Diagnosed PCOS.....Please help me with my questions?

Q.1 How major is it?





Q.2 Are there any risk in pregnancy?





Q.3 How soon i can get pregnant?





Q.4 What is the duration of treatment?





Q.5 This treatment is permanent cure or it will be life long?





Q.5 If it is life long what are the effects on future pregnancy/ mestural cycle/Menopause/Helath?





Q.6 Will it be normal delievery or C-section?





Q.7 Effect of Pcos in Baby?





Q.8 Risk of miscarriage or during Pregnancy?





Q.10 After treatment effect on Obesity/Hair growth/Irregular periods/Skin problems?/Diabetes/?





Q.11 If drilling(Operation) what are the after effect?





Q.12 How soon we can see the results of operation and how major is the operation?





Q.13 Cost of operation(in German Euro)?





Q.14 Is this treatment is covered in Health insurance?








Thank you from bottom of my Heart for replying this questions.

Diagnosed PCOS.....Please help me with my questions?
Q.1 How major is it? PCOS raises your risks of some bad things (certain cancers, high blood pressure, diabetes, blood clots, and heart disease)...However, if it is treated properly, these risks are lowered.





Q.2 Are there any risk in pregnancy? Women with PCOS tend to have higher risks of miscarriage, but that is easily combated with sticking with metformin during the first trimester. There is no evidence to suggest it raises any other risks in pregnancy.





Q.3 How soon i can get pregnant? You can start trying to conceive whenever you want. It might take awhile to figure out what combo of things will work to help you get pregnant. Some women get pregnant without any help, some need infertility treatments.





Q.4 What is the duration of treatment? PCOS is not curable, but treatable. This means that you should treat your PCOS for the rest of your life.





Q.5 This treatment is permanent cure or it will be life long? Life long.





Q.5 If it is life long what are the effects on future pregnancy/ mestural cycle/Menopause/Helath? PCOS can cause women to have trouble getting pregnant. It causes irregular periods and many women with PCOS don't ovulate. As far as menopause...it doesn't really affect it.





Q.6 Will it be normal delievery or C-section? PCOS does not affect what kind of delivery.





Q.7 Effect of Pcos in Baby? None.





Q.8 Risk of miscarriage or during Pregnancy? Slightly higher...but lowered to normal range with proper treatment of PCOS.





Q.10 After treatment effect on Obesity/Hair growth/Irregular periods/Skin problems?/Diabetes/? Most PCOS symptoms will go away or lessen with proper treatment.





Q.11 If drilling(Operation) what are the after effect? Normal recovery from laproscopic surgery. Risks of ovarian atropy. Ovarian drilling is often times a last resort. There is mixed opinions on it..and you should research it thoroughly before making a decision either way on this.





Q.12 How soon we can see the results of operation and how major is the operation? Ask your doctor. I'm not really sure.





Q.13 Cost of operation(in German Euro)? No idea.





Q.14 Is this treatment is covered in Health insurance? Depends on your insurance.





Here's some basic PCOS info and links for you:


PCOS is not curable, but is treatable and most women are able to get pregnant when the PCOS is treated correctly. Here's some basic PCOS info for you.





I recommend seeing a reproductive endocrinologist. They are generally more knowledgeable about PCOS and the correct treatment. Unfortunately, many doctors are not aware of the proper treatment.





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. It will also be a lot easier to lose weight (and keep it off). Our bodies work against us when we try to lose weight on our own, making it nearly impossible to lose weight.





There are TONS of books about PCOS and dieting. 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.
Reply:I'm sorry I won't give answers but advise.


these kind of questions are best answered by a professional in the field. Look for a good gynaecologist and get illuminated through her.


Answers u get here are based mostly on individual experiences which may not be applicable to you not to talk of them being inaccurate.


Goodluck from the bottom of my heart.
Reply:The sad truth about PCOS is once you have it you will have It for the rest of your life and their is no known cure. Pcos is one main cause of infertility in women because the eggs that are in your ovaries turn to fluid filled sacs instead of viable productive eggs. your cycles are very irregular because in some women there hormone levels are either to high with one and not enough of another or in some cases the hormone that helps stimulate the pituitary gland to release an egg in not there at all. Pcos is also linked to insulin resistance. There are lots of great information in Pcos on web MD .com.
Reply:I can try to answer your question based on my experiences. How big of a deal PCOS is in your life/fertility varies from person to person. Not everyone has the same issues arising from PCOS. The are no risks w/ becoming pregnant having PCOS to you or the baby that aren't common risks to the general population. You've obviously had the basic hormone panel done and possible an ultrasound to confirm the presence of cysts on your ovaries (if not then this may happen). After that more than likely your GYN will try you on clomid for 6 months. Clomid is a low-level fertility drug. He may also put you on Metformin (insulin pill) because there is evidence that in some PCOS people this can in combination w/ clomid have and effect on your fertility. Some people w/ PCOS do conceive on clomid, I did not. Your GYN will probably then want to perform a hysterosalpingogram to see if you fallopian tubes are blocked and refer you from there to necessary specialist. If your like me then you'll be referred on to a reproductive endocronologist who will start another work up based on information that he has . Test would include blood draws, ultrasound and possibly a hysteroscopy to check your uterus for any issues. From there your treatment would be based on the doctor's assessment of the situation. I'm not sure whether treatment would be just begin with stimulation/insemination, IVF or GIFT or run through them all based on sucsess/failure. I conceived with stimulation and insemination twice both times on the first round of treatment. However, I know that it takes some women longer and the truth is that a few don't conceive. The timing really varies and I'm not sure what criteria effects conception, certainly age and severity of condition. Treatment is not a permanent cure you may have to go through this every time you want to conceive however, there have been women who, after their first pregnancies have such a surge in hormones that I kick starts their own bodies and their hormones regulate out more to some degree. I don't know much about this. PCOS can and most likely will be a reproductively long situation for us. Once we go into menopause this shouldn't be an issue or really everyone else will be joining us on our way to menopause. Health wise (I just recently attended a seminar about after effect of fertility treatment) for PCOS we have to worry about endrometrial cancer (from the non-cycling, building up the endometrial layer) and diabetes (and all related to that hypertension, high blood pressure, etc). GYN giving seminar suggest induction of cycles (provera or birth control) to make sure lining isn't building up and regular ultrasounds after 40 to check for abnormalities. PCOS will have no effect on you delivery (unless you conceive more than one child) and the only effects it could have upon the baby are passing the condition on to our daughters genetically. Treatment for the symptoms of PCOS are dealt with not as a group but individually. You'd see a dematologist for any acne issues. Your GYN about cycles. Birth control (Ortho tri-cyclene) is used by many PCOSers. It helps to regulate your hormones so it can effect acne, cycles and hirutism. Otherwise there are a lot of different options in dealing with these issues individually also. I don't really know much about the ovarian drilling situation and your insurance coverage is based on your policy and where your located (in germany I think you'd have a better chance of full coverage). I highly suggest you check out soulcysters.com , a PCOS community who can answer any questions that you may still have and offer support while your going through this. I would also highly recommend that if you have extremely irregualar cycles and have been that way for many years that you by pass your GYN and go straight to the endocronologist (if your insurance allows you to see specialist w/o referrals) don't waste six months. The Endocronologist could give you these as well and you would have to change doctors and re-do multiple tests. Good luck!!!





Oh! By the way I have a two year old daughter and twin 5 month old sons all conceived w/ PCOS (pretty severe, I haven't ever had regular cycles).