what it must be and well...it worked.

I think the fact you are ovulating is good. For me I didnt ovulate at all, for several months, until I got metformin.

ETA: I had two seemingly normal cycles after coming off the BCP, but we werent "trying" then. I think next time we will "try" right after coming off the pill (not getting into a BCP debate here).



clag4christ -> RE: Interesting PCOS article (3/26/2008 3:54:14 PM)

quote:

My bloodwork never showed PCOS, nor did my ultrasound really, we just determined that thats what it must be and well...it worked.
But you did also have cystic ovaries...which is the big symptom if your hormones don't come back 'PCOS'.



SweetLittleErin -> RE: Interesting PCOS article (3/26/2008 3:58:41 PM)

quote:

ORIGINAL: clag4christ

quote:

My bloodwork never showed PCOS, nor did my ultrasound really, we just determined that thats what it must be and well...it worked.
But you did also have cystic ovaries...which is the big symptom if your hormones don't come back 'PCOS'.


The U/S tech said they were "bumpy," the doctor said they looked "normal." I dont regularly get cysts though, just that once on 150mg Clomid.



clag4christ -> RE: Interesting PCOS article (3/26/2008 4:03:35 PM)

quote:

ORIGINAL: SweetLittleErin

quote:

ORIGINAL: clag4christ

quote:

My bloodwork never showed PCOS, nor did my ultrasound really, we just determined that thats what it must be and well...it worked.
But you did also have cystic ovaries...which is the big symptom if your hormones don't come back 'PCOS'.


The U/S tech said they were "bumpy," the doctor said they looked "normal." I dont regularly get cysts though, just that once on 150mg Clomid.


'Bumpy' ovaries are cystic ovaries...it's the 'classic string of pearls' that Ryanne always talks about.



artemis -> RE: Interesting PCOS article (3/26/2008 4:03:47 PM)

quote:

ORIGINAL: clag4christ

Not all women with PCOS have cysts...it's not the only indicator. Insulin resistance is a bigger indicator, imo than cysts. When I'm not on the Metformin I don't ovulate but I don't get cysts. Some women with PCOS start to try and ovulate but their eggs don't quite mature all the way to be released and thus then calcify and turn to cysts. My body just doesn't have enough hormone to make my eggs ripe! [8D]


I see. So here's another question (sorry, y'all give out more information than my doctor. She talks really fast and I don't always think of questions until way after my appointment is over [8D]). I've been using OPKs this cycle and have gotten positives twice... the first time without a temperature shift and then a few days ago with a temperature shift. Would multiple +OPKs in the same cycle indicate PCOS, or is it just a fluky recovering-from-a-miscarriage thing?

quote:


When you are at the store buying lower carb breads/tortillas, etc. Just remember to look at the fiber content as well...you can subtract the fiber content from the carb content on the label. [:)] You can also buy a fiber supplement which will help your body with the blocking of carbs. Oh! And cereals are notoriously hard to buy for someone with PCOS. Their carb content per serving is usually very high (I can eat the vanilla cheerios though) and the fiber content very low. Lots of sugars in those things.

Thanks. I'll try to remember that.

quote:


Is your doctor a Reproductive Endocrinologist or just a 'fertility doctor'? It sounds like he/she doesn't quite know that there are different types of PCOS out there...


Right now, I'm just seeing my regular gyno. I guess if we get to that point, I'll need to see someone else. I'm moving in July, so I'll need a new doctor then at the latest anyhow.



artemis -> RE: Interesting PCOS article (3/26/2008 4:06:22 PM)

quote:

ORIGINAL: Mrs.Wifey

Not always, Amy(btw, it's nice to have you around again). I have pretty bad androgen issues but I still tend to ovulate on a somewhat regular basis, especially right after I stop bcp's. When I stopped them with Gabby I had 5 28-30 day cycles, and then on the 6th one I got pregnant. But, I was also very, very low carbing and taking cinnamon supplements.


quote:

ORIGINAL: SweetLittleErin

I think the fact you are ovulating is good. For me I didnt ovulate at all, for several months, until I got metformin.



When I went off BCP, my first cycle was 29 days, the second was 42 and the third I ovulated on day 50-something and got a positive pregnancy test on day 60-something. My doctor was getting ready to test for PCOS then, but I got a +hpt about a week before I was supposed to do the bloodwork. This is my first cycle since the miscarriage and I'm on CD100, 6DPO.



clag4christ -> RE: Interesting PCOS article (3/26/2008 4:09:56 PM)

quote:

I see. So here's another question (sorry, y'all give out more information than my doctor. She talks really fast and I don't always think of questions until way after my appointment is over ). I've been using OPKs this cycle and have gotten positives twice... the first time without a temperature shift and then a few days ago with a temperature shift. Would multiple +OPKs in the same cycle indicate PCOS, or is it just a fluky recovering-from-a-miscarriage thing?


Not sure if it's a recovery from the miscarriage or not. It could mean that you ovulated from both ovaries this cycle though. Lots of women ovulate with PCOS just not regularly. I never ovulate, that I know of. My system gets gunked up pretty quickly.


quote:


Right now, I'm just seeing my regular gyno. I guess if we get to that point, I'll need to see someone else. I'm moving in July, so I'll need a new doctor then at the latest anyhow.


Well...imo, even though you're moving in July you could still ask for a referral to an RE. OB's and 'fertility docs' are notoriously bad at treating PCOS properly, ime.



nicole6598 -> RE: PCOS (4/10/2008 1:00:28 AM)

I have a question about a friend. She has PCOS and is getting married soon, she is on the pill. She doesn't want to have children for atleast 2 years. Do you think going on the pill is the right thing? I just want to check that her doctor is right and that it won't stop her from conceiving when she wants to. By the time she wants to she will be 31 and her hubby will be 47.



SweetLittleErin -> RE: PCOS (4/10/2008 9:36:47 AM)

In my case (though I'm no expert) the pill seemed to control mine somewhat. After going off it I had two normal periods before all the other symptoms popped up.



Mrs.Wifey -> RE: PCOS (4/10/2008 10:25:41 AM)

As long as it is a monophasic pill then it's fine, triphasics should be avoided with PCOS. I was on bcp for 5 years(with a bit of a break for about 7 months) and we got pregnant within 6 months although I was also low-carbing, exercising, and taking Cinnamon.



clag4christ -> RE: PCOS (4/10/2008 11:42:17 AM)

quote:

ORIGINAL: nicole6598

I have a question about a friend. She has PCOS and is getting married soon, she is on the pill. She doesn't want to have children for atleast 2 years. Do you think going on the pill is the right thing? I just want to check that her doctor is right and that it won't stop her from conceiving when she wants to. By the time she wants to she will be 31 and her hubby will be 47.

Like Ryanne said, some pills can actually make PCOS worse. IMO, it's better and much healthier for her body to low carb, exercise, (maybe take Metformin/Glucophage), and do Natural Family Planning with condoms, instead of the pill. That way she's not got to worry about the 'normal' hormonal side effects of the pill, not to mention what they can do to a woman with PCOS, nor the moral implications of the abortafeceint (sp?) nature of the pill.[:)]



reach -> RE: PCOS (4/10/2008 12:04:16 PM)

Since she is older, it might be good for her to know if she is ovulating or not too. That way when she does decide to try, she will already be aware of what is normal for her body.

She might do the pills for a year and then a year of no pills.



agapetos -> RE: PCOS (4/10/2008 4:45:15 PM)

quote:

ORIGINAL: nicole6598

I have a question about a friend. She has PCOS and is getting married soon, she is on the pill. She doesn't want to have children for atleast 2 years. Do you think going on the pill is the right thing? I just want to check that her doctor is right and that it won't stop her from conceiving when she wants to. By the time she wants to she will be 31 and her hubby will be 47.
Nicole, there will be a lot of facts that your friend's doctor knows about her medical case than she's told you. Make sure that your friend researches what kind of contraceptive pill the doctor has prescribed for her, together with the possible side effects. She also needs to research for herself PCOS ~ she will know what symptoms and problems she has.

There are always alternatives to the contraceptive pill though (as clag said) and she's going to need to discuss those with her future husband (incase she becomes pregnant sooner than intended) and her doctor. Just because she's getting married and doesn't want children yet doesn't mean she has to start using the contraceptive pill (which will get messed up if she misses a dose often or needs antibiotics for any reason).



clag4christ -> RE: PCOS (4/10/2008 4:47:00 PM)

quote:

ORIGINAL: agapetos

quote:

ORIGINAL: nicole6598

I have a question about a friend. She has PCOS and is getting married soon, she is on the pill. She doesn't want to have children for atleast 2 years. Do you think going on the pill is the right thing? I just want to check that her doctor is right and that it won't stop her from conceiving when she wants to. By the time she wants to she will be 31 and her hubby will be 47.
Nicole, there will be a lot of facts that your friend's doctor knows about her medical case than she's told you. Make sure that your friend researches what kind of contraceptive pill the doctor has prescribed for her, together with the possible side effects. She also needs to research for herself PCOS ~ she will know what symptoms and problems she has.

There are always alternatives to the contraceptive pill though (as clag said) and she's going to need to discuss those with her future husband (incase she becomes pregnant sooner than intended) and her doctor. Just because she's getting married and doesn't want children yet doesn't mean she has to start using the contraceptive pill (which will get messed up if she misses a dose often or needs antibiotics for any reason).


Well said... [:)]



agapetos -> RE: PCOS (4/10/2008 4:55:13 PM)

quote:

ORIGINAL: clag4christ

quote:

ORIGINAL: agapetos

quote:

ORIGINAL: nicole6598

I have a question about a friend. She has PCOS and is getting married soon, she is on the pill. She doesn't want to have children for atleast 2 years. Do you think going on the pill is the right thing? I just want to check that her doctor is right and that it won't stop her from conceiving when she wants to. By the time she wants to she will be 31 and her hubby will be 47.
Nicole, there will be a lot of facts that your friend's doctor knows about her medical case than she's told you. Make sure that your friend researches what kind of contraceptive pill the doctor has prescribed for her, together with the possible side effects. She also needs to research for herself PCOS ~ she will know what symptoms and problems she has.

There are always alternatives to the contraceptive pill though (as clag said) and she's going to need to discuss those with her future husband (incase she becomes pregnant sooner than intended) and her doctor. Just because she's getting married and doesn't want children yet doesn't mean she has to start using the contraceptive pill (which will get messed up if she misses a dose often or needs antibiotics for any reason).


Well said... [:)]

That's what I thought about your post too[:D]



clag4christ -> RE: PCOS (4/10/2008 4:57:45 PM)

Thanks! [:D]



nicole6598 -> RE: PCOS (4/10/2008 5:49:33 PM)

LOL thanks, (kim and aga that was nice complimenting)
she is kind of a private person, doesn't like to talk about periods, sex etc too much. But next time I see her I could try and mention it to her, I just know how much she and her hubby want kids eventually and I just wanted to make sure she was not going to do anything that could harm that chance even more than what PCOS can do. Thanks!



agapetos -> RE: PCOS (4/10/2008 5:54:02 PM)

I can understand her feelings... do you think it would be easier for her to read in a letter than face2face?



nicole6598 -> RE: PCOS (4/10/2008 6:08:49 PM)

it could be aga, but I don't want her to think I am being nosey or anything. When we were making her invites, me and some of our friends mentioned that PCOS can be hard to fall pregnant and that there are options etc she just kind of brushed it aside (I think she thinks if they pray about it enough it will just happen, she is marrying our pastor). I might ask our other friend who is a womens nurse if she has mentioned anything to her about it since we all chatted a few weeks ago. She may take it better from a "nurse" than just "me".



agapetos -> RE: PCOS (4/10/2008 6:27:19 PM)

Well, just explain to her that you've been thinking about her and while you don't want to intrude, you want to give her any support you can. You don't have to go into a whole bunch of details initially, but the just let her know that there may be suitable alternatives to the contraceptive pill that her doctor may not have mentioned and you wonder if she would like to chat or be given the info and take it from there.

But remember, if your nurse friend isn't aware of the situation your other friend may feel you've broken a confidence if you confide in the nurse about this and your other friend finds out.



SweetLittleErin -> RE: PCOS (4/11/2008 10:12:54 AM)

But make sure she knows it is VERY possible to get pregnant with PCOS. Dont let her get a defeated attitude before she ever starts, KWIM? Infertility issues are hard enough without starting the pain before you even TTC.



Mrs.Wifey -> RE: PCOS (4/11/2008 11:05:26 AM)

Actually, I wouldn't even mention PCOS making it hard to get pregnant, I'm sure she has already discussed that with her GYN especially if she has been diagnosed without ttc yet.

There are women like Erin where it only takes 2-3 cycles after Metformin, and women like me where it takes 6 cycles, and women like Kim where it takes 15+ cycles. No need to get discouraged about it before she even tries.

I was diagnosed before ttc and by the time we started ttc I had already mourned the fact that I might never get pregnant and we had already decided to just adopt if it didn't work. I'm sure she has probably done research and talked to her doctor.



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