Met For PCO But Not PCOS?

patchen30 · July 2009

My RE told me I have polycystic ovaries, but would not diagnose the "syndrome" b/c I don't have any of the other symptoms. I thankfully O on my own, don't have excess weight, hair growth, etc. I had my FSH/LH ration tested and it was normal. I have not had fasting glucose or insulin tested. I asked about getting androgens tested, and the RE said that he could do that but that just from looking at me he could tell they wouldn't be elevated.

In a case like that, would a drug like metformin be beneficial? I will bring it up to my RE, but I have a feeling he'll say it's unecessary. I'm just second guessing this b/c I've been reading about the m/c rate being higher with PCOS - does anyone know if it's higher if you have PCO, but not the syndrome as well?

k8enewlywed · July 2009

I do not have PCOS symptoms I only have PCO ovaries with small follicles and cysts. I also do not have the insulin problems. My RE said that taking the?medications?would not help drastically, but that just using the protocol of stimulation meds should help. He also said the rate of m/c is not higher. GL!?

katieranck2202 · July 2009

I would get your fasting insulin and fasting glucose done as well as glucose tolerance test. Being diagnosed with PCOS can mean you have some of the symptoms while not having others. Did you have your prolactin done or a full lipid panel? Was the rest of your b/w done on cd3 for the best results? Metformin certainly won't hurt, but I would get everything tested first.

Also, did you have an HSG done?

jacmdb · July 2009

I am the same. My right ovary is PC but I was not diagnosed with PCOS. RE recommended a low carb diet but nothing else. We start treatment in a month I may ask for the insulin test at that time just to be safe.

patchen30 · July 2009

katieranck2202:

I would get your fasting insulin and fasting glucose done as well as glucose tolerance test. Being diagnosed with PCOS can mean you have some of the symptoms while not having others. Did you have your prolactin done or a full lipid panel? Was the rest of your b/w done on cd3 for the best results? Metformin certainly won't hurt, but I would get everything tested first.

Also, did you have an HSG done?

I will ask about glucose tolerance test and fasting insulin/glucose. My prolactin was normal, but I don't think i had a full lipid panel - what is that? Yes, the rest of my b/w was done on CD3.

katieranck2202 · July 2009

patchen30:
I will ask about glucose tolerance test and fasting insulin/glucose. My prolactin was normal, but I don't think i had a full lipid panel - what is that? Yes, the rest of my b/w was done on CD3.

The lipid panel is for cholesterol because pcos ladies tend to have low HDL and/or high triglycreides while the LDL is low (suppose to be). My doc runs a full gamitt of tests every year because all of them can change over time.

yodasmistress · July 2009

There ARE some articles that indicate Met can help even non IR women with PCO produce better eggs. No one can explain why though.

I've seen 4 REs and 2 OBGYNs and no one *really* knows if I have PCOS or not. My ovaries some times look polycystic and sometimes don't. I am thin. I do O, though have long-ish cycles (typcially 30 - 45 days). I have an elevated LH:FSH ratio. I am not overweight and don't have any of the other physical caracteristics. I do not have elevated androgens. I have normal insulin, though I have not ever done the 2 hr GTT so I don't really know if I'm IR or not.

katieranck2202:
The lipid panel is for cholesterol because pcos ladies tend to have low HDL and/or high triglycreides while the LDL is low (suppose to be).

Just to complicate things, my father has high triglycerides, but does not have high cholesterol. Stumped the heck out of the docs. However, there is a lot of diabetes in his family, and one of his sister's daughters has PCOS.

I think that someone of us borderline-PCOS'ers are probably right on the verge ... we don't technically have it but we have risk factors and if we're not careful, we will have the full blown syndrome. For this reason, and the fact that it can't hurt, I am on Met.

patchen30 · July 2009

katieranck2202:

patchen30:
I will ask about glucose tolerance test and fasting insulin/glucose. My prolactin was normal, but I don't think i had a full lipid panel - what is that? Yes, the rest of my b/w was done on CD3.

The lipid panel is for cholesterol because pcos ladies tend to have low HDL and/or high triglycreides while the LDL is low (suppose to be). My doc runs a full gamitt of tests every year because all of them can change over time.

Ok - all I know is I've had my "cholesterol" tested - I don't know what exactly that entailed. I will ask my RE about all these tests.

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Met For PCO But Not PCOS?

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