How to diagnose and treat PCOS
Dr Shree Datta, consultant obstetrician and gynaecologist, on how to investigate and manage PCOS
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Readers' comments (2)
Dylan | Salaried GP12 May 2018 10:44am
Is there a real benefit to diagnosing though, in the absence of fertility problems?
NICE say that GPs should not initiate metformin.
Management of obesity is the same for a patient with or without PCOS.
Management of hirsutism is the same for a patient with or without PCOS.
Management of acne is the same for a patient with or without PCOS.
Management of oligomenorrhoea is the same for a patient with or without PCOS.
What then is the usefulness of making the diagnosis?
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faithful hound | Salaried GP15 May 2018 6:56pm
It is worth diagnosing PCOS. This is because most are profoundly insulin resistant. They usually struggle to lose weight on most diets.
The secret to helping them is by lowering their insulin levels which are very high. This consists of three things , exercise, a low carb diet and meal timings, so that there is a long gap between their last meal of the day and the first meal of the next day.
By lowering their insulin levels you reduce their risk of type 2 diabetes, cardiovascular disease , hypertension, various cancers.
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