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SUNSET_MUSE's Photo SUNSET_MUSE Posts: 51
2/11/08 4:21 P

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No problem sounds like you know your stuff. I am not so good with that part of PCOS. That I am still learning and slowly not my strong suit. Lol, gimme a brain to analyze and I am good tho hah. :)

 
SWEETSUNSHINE72's Photo SWEETSUNSHINE72 Posts: 533
2/11/08 2:49 P

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If you also add in the fact that IR can be difficult to diagnose via blood work (it can also be diagnosed by symptoms) and add the fact that instead of high testosterone, you can have low Sex Hormone Binding Globulin (SHBG), then you might whittle the list down to maybe 3.

Interesting!!! I keep a FAQ's sticky uptodate on another board (www.pcosupport.org), and I may include this info.

Thanks!! emoticon


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SUNSET_MUSE's Photo SUNSET_MUSE Posts: 51
2/11/08 1:37 P

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I agree completely :) I am also glad you have found a good doctor that is very very hard to come by lol. I still am searching. Another thing that is just being found out is that there are or at least theorized (haven't read the whole study on it) that there are 5 types of PCOS and I have heard this floating around just found an article on it. http://www.wdxcyber.com/dxinf001.htm Hope you enjoy it.

 
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SWEETSUNSHINE72's Photo SWEETSUNSHINE72 Posts: 533
2/11/08 11:42 A

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That is certainly some great advice, Sunset. The only thing I would like to add about the metabolic issues is that IR can go undetected as the blood tests are really designed to detect diabetes, and my own (VERY good) endocrinologist doesn't rely on them to diagnose IR and Metabolic Syndrome. There isn't even a standard way of reading the tests taught in Med School! My own bloodwork came out "perfectly normal", although my insulin was a little high (still normal). In the past, though, I've suffered from reactive hypoglycemia (I've just learned to manage it), and with metabolic treatment (Sparkdiet, exercise, and 2,000 mg/day of Metformin), I've actually been ABLE to lose weight, and I feel a LOT better - both physically and emotionally.

Because metabolic issues are so amazingly prevalent with PCOS, most of the really good PCOS docs simply assume that you do, indeed, have a metabolic issue and treat accordingly. The treatments are pretty benign - lifestyle changes like advised here on Sparks to start. Metformin is the most commonly used med to treat IR, and is (comparatively) pretty mild to the body with few side effects beyond the gastro-intestinal issues.

There are very few who don't respond to metabolic treatment. If they also don't have sub-clinical hypothyroidism (low levels of thyroid, but still technically "normal"), then these are the ones who typically end up with simply symptom control, as there's really not much else that is known of to treat.

Certainly, there are other causes of depression besides blood sugar issues and wacky hormones, but it's important to determine if there is a PHYSICAL reason behind it all. Any good doc or therapist will tell you that. You may still need an anti-depressant to help you while you get everything else sorted, but if you can control things LONG-TERM with lifestyle changes... To me, that's a much better option.

Depression is a complicated issue - and one thing you can't ignore, especially if you are heading towards suicidal thoughts. Long story short - get help, and know that you are not alone.


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SUNSET_MUSE's Photo SUNSET_MUSE Posts: 51
2/10/08 9:10 P

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Hi guys. I am sorry to hear about all the depression problems but since our hormones are wacky so are our moods :D I agree with a lot of what you say, although sometimes it is more than just PCOS and hormones and not everyone with PCOS has Insulin Resistance so sometimes it can be more. If you feel you need to be on an antidepressant I suggest you definitely research it and talk with your doctor about it. Now, a general practioner can prescribe you some. I have taken Lexapro and Effexor both worked for me for a bit, but they weren't long lasting. I have depression/anxiety and always have. The thing about antidepressants that there are so many different kinds, some work with different things like serotonin but others work with other brain chemicals. The thing is there are no tests to determine which one is right for you. I recommend seeing a Psychiatrist who is better suited then a GP to prescribe these meds and determine the best for you, but if you can't afford it because I know Mental Health isn't always covered under insurances. Don't give up hope if one or even four don't work. You deserve to be happy find the one for you. Also like the others said treat the other symptoms of PCOS. Sometimes if you aren't trying to concieve Birth Control can even out your moods quite a bit, and also it can make them worse yet again trial and error. I know it's hard because nothing is clear cut with this syndrome, and heck even some doctors don't even know what it is, but 10% of women out here are affected by PCOS or some form of it you are not alone! Also, if you are against taking medicine or cannot afford it there are natural remedies or even exercise, yoga, quiet time, relaxtion techniques, etc can help a lot. Also, instead of a Psychiatrist there are Psychologists. These people are there to talk with you and help you through it, they cannot prescribe medicine, but talk therapy whether you believe it or not helps a lot. Also, studies show that if you are on an antidepressant in conjunction with talk therapy you are less likely to become dependant on them and could possibly not need them as long. Alright I know this is long. I will end it at. I am not a doctor and I am sure there are things that studies disagree with somethings I said most of this is personal experience and every person is different. I have a BA in Psychology so I am not just pulling out of nowhere either. I hope you all find what you are looking for out there. If you need anything at all lemme know. Also, I would like to share this website with you that has taught me more than any textbook has ever. www.soulcysters.net hopefully some are already familiar with it, but its a great forum that has been around for quite some time. :) Sorry so long :T

 
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JUSTJEN0929's Photo JUSTJEN0929 Posts: 50
2/6/08 10:32 A

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I agree with Sweetsunshine72. This is an endocrine disease we have. If one hormone is out of whack, so will a lot of other ones. Diet and exercise is the key to maintaining balance in our levels. That being said, I've battled depression and anxiety almost my whole life. I was hospitalized for a week for postpartum depression after my first child was born. I did go on antidepressants for 4yrs. This was all before I was diagnosed. They do help. I am currently on a small maintenance dose of Buspar (a non habit forming anti-anxiety). I only take it when I actually need it--like when I'm dealing with a great deal of stress in my life. It's best to get it under control before it controls you.
When I was in the pit of my despair, though, I found that giving myself one goal a day really helped (ie, getting up and taking a shower every day was a goal for me for a while...that's all I could handle).
There are two things that I always think about now that I'm not having to fight so hard against depression. There's a song by Martina McBride called "Happy Girl." Check out the lyrics www.seeklyrics.com/lyrics/Martina-Mc
Br
ide/Happy-Girl.html

The other thing I think about is a quote from the book The Divine Secrets of the Ya-Ya Sisterhood. Vivi is running around the yard acting a little silly and she tells herself, that if the neighbors could see her they would say, "Vivi's gone over the edge. But what they don't know is that I went over the edge years ago and lived to tell they tale."

Live to tell the tale....there's a light at the end of this tunnel and it's not a train coming at you :c)

There will be days that I know I could never finish a half-marathon, but I have the rest of my life to remember the day I did.


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SWEETSUNSHINE72's Photo SWEETSUNSHINE72 Posts: 533
2/5/08 9:04 A

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There are two sides to this:

First of all, the blood sugar swings and hormone swings from the PCOS can cause depression and anxiety. The other part is that if you need help - don't be afraid to get it!

If it is biological in nature, treating the Insulin Resistance (which is the main cause of PCOS) will help to regulate your blood sugar, and relieve some of the depression. This is best started by a balanced, low-er/good carb diet and exercise - precicely what the SparkDiet is all about!!! emoticon Once the IR starts to get sorted out, your hormones should start to even out, too. Taking fish oil is also a good idea, as it helps not only heart health and cholesterol levels, but it is good for cognitive ability and stabalizing moods. It will also help the IR, too.

If you feel your depression is strong enough that you don't want to just wait and see how treating the IR and taking fish oil work - then don't hesitate to seek help.

For me, I suffered ongoing depression since puberty, leading into some pretty strong episodes. I never made the blood sugar connection until I started treating my IR and hypoglycemia (low blood sugar), and suddenly noticed one day that I didn't have that fog over me anymore! Then I started noticing that I only really got depressed and anxious when I got low blood sugar!

It's not the same for everyone, but even if it doesn't "fix" it all the way for you, it sure would help!

Take care!!! (((HUG)))


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SLCOLMAN's Photo SLCOLMAN SparkPoints: (55,509)
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1/29/08 3:40 P

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I have been on and off anti-depressants for about 4 years now and diagnosed with PCOS for about 2. I have read research that the 2 are related. I also am in the process of getting diagnosed with PMDS or PMDD so I am not on any anti-depressants right now so that we can document the stuff that needs to be in order to get the diagnosis. I hope to be able to start some of the newer PMDD treatments in the next month or so...

Hang in there and from my experience don't rely on your general practicioner or even your OBGYN or whoever treats your PCOS to treat your depression symptions. Find a psychiatrist that you trust and that listens and is willing to try different things when you tell them that things aren't working.

BELIEVE in the POWER of your DREAMS!


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IMALHI's Photo IMALHI Posts: 24
1/29/08 3:00 P

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Hi, I have also suffered with anxiety but I found that although it is scary asking for help also possibly admitting that you have a problem, but you will find that once you make that first step, it is not has hard you thought. Doctor's come across this all the time, so they are very understanding. emoticon

Inside is a skinny lively person waiting to come out, one day she will.

Indy


 
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MADELYNSMOM's Photo MADELYNSMOM Posts: 57
1/28/08 9:01 P

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Hello! I am currently on Welbutrin XL for depression. I really think it helps me out quite a bit. If I forget to take it for a couple of days I can really tell it & so can my husband. Just talk with your doctor and be honest with him/her about how you are feeling. I work @ at doctor's office and they have short little quizzes that they give people who think they have depression--this really seems to help them narrow down what may be going on with a person. Good Luck & if you have more questions don't be afraid to ask. Tami

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LUVHUMMINGBIRDS's Photo LUVHUMMINGBIRDS Posts: 3,050
1/28/08 5:51 P

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Hi Nik..

I have been on antidepressants a couple different times. Both were before I was diagnosed with PCOS but I was already showing symptoms. Sometimes I think I might do better with one again but I don't think they did much when I was on them. And I was on two different ones.

Just talk to your doctor, tell him how you are feeling and that does he think an antidepressants would help you. That's what he is there for, to help you.

Good luck!

Cindy




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NIKSGETTINHOTT's Photo NIKSGETTINHOTT Posts: 80
1/28/08 5:27 P

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Hi all, I was wondering if any of you have also had boughts of depression in conjunction with your PCOS? I guess i've always considered myself to be a moody person. Lately I've been more anxious and down. My question is, how did you approach the subject of depression or antidepressants with your doctor? Were there any other steps other than mentioning it to your doctor. I'm beginning to think that a mild dose of something like Wellbutrin could help me out. At least to help pull me out of the fog so I can get going. Things just seem to stress me out too much, more than they should. Any advice? Thanks!

~ Nik

"Motivation is what gets you started, Habit is what keeps you going" - Unknown

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