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Polycystic Ovarian Syndrome
April 10 last year, I was diagnosed of having Polycystic Ovarian Syndrome (PCOS) also known asStein-Leventhal syndrome(I prefer PCOS for I dont even know how to pronounce the latter, haha).I was 19 y/o back then. I searched for forums regarding PCOS in the Philippines and I was really surprised that quite many do have this condition.See here . you could really learn from their posts. It all started whenI noticed that it was already 5 months since my last menstruation becauseI'm only used to having a month or two interval, thinking that it was the so called irregular menstruation. At first, my mother thought that maybe it was because of so much stress with school works, but my auntie suggested that I consult a doctor. And so we did. We went to my aunt's OB-GYNE in St. Luke's Medical Center, at first I was really hesitant or scared to go. It was such a shame that I would say to patients to consult a doctor regarding their health problems, but then I was the one who is hesitant now. Upon meeting the doctor, I really felt glad that shes not like other scary to approach doctors (doctors somehow scare me even though I wanted to become a doctor when I was a kid); rather, shes very nice and pleasant (you'll know that she cares). She made a request for some blood tests and a transrectal ultrasound, and it was that which confirmed that I do have Polycystic ovaries. She gave me prescriptions on medications to take and advised to lose some weight (maybe engaged to sports). She really explained to us everything that we need to know about PCOS in a very understandable manner, very informative! And shared other cases of PCOS she encountered. I was really inspired by her. Okay, I'm overly talking about this PCOS stuff, but what is it anyway? Normally a woman's ovaries have fluid-fille Continue reading >>
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Metformin
Metformin, marketed under the trade name Glucophage among others, is the first-line medication for the treatment of type 2 diabetes,[4][5] particularly in people who are overweight.[6] It is also used in the treatment of polycystic ovary syndrome.[4] Limited evidence suggests metformin may prevent the cardiovascular disease and cancer complications of diabetes.[7][8] It is not associated with weight gain.[8] It is taken by mouth.[4] Metformin is generally well tolerated.[9] Common side effects include diarrhea, nausea and abdominal pain.[4] It has a low risk of causing low blood sugar.[4] High blood lactic acid level is a concern if the medication is prescribed inappropriately and in overly large doses.[10] It should not be used in those with significant liver disease or kidney problems.[4] While no clear harm comes from use during pregnancy, insulin is generally preferred for gestational diabetes.[4][11] Metformin is in the biguanide class.[4] It works by decreasing glucose production by the liver and increasing the insulin sensitivity of body tissues.[4] Metformin was discovered in 1922.[12] French physician Jean Sterne began study in humans in the 1950s.[12] It was introduced as a medication in France in 1957 and the United States in 1995.[4][13] It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system.[14] Metformin is believed to be the most widely used medication for diabetes which is taken by mouth.[12] It is available as a generic medication.[4] The wholesale price in the developed world is between 0.21 and 5.55 USD per month as of 2014.[15] In the United States, it costs 5 to 25 USD per month.[4] Medical uses[edit] Metformin is primarily used for type 2 diabetes, but is increasingly be Continue reading >>
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Polycystic Ovary Syndrome (pcos)
Print Diagnosis There's no test to definitively diagnose PCOS. Your doctor is likely to start with a discussion of your medical history, including your menstrual periods and weight changes. A physical exam will include checking for signs of excess hair growth, insulin resistance and acne. Your doctor might then recommend: A pelvic exam. The doctor visually and manually inspects your reproductive organs for masses, growths or other abnormalities. Blood tests. Your blood may be analyzed to measure hormone levels. This testing can exclude possible causes of menstrual abnormalities or androgen excess that mimics PCOS. You might have additional blood testing to measure glucose tolerance and fasting cholesterol and triglyceride levels. An ultrasound. Your doctor checks the appearance of your ovaries and the thickness of the lining of your uterus. A wandlike device (transducer) is placed in your vagina (transvaginal ultrasound). The transducer emits sound waves that are translated into images on a computer screen. If you have a diagnosis of PCOS, your doctor might recommend additional tests for complications. Those tests can include: Periodic checks of blood pressure, glucose tolerance, and cholesterol and triglyceride levels Screening for depression and anxiety Screening for obstructive sleep apnea Treatment PCOS treatment focuses on managing your individual concerns, such as infertility, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes or medication. Lifestyle changes Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities. Even a modest reduction in your weight — for example, losing 5 percent of your body weight — might improve your condition. Losing weight may also increase the effectiven Continue reading >>
Best Birth Control For Pcos: 3 Options
The vaginal ring costs as much as the skin patch, or $30 to $35 for a months supply. The ring is also covered by most insurance plans. Will any form of hormonal birth control work? Combination birth control whether in the form of a pill, ring, or patch is the most popular and recommended form of treatment for PCOS. If youre unable to take the combination pill or use other combination methods, your doctor may recommend the progestin-only pill. There are also other alternatives, including: Progesterone therapy: You can take progesterone for 10 to 14 days every one to two months. This treatment doesnt prevent pregnancy or improve androgen levels, but it can help manage your symptoms. Progestin-containing intrauterine device (IUD): IUDs that contain progestin can help ease the symptoms of PCOS in the same way combination or progestin-only pills do. Metformin: This medication for type 2 diabetes, brand name Glucophage , lowers insulin and androgen levels and improves insulin resistance. Insulin resistance commonly occurs with PCOS, and metformin might be used to treat this. It isnt approved by the U.S. Food and Drug Administration to treat PCOS specifically, so this is considered off-label use. But research has shown that it may help restart ovulation and lead to regular periods. Off-label drug use means that a drug thats been approved by the FDA for one purpose is used for a different purpose that has not been approved. However, a doctor can still use the drug for that purpose. This is because the FDA regulates the testing and approval of drugs, but not how doctors use drugs to treat their patients. So, your doctor can prescribe a drug however they think is best for your care. Using birth control to protect against pregnancy Although PCOS is the leading cause of infertilit Continue reading >>
Metformin
Metforminbyreb_woods072683on 02 Sep, 2009 08:56 I am taking this medicine along with Folic Acid for my PCOS but I am experiencing not so good side effects. Lagi akong nasusuka at stomach ache. I know that these are mild side effect of the meds. For those taking, who took this medicine, what are the side effects na naencounter niyo? Tsaka nagwork ba talaga yung meds sa inyo? Thanks. Sis those side effects are mild and usually they go away in time. My close friend also takes this for but for her insulin resistance naman yung condition nya and similar din yung side effects...nausea and may metallic taste. Are you taking generic sis? My friend switched to the branded one and she was able to tolerate the medicine better. hi sis reb_woods72683: what specific brand r u taking? before i took [textspeak!] cheaper brands such as glumet ata un & i-max no side effects for me naman. Yung humamet yun yung grabe after miscarriage pinatake ako ob kasabay yung pang induce grabe feel like hell that time nagsusuka ako, nagbe-bleed & nagpo-poop grabe. Generic lang ang tinetake ko. Check ko yung pangalan. How much ba ang branded? Nabili ko na kasi yung meds for one month eh. ^Not sure sis kasi last year pa yun...if im not mistaken 12 pesos per tablet. I forgot na rin the brand but I remember yun yung sabi ng friend ko when she first started taking metformin. Why dont you finish your stock first? Then you can see how your body is tolerating the meds pcos din ako on my left ovary and si ob niresetahan din ako ng metformin, brand niya is neoform. i think generic brand siya coz it only cost P3.75 ata. and at first, i cannot really tolerate the nausea, vomiting and yun lbm pero i think all those side effects are normal when you're taking met. i'm on my 3rd month of met now, 3x a day, so far, na Continue reading >>
The Effect Of Metformin On Pregnancy Outcome Among Filipino Women With Polycystic Ovary Syndrome | Uyking-naranjo | Journal Of The Asean Federation Of Endocrine Societies
Journal of the ASEAN Federation of Endocrine Societies Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, St. Lukes Medical Center, Quezon City, Philippines Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, St. Lukes Medical Center, Quezon City, Philippines Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, St. Lukes Medical Center, Quezon City, Philippines Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, St. Lukes Medical Center, Quezon City, Philippines The Effect of Metformin on Pregnancy Outcome Among Filipino Women with Polycystic Ovary Syndrome May Uyking-Naranjo,1 Evan Paulo Consencino,1 Roberto Mirasol,1 Joan Tan-Garcia2 1 Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, St. Lukes Medical Center, Quezon City, Philippines 2 Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, St. Lukes Medical Center, Quezon City, Philippines Received February 6, 2013. Accepted April 23, 2013. Objective.To determine the effect of metformin on maternal and neonatal outcome among pregnant Filipino women with polycystic ovary syndrome (PCOS). Methodology.This is a retrospective cohort study of PCOS women who were on metformin treatment prior to achieving pregnancy. The women were divided into two groups: women who continued metformin during pregnancy and women who discontinued metformin at the time the pregnancy was confirmed. Determination of the effect of metformin on pregnancy outcomes were analyzed using chi-square test. Multivariate regression analysis was used to determine the factors related to spontaneous abortion. Result. A total of 101 women continued Continue reading >>
Role Of Metformin In The Management Of Polycystic Ovary Syndrome
Go to: Background Polycystic ovary syndrome (PCOS) is the most common endocrinological disorder affecting 4–12% of women [Diamanti-Kandarakis et al. 1999; Farah et al. 1999; Knochenhauer et al. 1998]. It has also been the most controversial medical condition and every aspect has received a lot of attention from the nomenclature to the management. Several descriptions of similar conditions took place in the 20th century and it was named Stein—Leventhal Syndrome in 1935 after the authors who described polycystic ovarian morphology in patients suffering from hirsutism, amenorrhoea and infertility [Leventhal, 1958; Stein and Leventhal, 1935]. PCOS was also called polycystic ‘ovarian’ syndrome implying that the primary pathology lies in or triggered by the ovary. Others have called it polycystic ovary disease (PCOD), which is the least used term for obvious reasons. Currently, PCOS refers to a disorder with a combination of reproductive and metabolic characteristics. This has evolved over time with controversy over the definition culminating in the latest consensus [ESHRE/ASRM, 2004] which instead of solving the issue created more controversy [Azziz et al. 2006]. In the European Society of Human Reproduction and Embryology/American Society of Reproductive Medicine (ESHRE/ASRM) consensus, at least two of the following features are needed to make the diagnosis; oligo/anovulation, hyperandrogenism, and polycystic features on ultrasound scan [ESHRE/ASRM, 2004]. The Androgen Excess Society, however, recommended that androgen excess should remain a constant feature of PCOS irrespective of the ovulatory status and morphological features of the ovaries [Azziz et al. 2006]. For almost three decades, PCOS has been regarded as a life course disease which besides its reproductiv Continue reading >>
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