PCOS - Confusion

pink cactus - did she discuss the differenfe between endometriosos and PCOS? Did she mention any particular diet to help with TTC?
My OB/GYN said that before clomid she always preaches the South Beach Diet - only takes a few weeks for your body to respond, and even if it doesn;t directly help with conception, it gives you a healthier body to house a baby on for 9 months!
 
HappyV, Dr Choy didn't tell me anything about TTC diet. What is the South Beach diet? Where can i read more abt it? Am not sure of the difference between PCOS and endo. I think PCOS can be kept in check with medication. however, endo needs to be treated, i.e. the cysts removed and tubes cleared so that it does not affect fertility. For me, my fallopian tube was blocked, so she has to clear it via the same surgery.
 
pink cactus - PCOS can be treated thorugh various means, including medication, surgery and diet. WIthout knowing the specifics of your surgery, I couldn;t comment further. I do know that friends have had various procedures down to help with TTC through PCOS. It's not just about the cysts.
The best thing I can recommend is to buy a copy of he SOuth Beach diet books (they usually have it at Dymocks). It explains the link between diet and PCOS very well, and offers other reading resources.
Othersie - google! THta will give you a basic idea.
Wikipedia has a very good entry on PCOS.
Also -
http://www.netdoctor.co.uk/womenshealth/facts/pcos.htm is quite good.
 
The South Beach diet is based around eating low Glycemic Index foods. The root cause of PCOS is insulan resistance and eating a low GI diet greatly reduces insulan reistance and it's symptoms, including PCOS. Check www.glycemicindex.com. They provide a list of all GI values tested to date, as well as some good books, including one about managing PCOS through what you eat. I finally read the book and found it to be incredibly informative, despite being diagnosed with PCOS over 10 years ago. My husband started the South Beach diet to lose weight and, after reading the GI book, I decided to eat a generally lower GI diet. My weight went down to my pre-diagnosis weight (I didn't eat less, just avoided the foods that agrivate my insulan resistance) and finally fell pregnant. I dont' know whether I can attribute my pregnancy to reducing my insulan resistance but I do know that I had been on fertility treatment for over a year with no success because it was established that I was resistant to clomid. Sticking with low GI eating has also made a world of difference in my pregnancy. I am 18weeks and by this time I had put on around 8-10kgs with my first two. This time I have only put on around 2.5kg. Once again I have not reduced the amount I eat - just avoided the stuff that really affects my insulan levels. Given that the South Beach diet came about through a doctor trying to reduce the incidence of heart disease, you can't really go wrong by trying lower GI eating.
 
dr choy delivered my baby 9 months ago and i saw her for fertility issues prior to this. the treatment she gave me was spot-on (including lap. surgery for endometriosis) so i was very happy with her. i suppose she can be abrupt initially but as we got to know one another this diminished and she was very warm and really invested in my treatment. during my delivery she slept in the room next door rather than swanning in at the last minute as many dr's do.

as for the costs of tests i simply told her outright that i want to know the cost of anything before we do it - just ask! she will tell you. i also opted to buy things like folic acid etc from the chemist - she doesnt MAKE you buy it.

she told me i could have whatever paed i wanted at the birth (and was open to me not having an epidural or whatever else i did or did not want). i went with dr paul leung, her suggestion, and we continue to use him and like him.

i really like her and she continues to be my gyn and should we have another baby i will have her deliver.
 
I also have PCOS when I was trying to conceive with my daughter I was asked to take Metformin, Clomid and was given Gonal injectibles and Puregon for ovulation. During my ordeal I had a miscarriage, 2 blighted ovum. But in the end I finally conceived with my daughter (who's now 26 mos old). I was seriously considering ovarian drilling already, but luckily I got pregnant when I least expected it to happen. Now I'm pregnant with my second child 35 weeks and 5 days already (BOY) after 6 cycles of fert treatments. So don't despair it's not a hopeless case.. :) I'm sure you'd get your BFP when the right time comes. GOOD LUCK!
 
Hi all, further to my comments on Dr Choy in Dec 08, I have recently seeked a secound opinion from Dr Grace Cheung as recommended by another friend. I immediately took a liking to Dr Cheung - she is much friendlier and I can feel that she truly cares for the patient. Although her consultation (950) is more expensive than Dr Choy, the total bill each visit is lower as she did not charge for ultrasound. Dr Choy charges 800 for consulation and 800 for ultrasound, so the min.fee each visit is 1600.
A little background on my case: Dr Choy put me on 5 cycles on Clomid and Dr Cheung thinks that I do not require Clomid as obviously I am ovulating on my own (i've been using OPK and also charting my BBT and both show that I'm ovulating every cycle since I started tracking abt 6 mths ago). Dr Choy also said that I have a thin lining and that might be the reason preventing me from getting pregnant. However, when I went to see Dr Cheung on CD9, the U/S scan showed that I have a normal lining and also follicle size. She is of the opinion that I do not have to take Clomid at all. Oh man! I was suffering from bad migraines last 5 mths due to the Clomid and this was unnecessary.

Dr Cheung said that since everything seemed fine with me, she suspected that my endometriosis could be the cause of my unexplained infertility and I should go for 2 IUI cycles to maximise my chances. If it doesn't work, the next step will be IVF. After trying for the last 9 mths, this is the first time I feel that I'm in control. The disappointment of seeing AF is getting greater every mth and I was at a loss fo what to do. Now at least I have a direction, and if IUI doesn't work, we can proceed to the next step.

Am going for IUI on coming Monday, am quite excited abt it. Wish me luck!
 
<pink_cactus> said:
Hi all, I'm new to this forum. I am also a patient of Dr Choy since Jan this year, just like to share my experience with the rest. Agree with RookieMom that she charges a lot and didn't explain the costs of the treatment to you before it is administered, so you could be slapped with a huge bill after a 5mins consultation. However, I am comfortable with her as she seems to know her stuff. She suspected I had endometriosis thru the 1st ultrasound. Subsequently performed a laparascopy on me in Mar and successfully removed the chocolate cyst that I had. I TTC naturally for 6 mths before visiting her again recently. She seemed to be friendlier now, I wonder if it's because she has less patients due to bad remarks? I had learnt to do my own research and went prepared with a list of questions and she addressed all of them, giving me a sense of comfort that everything is fine with me. Am pretty happy with her now. I'm now on the 2nd month of Clomid and HCG injection, no luck on the 1st attempt last mth tho follicle (20mm) and lining (13mm) were of good size prior to ovulation. Keeping my fingers crossed this month, will update you on my experience with her as I go along.
Click to expand...

Hi all, further to my comments on Dr Choy in Dec 08, I have recently seeked a secound opinion from Dr Grace Cheung as recommended by another friend. I immediately took a liking to Dr Cheung - she is much friendlier and I can feel that she truly cares for the patient. Although her consultation (950) is more expensive than Dr Choy, the total bill each visit is lower as she did not charge for ultrasound. Dr Choy charges 800 for consulation and 800 for ultrasound, so the min.fee each visit is 1600.
A little background on my case: Dr Choy put me on 5 cycles on Clomid and Dr Cheung thinks that I do not require Clomid as obviously I am ovulating on my own (i've been using OPK and also charting my BBT and both show that I'm ovulating every cycle since I started tracking abt 6 mths ago). Dr Choy also said that I have a thin lining and that might be the reason preventing me from getting pregnant. However, when I went to see Dr Cheung on CD9, the U/S scan showed that I have a normal lining and also follicle size. She is of the opinion that I do not have to take Clomid at all. Oh man! I was suffering from bad migraines last 5 mths due to the Clomid and this was unnecessary.

Dr Cheung said that since everything seemed fine with me, she suspected that my endometriosis could be the cause of my unexplained infertility and I should go for 2 IUI cycles to maximise my chances. If it doesn't work, the next step will be IVF. After trying for the last 9 mths, this is the first time I feel that I'm in control. The disappointment of seeing AF is getting greater every mth and I was at a loss fo what to do. Now at least I have a direction, and if IUI doesn't work, we can proceed to the next step.

Am going for IUI on coming Monday, am quite excited abt it. Wish me luck!
 
Just a little update...

Chicago Girl moved back to Chicago some time ago and recently gave birth to a lovely little boy. I'm sure she doesn't check this site anymore but thought this might help some people with PCOS to feel encouraged!

Congats Nic!
 
Thanks for the update G. Kitty. That's fantastic news. Pls say Hi from me and congratulate them both!
 
terrible experience with christine choy

We had a terrible experience with Christine Choy. She is absolutely a doctor for the money. And she does not take or feel any responsibility for her mistakes or any pitty for her patients. Her greediness for money has almost cost mine and my baby's life! She has absolutely acted against all etiquette that a doctor should respect. I very seriously recommend to avoid her!
 
You must log in or register to reply here.
Back
Top