The time is swiftly approaching when I will no longer be able to take the Metformin (glucophage) or the progesterone suppositories. To be quite honest, I won't miss the suppositories at all. I don't think I really needed them all that much in the first place, and they just add to the side effects. The Metformin however, it is my savior. That little... scratch that... horse pill balanced my crazy body. It made everything work more smoothly from my cholesterol stabilizing abilities to my insulin regulation to my ovulation. It helped balance my moods, my fatigue and my life. It helped us achieve the greatest goal we ever set out to achieve.
On top of that - taking Metformin makes a PCOSer like me feel almost normal when pregnant. Statistics show that it reduces your risk of miscarriage to almost that of a regular person! I am so not used to being a regular person! I know, I know - it would probably do more harm than good to keep taking it past the 12 week mark, and that's why they stop it. But I've attached such a superstitious feeling with this drug that it makes everything all better and won't let anything bad happen. It's the equivalent to my little blue blanky with the satin trim that I still have stuffed in my closet - just in case.
But I can deal. I can trust the critter's ability to survive. I can trust my body to do its job with enough panache to deliver me a healthy baby. Sure I can. However, there's also the anxiety about going off this drug that has made me healthy. Of course I'm going to need to go back on it when it's safe to do so. I just never want to live that other unhealthy life again. It seems like a nightmare. So hopefully it won't feel like a nightmare until I can restart it. But you know what else is a nightmare? ADJUSTING TO METFORMIN. And now I'm going to have to do that process all over again - and just when I got salads back! It's enough to make any sane girl swoon. It's definitely all incredibly worth it. But that doesn't mean I'm not going to have nail chewing anxiety over the process. At least the Synthroid will stay. God bless Synthroid.
Friday, June 19, 2009
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9 comments:
Why do you need to stop the Met? A lot of women continue it through the whole pregnancy. It helps prevent GD which us cysters are prone to.
The Met - my clinical endo and my obgyn both have reservations about Met's safety after 12 weeks. They feel that the benefits at this point are not proven to outweigh the possible complications it can cause. At least that's what they're saying. And since they're both in agreement on that, and I respect them a lot, I'm inclined to go along.
What thoughts/info do you have? I welcome any.
It will be okay! You can be normal! Maybe it will even help with the morning sickness.
Mine has not said much on the subject. Last time they of course said to stay on it, but I don't know when they would have said go off it.
Since my vision blurs anytime I so much as have a piece of fruit, I have a feeling I would end up on something else after weaning met anyway.
I am glad your docs both have strong opinions about it, since most seem clueless and rather nary carry about the subject.
I took Met for Alex's pregnancy for the first 12w b/c prior to conception my sugar test came back high, but stopping had no neg effects for us. I didnt even notice it, honestly. No tummy issues or anything. Surprisingly for a "severe PCOS" diagnosis, my sugars were normal for my first twin PG and have been normal this twin PG. Alex's was the only that had any rise.
For note, my RE wanted me to stop between 12-16w and my OB didnt want me on it at all b/c he didnt feel the pros outweighed the cons. Met hasnt been highly studied and a lot of the studies are more anecdotal (they both agreed on this).
Deep breath. Stopping meds is always scary. Tonight is my last oral progesterone and I start my P17 injections tomorrow. Scary...
Oh my gosh WB, my docs are really awesome about stuff. They really know their stuff when it comes to pcos, pregnancy, hashi's, all of it. It took me forever to find them but I love them so much.
For your (hopeful) future reference, my docs say that met doesn't seem to control glucose levels (since you have such a worse case of pcos than mine) well in pregnancy anyway, and that it's usually much more advisable to go on insulin if you reach that point anyway.
Very interested to see how it turns out.
I remember when my doc told me to stop the progesterone. At first I was estatic because I was tired of the slimy mess. But when it came time to actually quit, I got terribly gun shy.
All will go well!! I can feel it!!
i had to stop mine too ... I am sorry. At 12 weeks for me too.
I have had this discussion with my dr's now twice and both times they state what your dr states barb.. and They have me discontinue the use after 12 weeks
Some OBs and REs do allow their patients to continue the Met through the entire pregnancy. There is no conclusive evidence for or against doing so. Basically those who have their patients stop it are "erring on the side of caution".
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