By Jessie Knadler
You didn't see it coming. You didn't even feel it land — until a split second
later when you suddenly realize you've had the wind knocked out of you. What
just hit you? Someone's nasty comment, and it's cut you to the core.
Sometimes a faultfinder disguises her disapproval as a quasi-compliment:
"I would have never had the courage to talk to my boss the way you
did." Other times, a jab takes the form of a cautionary tale: "You're
going on a cruise? I still get nightmares...
Synthetic progestin. If you are not able to use
the hormone estrogen, talk to your doctor about using progestin shots or pills
for part of your cycle. The progestin makes your endometrial lining build up
and shed, similar to a menstrual period. This monthly shedding is what prevents
uterine cancer. There are three prescription progestins that do not increase
androgen levels and are best for PCOS treatment: norgestimate, desogestrel, and
drospirenone.2 Possible side effects include
headaches, fluid retention, and mood changes.
spironolactone (Aldactone), which is a
diuretic. It is often used with estrogen-progestin
therapy. This reduces hair loss, acne, and abnormal hair growth on the face
and body (hirsutism).
Eflornithine (such as Vaniqa) is a prescription skin
cream that slows hair growth for as long as you use it regularly. Talk to your
doctor about whether it is right for you.
Treatment for acne includes nonprescription and prescription
medicines that are applied to the skin (topical) or taken by mouth (oral). For
more information, see the topic
Combination hormone pills
can improve acne that is related to high androgen levels.2
What To Think About
Metformin has been shown to be a
useful treatment for many of the problems in PCOS. Taking metformin may improve
gestational diabetes, and reduce long-term health
problems.2 The use of metformin in pregnancy is
controversial although the risk appears to be small. Metformin is only
FDA-approved for the treatment of diabetes, so be sure to discuss with your doctor the use of this medicine for
treating PCOS symptoms.
Some medicines to treat
abnormal hair growth may increase your risk for insulin-related
metabolic problems, so be sure to discuss
medicine side effects with your doctor.
WebMD Medical Reference from Healthwise
January 23, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this