Doctor insights on:
Pcos And Treatment
What type of treatment is better for pcod in women. Which treatment will cure pco completely. Polycystic ovar?
Many treatments: There is no cure for PCOS. It is something you are born with and a lot of it is genetic. It can be treated in many different ways. Every women is a little different. It depends of how much pre-diabetes or diabetes you have, what your periods are like, and any other problems. Maintaining normal weight is essential ...Read more
Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more
What are your best tips for management of pcos patients with hirsutism despite spironolactone, ocps and vaniqa?
I have pcos and am on sprintec and metformin. Is sprintec a proper birth control to treat pcos and its symptoms like acne?
Sprintec is one : Of many useful tools for pcos. It contains a low androgen progestin norgestimate which is useful for women with pcos and androgen sensitivity. Sprintec and tri-sprintec are the generics for ortho cyclen and ortho tri-cyclen. Sounds like a reasonable plan. Give it a try! ...Read more
What is recommended non-hormonal treatment for diagnosis of DUB, recurrent ovarian cysts, and PCOS with ongoing severe pelvic pain and fever?
Recently diagnosis with pcos and prescribed low dose birth control for tx c major breast pain, mood changes acne- . Can metformin be a better option for me?
How long?: How long has it been since you started the low dose birth control? If it's less than 3-4 months, give it some more time for body to adjust. One of the risk factors with pcos is increased circulating estrogen which can cause increased risk for endometrial cancer. If you skipped periods before, your doctor is trying to protect your uterine lining and prevent cancer. Another idea would be Mirena (levonorgestrel) iud. ...Read moreSee 2 more doctor answers
What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.
Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more
Yes: There is no difference, except that weight loss obviously won't be as effective in a lean individual. ...Read more
Talk to doctor : First it would be important to determine why you have hirsutism as there are a number of different causes with the most common being PCOS. First treatment would be oral contraceptives but it would depend on your risk factors, if you smoke, your age and medical history. There are other medication and dermatologist procedures that be considered. Best to talk to your doctor about treatment options. ...Read more
PCOS: Fortunately, we have great treatments for pcos. Some pcos patients may begin to ovulate if they loose weight, but others are not overweight. Metformin, a diabetic medication, often resets ovulation. Clomid (clomiphene) or letrezole are fertility pills that often work quite well for pcos. If you are facing infertility, i wrote a book about my own infertility - tick tock. ...Read moreSee 1 more doctor answer
(Pre) diabetes: Insulin resistance is usually diagnosed in someone who is overweight or obese or has a large waist circumference (>40" in men & >35" in women). There are no symptoms of ir but it means that you need more Insulin to keep your sugars in control compared to "normal" non-Insulin resistant person. Treatment is healthy diet & regular exercise in order to lose weight. Metformin is drug of choice. ...Read more
Go low carb/glycemic: The mediterranean diet, dash diet, and low glycemic diets can all be helpful with weight loss, improving your cholesterol levels, and improving Insulin resistance and really you don't want a diet because that's short term - you want to change your eating habits permanently so look for one of these plans that you can stick with. ...Read more
Lupron (leuprolide): Lupron (leuprolide) may be of some help to adenomyosis but often it is of no benefit. Adenomyosis can be very troubling and needs proper attention. I would recommend that you soon discuss this with your gynecologist who will tell you the do's and don'ts and help you through the problem. ...Read more
Answer for Crohn's: Diet for crohn's largely depends on what part of the gut is affected, how active the disease may be, & has the gut been surgically altered (e.g. "short gut"). When actively inflamed, many patients experience problems with lactose, gut stimulants (like caffeine), & a lot of dietary fats or fiber. Consideration should be given to appropriate vitamin & mineral supplements, esp. If ileum is involved. ...Read moreSee 1 more doctor answer
Likely not both: Two different problems, two answers. Spironolactone can be helpful for treating (symptomatically only) unwanted body hair growth with either disease. Metformin is often helpful for women with pcos but has no well established role for treating cah. ...Read moreSee 1 more doctor answer
Diet, Exercise, Meds: Many women with pcos gain weight or find it hard to lose. Moderately low carb diets (south beach, weight watchers), complex carbs instead of simple: brown rice, whole wheat bread/pasta, less sugars, more protein, can help, as well as portion control. Exercise - do weights and cardio at least 3 x a week: weights increase muscle mass, burns more calories. Some lose weight on metformin treatment. ...Read moreSee 1 more doctor answer
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