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results from Endochronologist

Not all women who have PCOS are obese, I think it is around 40%, it is not 100% of women.

Yes you need ultrasound.

When are you taking your glucose measurements? Fasting or post=prandial? The average of 74 or 4.1 mmol/L is not dangerously low.

Yes anti-depressants can make you fat.
 
What other blood tests did you have done?

LH/FSH?

What was your glucose? Cholesterol?

Would you mind posting specific numbers?
 
I have a blog that I have set up to track my progress over the last few years. Anyways, I did a post about this. Here it is.

SO I thought I would share this with everyone because when bad things happen in our lives we usually feel alone. I am hoping that if anyone else has this that they know that others are going through it as well.

Where do I start with this?.... well, I am not sure when I actually got Polycystic Ovary Syndrome. But growing up as a teenager I used to get very painful menstrual cramps. To the point where I couldn't get out of bed. I also never had a set schedule of when my body would actually give me a period. I could get it every month, every 3 months... but when it came it did come normal for the full 6-7 days. My mom always said that the pain was normal and that all girls go through that, so get my ass out of bed and go to school. I would take 4 extra strength advils, then 1 hr later do it again. That helped a lot. All the doctors prescription meds never helped. I have been given muscle relaxers, pain killers... As I became older the pain actually got a lot better.

I went on the birth control pill at age 20 to help regulate my periods and help with the cramps. At age 26 I wanted to enter in my first fitness show so I went off the pill because I thought it was going to make me hold on to the body fat. I didn't get my period for over a year and a half, my doctor sent me to every specialist. I had my blood tested, ultra sound. They didn't find anything. So my doctor just said that it could have been because I went off the pill, or that my body fat levels were low.

It had been 5 years now since that. I have been dealing with a lot of hormonal issues since then. I period has never been on schedule. I guess I have just thought it was the exercising, or low body fat levels, or it was just my body and the way it ran. I have been to a endocrinologist a couple times over the last few years. I just found a great one that I saw 2 months ago. She said that she wanted me to go on HRT. All my hormonal levels were below the chart. She wanted me to go back on the pill. As much as girls are scared of estrogen, it is sooo important for our bodies. If estrogen is low then we are prone to low bone density. Which I have. I found that out a few years ago when I went for all that testing. I admit yes I am scared of gaining weight going back on the pill, but I know it is better for me in the long run.

Now after meeting with the endocrinologist it was time for my physical with my family doctor. During the pap she told me that she felt something and she wanted me to get a ultra sound done. I went the next week and then I just saw my dr last Monday to get the results. Turns out I have Polycystic Ovary Syndrome. There are a lot of different symptoms that someone can get. I didn't have too many of them, but the irregular periods were a red flag.

I spoke to my sister last night and found out she has this as well. She unfortunately has the diabetes associated with it. 50% of girls with this disorder will get diabetes. I really hope I don't, that is so scary. She has also had many other complications. However, she was very lucky to have 2 amazing children.

My doctor also said that I am very lucky to have a healthy fitness lifestyle and that is probably why I haven't run into a lot of the issues. I do store my fat around my ads which is so annoying :) But I am very lean. I eat VERY strict. I don't like to be heavy, so I eat to maintain my leanness and workout to gain the muscle and physique I desire. Now most girls that have this disorder have higher testosterone which leads to issues because they are not balanced and their estrogen and especially progesterone are low. I don't have high testosterone. I actually have very low levels. I am being sent to a gynecologist specialist who is going to explain this situation more and probably monitor me over time.


Here is more information that I have copied from this website:
Polycystic Ovary Syndrome << Frequently Asked Questions << womenshealth.gov

What is polycystic ovary syndrome (PCOS)?

Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's menstrual cycle, ability to have children, hormones, heart, blood vessels, and appearance. With PCOS, women typically have:

* high levels of androgens (AN-druh-junz). These are sometimes called male hormones, although females also make them.
* missed or irregular periods
* many small cysts (sists) in their ovaries. Cysts are fluid-filled sacs.

What causes polycystic ovary syndrome (PCOS)?

The cause of PCOS is unknown. Most researchers think that more than one factor could play a role in developing PCOS. Genes are thought to be one factor. Women with PCOS tend to have a mother or sister with PCOS. Researchers also think insulin could be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. For many women with PCOS, their bodies have problems using insulin so that too much insulin is in the body. Excess insulin appears to increase production of androgen. This hormone is made in fat cells, the ovaries, and the adrenal gland. Levels of androgen that are higher than normal can lead to acne, excessive hair growth, weight gain, and problems with ovulation.

What are the symptoms of polycystic ovary syndrome (PCOS)?

Not all women with PCOS share the same symptoms. These are some of the symptoms of PCOS:

* infrequent menstrual periods, no menstrual periods, and/or irregular bleeding
* infertility (not able to get pregnant) because of not ovulating
* increased hair growth on the face, chest, stomach, back, thumbs, or toes—a condition called hirsutism (HER-suh-tiz-um)
* ovarian cysts
* acne, oily skin, or dandruff
* weight gain or obesity, usually carrying extra weight around the waist
* insulin resistance or type 2 diabetes
* high cholesterol
* high blood pressure
* male-pattern baldness or thinning hair
* patches of thickened and dark brown or black skin on the neck, arms, breasts, or thighs
* skin tags, or tiny excess flaps of skin in the armpits or neck area
* pelvic pain
* anxiety or depression due to appearance and/or infertility
* sleep apnea—excessive snoring and times when breathing stops while asleep

Does polycystic ovary syndrome (PCOS) put women at risk for other health problems?

Women with PCOS have greater chances of developing several serious, life-threatening diseases, including type 2 diabetes, cardiovascular disease (CVD), and cancer. Recent studies found that:

* More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.
* Women with PCOS have a four to seven times higher risk of heart attack than women of the same age without PCOS.
* Women with PCOS are at greater risk of having high blood pressure.
* Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.

The chance of getting endometrial cancer is another concern for women with PCOS. Irregular menstrual periods and the absence of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium to shed its lining each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy bleeding or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

How is polycystic ovary syndrome (PCOS) treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:

Birth control pills. For women who don't want to become pregnant, birth control pills can control menstrual cycles, reduce male hormone levels, and help to clear acne. However, the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone, like Provera®, to control the menstrual cycle and reduce the risk of endometrial cancer. (See Does polycystic ovary syndrome (PCOS) put women at risk for other health problems?) But progesterone alone does not help reduce acne and hair growth.

Diabetes medications. The medicine metformin (Glucophage®) is used to treat type 2 diabetes. It also has been found to help with PCOS symptoms, although it is not FDA-approved for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. Abnormal hair growth will slow down, and ovulation may return after a few months of use. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin will not cause a person to become diabetic.

Fertility medications. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, there is an increased risk for multiple births (twins, triplets) with fertility medications. For most patients, clomiphene citrate (Clomid®, Serophene®) is the first choice therapy to stimulate ovulation. If this fails, metformin taken with clomiphene is usually tried. When metformin is taken along with fertility medications, it may help women with PCOS ovulate on lower doses of medication. Gonadotropins (goe-NAD-oh-troe-pins) also can be used to stimulate ovulation. These are given as shots. But gonadotropins are more expensive and there are greater chances of multiple births compared to clomiphene. Another option is in vitro fertilization (IVF). IVF offers the best chance of becoming pregnant in any one cycle and gives doctors better control over the chance of multiple births. But, IVF is very costly.

Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (speer-on-oh-lak-tone) (Aldactone®), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (Propecia®), a medicine taken by men for hair loss, has the same effect. Anti-androgens often are combined with oral contraceptives.

Before taking Aldactone®, tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Women who may become pregnant should not handle Propecia®.

Vaniqa® cream also reduces facial hair in some women. Other treatments such as laser hair removal or electrolysis work well at getting rid of hair in some women. A woman with PCOS can also take hormonal treatment to keep new hair from growing.

Surgery. "Ovarian drilling" is a surgery that brings on ovulation. It is sometimes used when a woman does not respond to fertility medicines. The doctor makes a very small cut above or below the navel and inserts a small tool that acts like a telescope into the abdomen. This is called laparoscopy. The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But these effects may only last a few months. This treatment doesn't help with loss of scalp hair and increased hair growth on other parts of the body.

Lifestyle modification. Keeping a healthy weight by eating healthy foods and exercising is another way women can help manage PCOS. Many women with PCOS are overweight or obese. Eat fewer processed foods and foods with added sugars and more whole-grain products, fruits, vegetables, and lean meats to help lower blood sugar (glucose) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make a woman's cycle more regular.
 
Also wanted to mention that I found out another fitness friend has this. She actually had one burst and had to have a operation. She has been to specialists as well. They figure that it might have happened because of her low body fat levels for so long. Her and I have similar symptoms. We both do not have the diabetes, high testosterone...
Since your endo wanted to put you on test I am assuming you fall into more of the same symptoms as us.

Maybe your weight gain is more from the anti-depressants. I am not really sure about those.

Last year when I dieted for a show I did some cardio and my trainer found out that with my body I actually hold on to the fat more, so I try to diet without cardio.
Right now I am eating 1600 cals on non workout days and 2100 cals on workout days. If you eat too little your body can be shutting down. Maybe try a week of uping them, I think it is just going to be trial and error at this point.

I started the birth control pill this week. My family dr said this is a form of treatment for it. I was going to go on it anyways, but i was waiting to get my period to start. well 2 months later and it hasn't come, so my dr said to just start. It is yasmin.
 
Wow!!! Words cannot express HOW THANKFUL I AM for your information...I really thought there was not one soul out there who understood what i was going through! I will take the advice and get an ultrasound done and see if that confirms the diagnosis...

In regards to my blood work, yes, I will post it up probably tomorrow..I dont have it with me and I will not be home until then.

I am taking my blood sugar right before I eat, right after, then every hour after....it has not really changed with eating...stays between 70-80.


ONE MORE QUESTION: I read in your post that both ALDACTONE and METFORMIN lowers your test...my test is already low...does that mean I am going to lose all of my muscle? My sex drive is already low...will it worsen?
Thanks again for all of the information!
 
ONE MORE QUESTION: I read in your post that both ALDACTONE and METFORMIN lowers your test...my test is already low...does that mean I am going to lose all of my muscle? My sex drive is already low...will it worsen?
Thanks again for all of the information!

I am not on those, so honestly I can not tell you from personal experience. I have been prescribed HRT from the endocrinologist I saw a couple months ago. I started the testim cream 1% and have been waiting till I got my period to start the yasmin pill. But my family dr, told me on Monday to just start the pill. So I did. Now I am taking the testim and the pill. I am not sure if the gynecologist is going to agree with this, but the endo. said my hormone levels were so low they are almost non existent. I also suffer from no sex drive, low energy, and the rare periods, that is why I went to a endo in the first place.

I found out about this other issue now because my dr. felt something and I had to get the ultrasound. I really recommend you going for that.

It is funny, ever since I have been diagnosed with this, only since Monday :) I have told a bunch of people. I found out my sister has it and another friend of mine.. so I think it is more common then we think!
 
Wow!!! Words cannot express HOW THANKFUL I AM for your information...I really thought there was not one soul out there who understood what i was going through! I will take the advice and get an ultrasound done and see if that confirms the diagnosis...

In regards to my blood work, yes, I will post it up probably tomorrow..I dont have it with me and I will not be home until then.

I am taking my blood sugar right before I eat, right after, then every hour after....it has not really changed with eating...stays between 70-80.


ONE MORE QUESTION: I read in your post that both ALDACTONE and METFORMIN lowers your test...my test is already low...does that mean I am going to lose all of my muscle? My sex drive is already low...will it worsen?
Thanks again for all of the information!

The metaformin is going to keep your blood glucose at a more stable level,and you also have insulin which keeps blood glucose very stable.

Your testosterone may be low due to the use of anavar for a long time, it may increase/stabilise.

I have stressed this numerous times, and I will stress this again, testosterone is not the only factor in muscle growth. It is one of the factors that we almost fully understand, but it is not the only one.

Oestrogen is also anabolic, thyroid hormones and insulin trigger protein synthesis (muscles are made of protein), how well your body keeps cortisol in check (cortisol has a tendency to break down muscle) and there is also the 'stress' triggers, which turns on the muscle protein synthesis pathway mTOR.
 
I realize this is an older thread but I wanted to comment on at least one thing...
keeping your sugar even throughout the day is more important than cutting the crap out of carbs...
You probably know far more about diet than the Dr does given that nutritional info makes up something like 3 credits total in med school (no offense to your endo)
I was diagnosed with pcos about 10 years ago with something like 3 times the testosterone I should have...I was diagnosed due to ovarian cysts themselves, acne, hirsutism, and male pattern baldness
There is a lot of speculation the bc pills actually make the condition worse and if your sugar is rock solid I'd avoid metformin/glucophage
look into vitex for some of your symptoms and saw palmetto.....also check out a website called soul cysters...
a lot of the traditional info won't apply to you though and when I was first diagnosed didnt apply to me either
I've always had a pretty good diet and when I was diagnosed had a bf% around 12 %, now I'm up to 24 % after having three kids...working on it tho.
You'll find body fat is harder to lose than pre-diagnoses but its far from impossible.
I vote for finding a different endo myself...I went through 6 myself before I found one I will actually go see out of state even tho my ins won't cover it.
good luck...check out the website, those girls actually know this disorder pretty well
 
I realize this is an older thread but I wanted to comment on at least one thing...
keeping your sugar even throughout the day is more important than cutting the crap out of carbs...
You probably know far more about diet than the Dr does given that nutritional info makes up something like 3 credits total in med school (no offense to your endo)
I was diagnosed with pcos about 10 years ago with something like 3 times the testosterone I should have...I was diagnosed due to ovarian cysts themselves, acne, hirsutism, and male pattern baldness
There is a lot of speculation the bc pills actually make the condition worse and if your sugar is rock solid I'd avoid metformin/glucophage
look into vitex for some of your symptoms and saw palmetto.....also check out a website called soul cysters...
a lot of the traditional info won't apply to you though and when I was first diagnosed didnt apply to me either
I've always had a pretty good diet and when I was diagnosed had a bf% around 12 %, now I'm up to 24 % after having three kids...working on it tho.
You'll find body fat is harder to lose than pre-diagnoses but its far from impossible.
I vote for finding a different endo myself...I went through 6 myself before I found one I will actually go see out of state even tho my ins won't cover it.
good luck...check out the website, those girls actually know this disorder pretty well

Good info., Shirlene! Thanks for sharing! :)
 
I just found this thread! I have PCOS and CANNOT lower my BF%!! It is hellish, i completely understand everyone else on here who has the same problem, it really messes with you. I was wondering if anyone had any updates on what diet/exercise program has been working for them? I have very high testosterone levels and have been prescribed the pill (yasmin also) but am hesitant to take it due to fear of gaining more weight, the doctor said the pill could actually help me to lose weight? Has anyone experienced this? I just don't want to try it and find that in 2-3 months it has actually caused me to gain more weight.
It truly does make you miserable as doing all the right things doesn't seem to work?
With all the great info on here is there any drug/supplement/hormone etc reccommendation for someone like myself with high testosterone? I couldn't believe my levels were so high as I am not lean at all and all associated higher test with lower BF%
 
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