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Old 07-20-2009, 01:30 PM   #1 (permalink)
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Default Doc says no to met

I asked my gyno about getting on met and seeing an endo doc. She basically said 'no', that she does not put women on met until they are trying to conceive and have exhausted all other options. Since my glucose intolerance test proved that I have insulin problems, I'm wondering if I should get a second opinion for another gyno or just go ahead and see an endo.. thoughts?

My PCP was the first person to diagnose me with PCOS, and she put me on phentermine to kick start my weight loss. That did work, since I wasn't eating anything all day but, also worsened my anxiety proneness.

We are not trying to conceive at this time.
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Old 07-20-2009, 02:02 PM   #2 (permalink)
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Go to an Endo. It is the best thing I have done so far. They know a lot about PCOS....I finally went to one about 3 weeks ago and my hormones are all messed up!!! I would just go to an endo!!!
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Old 07-20-2009, 02:21 PM   #3 (permalink)
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Thanks Sassy, I'll start looking around for one in my area
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Old 07-21-2009, 12:52 PM   #4 (permalink)
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Go to an endo for sure. My endo is amazing and my reproductive endo is pretty good as well. My PCP knows next to nothing about PCOS (my fault, time to get a new one), and every gyno I have been to isnt any better. Endos do so much more research and study on PCOS and I really trust them waaaaaay more.
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Old 07-21-2009, 01:33 PM   #5 (permalink)
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Yes, go to an endo! I feel like PCOS is an endocrinological condition first and foremost, that's where the root of it all is anyway, so it makes a lot of sense for an endocrinologist to be your number one physician for managing PCOS.
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Old 07-21-2009, 10:29 PM   #6 (permalink)
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Ok, thoughts on if the endo will re-do the tests my PCP ran? She did a thyroid, hormonal levels, glucose intolerance... this was within the last year.
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Old 07-22-2009, 01:33 PM   #7 (permalink)
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Quote:
Originally Posted by hedah View Post
I asked my gyno about getting on met and seeing an endo doc. She basically said 'no', that she does not put women on met until they are trying to conceive and have exhausted all other options. Since my glucose intolerance test proved that I have insulin problems, I'm wondering if I should get a second opinion for another gyno or just go ahead and see an endo.. thoughts?
I think you might want to read the current research on Metformin for pcos, and then talk it over with your current gyno.

http://www.soulcysters.net/metformin...i-take-281499/

When it comes to TTC, your gyno's course of treatment is in line with the current protocol for ttc w/ PCOS - that metformin is NOT the first line therapy.

Feel free to find an endo, but rather than trying to seek out a doctor that will Rx a med that isn't 'best' for your situation, first read up on the current research so that you have a more clear understanding of what's 'best'.

The boards here are great for general support, but there is a lot of 'advice' that actually goes against emerging pcos research. I would encourage everyone to read ALL of the information in the link posted above. It might take you a couple of days, but so what? I didn't post it for my health...it's posted for yours

This is not to say that metformin isn't an option for you, but I wanted to add some context to your gyno's recommendation.
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Old 07-22-2009, 01:34 PM   #8 (permalink)
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go to an re, you will be much happier. Gynecologists are not nearly as well informed about pcos, usually.
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Old 07-22-2009, 01:39 PM   #9 (permalink)
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Originally Posted by Lisa3 View Post
go to an re, you will be much happier. Gynecologists are not nearly as well informed about pcos, usually.
Not to be argumentative, but the BEST doctor for treating pcos is one who regularly reads up on the current research, and has successfully treated pcos patients. Endos aren't inherently better just because they're endos.

PCOS: Marked Differences Between Endos and OBGYN'S in Diagnosis and Management

Just like with doctors, the best pcos patients are those who take the time to stay abreast of current pcos research...
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Old 07-22-2009, 06:17 PM   #10 (permalink)
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PCOS is a life long Syndrome not a problem only when your TTC. Dump the doctor and find another!!
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Old 07-22-2009, 07:40 PM   #11 (permalink)
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PCOS is a life long Syndrome not a problem only when your TTC. Dump the doctor and find another!!
I don't think this is good advice...

To the OP...

Read the research (it sounds like your doctor is making decisions on RESEARCH, but have a talk to allow her to explain the rationale for how she's treating you.)

If you then want to switch doctors, that's fine, but don't fall into the trap of thinking you need a pill (any kind of pill) just because other people are taking it.

Metformin is not 'the pcos pill'....and it's not for everyone. It's especially discouraged as a 'weight loss' pill.
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