Re: I have my kids - now what?

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Posted by Jessica R. Brown, MD on May 26, 19100 at 17:07:46:

In Reply to: I have my kids - now what? posted by Jane Putscher on May 25, 19100 at 22:44:02:

It seems you are on the right track with the oral contractive pills (which not only regulate your cycles but also lower your risk of endometrial cancer and help suppress the androgen overproduction from your ovaries) and the weight loss program. If you still have cosmetic issues relating to the hirsutism other medications (such as spironolactone, a diuretic with antiandrogenic properties) can be added. You should also be screened for high cholesterol and diabetes, both of which are more common among women with PCOS. While there are medications available to help insulin resistance (such as metformin/Glucophage) it is not presently known if they provide any long term benefit to PCOS patients. (They are being used experimentally to help induce ovulation in some women with PCOS). As long as you do not smoke there is probably no reason not to continue the oral contraceptives long term. (And of course if you do smoke stopping is by far the most important thing you can do for your health.!)
: Not sure my first attempt to post a meesage worked, so I'm trying again. I'm 34 year old, with most PCOS symptoms (mild hirsutism, overweight, irregular cycles). I had twins (wilth Clomid's help) 7 years ago, and don't want any more children. I am concerned with the long-term health risks of having PCOS. Burrently my only "treatment" is oral contraceptives. I am on Weight Watchers (have lost 21 of 65 pounds) but would like to know if I need blood test, medication, or what? PCOS does not bother me that much; I would just like to know if I need to be doing anything. Thanks!

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