worried..thanks?

Question

i was recently dianosed with pcos. i have an appoinment on friday and i was wondering, what kind of medication are they going to prescribe me? i had blood work done for my blood/glucose level and they came back normal. me and my hubby are trying to conceive and since i have this i know its going to be harder. how am i going to be able to conceive? i am a little underweight(5'3 112 pounds). what are some of the things am i going to be going through having this? thanks for the help.

Answer 1

Most likely, you will get metformin. The good news is that you have a diagnosis and will start treatment. Most women with PCOS are able to conceive with correct treatment. It is less common for women with PCOS to be the correct weight or underweight (most are overweight). This doesn't really effect treatment or anything. It's one less symptom you have to deal with. Once you get on metformin, then you can add other fertility treatments to the mix (Clomid, IUI, IVF, injectibles, etc). Unfortunatly, the people who answered before me, gave you very innacurate info. They do know how and why metformin works. Birth control pills are not recommended. Provera will not make you ovulate. and most women with PCOS have difficulties getting pregnant. It is the number one cause of female infertility.

Generally, the best treatment for PCOS is to go on a low carb diet, exercise, and use an insulin sensitizing drug such as metformin (1500-2550mg per day). There are a 3 supplements that I take: Multivitamin, Omega acids, Calcium/Vit. D. Here's some basic PCOS info and links for you:

The underlying cause of PCOS is insulin resistance (IR). The best treatment for PCOS is going on an insulin sensitizing drug such as metformin (1500-2550mg per day) combined with a low carb diet and exercise. There are a few important things to know:

1. Many women "pass" the test for IR, but still respond positively from the metformin. No one knows exactlly why..my thought is that the test is not a sure fire way of detecting the IR.

2. You must be on a high enough dose of metformin. I've heard women complain that their bodies dont start working even though they've been on metformin for awhile. Some doctors are hesitant to up the dose past 1500mg...but for some of us it takes more. I don't respond until my dose is around 2000mg a day.

3. It can take a few months on the correct dose, before your body is regulated.

4. It is important to treat your PCOS even if you are not trying to get pregnant. There are higher risks for many things (high blood pressure, blood clots, diabetes, and many other things) when you have PCOS, but if it is treated properly, then those risks are lowered.


When the PCOS is treated properly, all of your symptoms may not disappear, but they should improve some.

There are TONS of books about PCOS and diet. There are two that I recommend. Here's the links at amazon for those:
http://www.amazon.com/o/asin/0809224275/...
http://www.amazon.com/o/asin/0007131844/...

I also recommend a couple web sites:
http://pcos.itgo.com/
http://www.inciid.org/faq.php?cat=infert...

http://messageboards.ivillage.com/iv-bhp... This one is a great message board where you can ask all your PCOS questions or just chat with the women who are also dealing with PCOS. Good luck.

Answer 2

First of all, they don't routinely prescribe medication for PCOS unless it's causing problems. Generally, the problems it causes are irregular periods, which can be treated with the contraceptive pill, and facial hair/acne, which can be treated with a specific contraceptive pill - Dianette or Diane.

If you're not having any specific problems with excess body hair, acne, or very erratic periods, and since your blood glucose levels are normal, they likely won't start any medication.

PCOS does make it more difficult to conceive naturally, but they probably won't prescribe you anything to help with that unless you've been having sex regularly for 6-12 months and failed to conceive.

Although your blood glucose levels are normal, it's thought that metformin (one of the medications used in the treatment of diabetes) does help in conception difficulties in women with PCOS, although they're not entirely sure why at the minute. There are other specific fertility increasing drugs, such as clomiphene (Clomid) which stimulate your ovaries into producing more eggs. There's loads of information on the internet about PCOS - just go to google and search for PCOS and fertility.

Answer 3

I was also diagnosed with PCOS a few months ago. If you have irregular periods, the doctor will usually prescribe the Pill, or if you have a type of coagulation (blood clotting) disorder, a non-estrogen treatment, Provera. If you need to lower your insulin levels, Metaformin could be prescibed. It depends on how they caught your PCOS. As for getting pregnant, it may be slightly more difficult, but NOT impossible to get pregant the "natural" way. Many women's fertility is not affected by PCOS, but if you think you really have a problem, talk to your doctor. Living with PCOS is not really that hard, especially for you since you are underweight, a lot of women with PCOS are overweight and it can be very difficult for them to lose the weight. There are a lot of websites and books with information on PCOS, and you can always talk to your doctor. Like I said, living with PCOs is not all that difficult, and it really is no HUGE problem to worry about.

Answer 4

Alright. A story about a girl who has friends, but doesn't really care about them, though she acts like she does, and is nice, (but inside she really feels like she's living a lie, or wearing a mask), She's only friends with them for her image so she doesn't sit alone at launch, and looked down on. She's always had imaginary friends, ever since she was little. But one rainy day one shows up on her doorstep, and it/he's real, cause she's not imagining him. You can start with this idea, and then brainstorm and create along as you write more, or, It is realized that the imaginary friend came from a alternative dimension created by her imagination, and daydreams and some how fell out of a portal into her world. I'm not sure what happens next.