How do you deal with PCOS?

I am a 19yr old female and I was told I had PCOS when I was 17.


I was put on the pill as my testostarone was way too high, I was also told that I was highly insulin resistant!


The pill has cleared my skin up and the unwanted hair growth yet my periods are still irregular and I have gained 40kgs in the last 3yrs.


How do I loose weight, I have tried everthing?

How do you deal with PCOS?
PCOS refers to multiple cysts on the ovaries and a host of other


problems that go along with them, including anovulation (lack of


ovulation) and menstrual abnormalities, hirsutism (facial hair), male pattern baldness, acne, and often obesity. Such women may also have varying degrees of insulin resistance and an increased incidence of Type II diabetes, unfavorable lipid patterns (usually high triglycerides), and a low bone density.


Laboratory tests often show higher than normal circulating androgens, especially testosterone.





PCOS occurs when a woman doesn't ovulate, which causes a disruption in the normal, cyclical interrelationship among her hormones, brain and ovaries. Normally, the hypothalamus, a regulatory center in the brain, monitors the hormone output of the ovaries and synchronizes the normal menstrual cycle. When monthly bleeding ends, the hypothalamus secretes gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland in the brain to release follicle stimulating hormone (FSH) and luteinizing hormone (LH). These hormones direct an ovary to start making estrogen (mostly estradiol), and stimulate the maturation of eggs in about 120 follicles.





The first follicle that ovulates, releasing its egg into the fallopian tube for a journey to the uterus, quickly changes into the corpus luteum, which is a factory for making progesterone, and raises


progesterone's concentrations to 200 to 300 times higher than that of estradiol. This huge surge of progesterone simultaneously puts the uterine lining in its secretory or ripening phase, and turns off further ovulation by either ovary.





If fertilization does not occur, the ovary stops its elevated production of both estrogen and progesterone. The sudden fall in the concentrations of these hormones causes shedding of the blood-rich uterine lining and bleeding (menstruation). Then, in response to low hormone levels, there is a rise in GnRH and the cycle starts all over again.





But what happens to this cycle if, for some reason, ovulation is


unsuccessful? For example, if the follicle migrates to the outside of the ovary, but does not "pop" the egg and release it, the follicle


becomes a cyst, and the normal progesterone surge does not occur. The lack of progesterone is detected by the hypothalamus, which continues to try to stimulate the ovary by increasing its production of GnRH, which increases the pituitary production of FSH and LH. This stimulates the ovary to make more estrogen and androgens, which stimulates more follicles toward ovulation. If these additional follicles are also unable to produce a matured ovum or make progesterone, the menstrual cycle is dominated by increased estrogen and androgen production without progesterone. This is the fundamental abnormality that creates PCOS.








****An alternative treatment for ovarian cysts is natural progesterone. ****





The signaling mechanism that shuts off ovulation in one ovary each cycle is the production of progesterone in the other . If sufficient natural progesterone is supplemented prior to ovulation, LH levels are inhibited and both ovaries think the other one has ovulated, so regular ovulation does not occur. (This is the same effect as contraceptive pills.) Similarly, the high estriol and progesterone levels throughout pregnancy successfully inhibit ovarian activity for nine months. Therefore, adding natural progesterone from day 10 to day 26 of the cycle suppresses LH and it’s luteinizing effects.





Thus the ovarian cyst will not be stimulated and, in the passage of one or two such monthly cycles, will very likely shrink and disappear without further treatment.
Reply:I also have PCOS with insulin resistance. It's most likely your high levels of insulin that are making you gain weight. Your best bet is to go on a diet such as the Zone diet or South Beach diet - anything that is low sugar. You really want to make that type of diet lifelong since insulin resistance can turn into Type II Diabetes later in life.
Reply:I have P.C.O.S.


My husband and I are trying desperatly to have a child, for 2 years now...it's hard.


My hag doctor put me on the pill, I stopped taking it because, um HELLO, WE ARE TRYING TO GET FRIGGIN PREGNANT, yea, lady, put me on birth control! THANKS!


I was taking 500 mg. of Metformin (glucophage) daily and that helped with some of the symptoms like weight gain (l lost 30 pounds in 2 months!) but I didn't get pregnant either...


PCOS is caused by inbalances of horomones in your body. Simple version... A woman natrually produces testosterone. Insulin works with the fat cells to convert it into estrogen.


With your insulin not working properly, your body is pumping out too much testosterone, producing too much estrogen. Because of the elivated levels of testosterone, your body thinks you need more fat cells to convert it, so your body hangs on to all that it can, causing you to gain weight even when you diet. Controlling your insulin via pills (not "the pill") is your best bet I think (don't stop taking the pill though until you discuss it with your doctor) This may be a good thing or a bad thing. The pills (glucophage, or metformin) are for diabetic people, and the meds can either prevent you from developing diabeties or cause it...talk to your doctor, and do some research on PCOS and diabeties, the more you know, the better, you will be in the know when it comes to your treatment options. Good luck hon.
Reply:I also have PCOS i was diagnosed when i was 13 I'm now 21 almost 22. the pill that i am on is Othro-tri cyclen I seem to get a regular periods but when my doctor switched me to a all Progesterone pill i never go one.


It is very hard to lose weight with pcos, doctors have recommend to me to go on a diabetic diet and exercise with weights, swimming, walking, cycling and other activity's like that.
Reply:MOST IMPORTANT IS WEIGHT REDUCTION.


Tab Glycomet SR 500 thrice daily.


AND


DETERMINATION.