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I did ask my doctor about Metformin and she said she wanted my body to get used to the other drugs I'm on first, but it would be something to definitely discuss next time we meet in a month. I definitely need the help losing weight - I've lost about 10lbs since November, but only because the Tramadol decreases my appetite. Lately, I've been feeling hungrier than usual, though, for some reason.
I'm concerned about the progesterone I'm on, though. Everything I've read suggests progesterone and estrogen is what people with PCOS are put on, but I am also estrogen dominant, so is progesterone the right treatment for me? It was helping for awhile and the bleeding had gone down to spotting, but now I am back to a slow, consistent bleed again like I was last month. I still don't have the horrendous bleeding and clotting I was having before, but it's frustrating that I seem to have relapsed. I was hoping the two month mark would finally bring some real change after my last period only lasted two days and the bleeding almost stopped.
I made the mistake of drinking a lot of soy milk and soy protein that week and I thought perhaps I started bleeding more because of that - I know there is a fine balance of hormones and my body is on a thin line there. But I haven't had much soy in a week and things are still the same. I just want the bleeding to stop so I can move on with my other tests. I know people say to have the ultrasound done anyway, but I'm self-conscious about the messiness and staying clean, so I'd rather wait. If the progesterone isn't going to work, though, I either need something else or to just get the damn thing done. :\
I take tramadol for my herniated disk, so I know your pain on that one.
With some weight loss, PCOS symptoms can get better, but it won't necessarily go away. For me my periods weren't very heavy, but they were painful and I started missing them. They put me on metformin to start to see if it helps the symptoms. So far it has, I've become more regular again, and my weight has finally started dropping.
Weigh loss can help with a lot of things, I might help with your fibro pain also, so it's definitely worth getting healthy for!
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I was diagnosed with PCOS today - it's not surprising, but now that I know for sure, it's something I have to deal with both emotionally and treatment-wise. I also have fibromyalgia and possibly metabolic syndrome, but a lipid panel and fasting blood glucose test will determine that.
I am not sure what my options are for treatment. Though I've read a lot about PCOS in the past, I'm more familiar with the symptoms rather than treatment. I've had very heavy bleeding and clotting for years, hirsutism, and I'm sure other symptoms that fall under the PCOS category, but can't think of. My doctor prescribed spironolactone for the hirsutism, but I was told it takes about 3 months to start working and it can lower blood pressure, so it might not be something I can take. I am also on norethindrone, 5mg, for the heavy bleeding. It's somewhat helped, but I was also told that could take a long time to get it under control (months).
I also take Cymbalta and Tramadol for the fibro.
My questions are - is PCOS something that can "go away" if I lose weight? What are the available treatments for PCOS? The doctor mentioned an IUD, but I would rather not have something I need to have removed at some point. She said a hysteroctomy was a "drastic" measure, but I'm not opposed to having everything removed. I'm 40, so I'm not sure they would take the ovaries which are the problem to begin with, but without everything else, at least the bleeding would stop. What other options are there?