Well, I see it as nitpicking because it's not funny, boring and over talked about. We all know she has saggy tits, it doesn't need to be pointed out every time a new pic is posted. and I've always thought and said she hated herself before the tit thing, it's not that people are suddenly jumping to this conclusion now, it just started a discussion about it.

Tu médico o un nutricionista titulado puede ver lo que comes y tu nivel de ejercicio y de actividad física a fin de diseñar un programa para perder peso hecho a tu medida. El ejercicio es una gran forma de combatir el aumento de peso que suele acompañar al síndrome de ovario poliquístico, así como una forma de reducir la hinchazón, otro de los síntomas que a veces experimentan las chicas que padecen esta afección.
Clomiphene (Clomid) is an oral medication that is the most common treatment used to induce ovulation. The use of both metformin and clomiphene has about the same fertility results as clomiphene use alone. A benefit is that metformin may help reduce the risk for ovarian hyperstimulation syndrome (see also "What is ovarian hyperstimulation syndrome (OHSS) during assisted reproductive technology (ART) fertility treatments. Other treatments to stimulate ovulation include another oral medication called letrozole (Femara) and gonadotropins which are hormones that are given by injection. In vitro fertilization (IVF) and in vitro maturation (IVM) may be other fertility treatment options.
That pic in the last thread with her collarbones made me laugh so much. Bitch has her arms bent at an awkward angle behind her back you can see where the neck squashes awkwardly on her shoulder because of the abnormal way shes twisting and sticking her neck out. Imagine being a fly on the wall at hers (one of the many) and seeing her take a selfie like that kek

Además de los medicamentos, hacer ejercicio regularmente y llevar una dieta sana pueden ayudar a controlar el PCOS. Aunque el PCOS dificulta mucho la pérdida del peso, adelgazar aunque sea un poco puede ayudar a reducir algunos de sus síntomas. Hable con el proveedor de atención médica de su hija para obtener más información sobre el adelgazamiento y el PCOS.
Herbal remedies can be a very effective treatment option for PCOS because they are usually quite gentle on the body and have fewer side effects than medication.3 You can usually use PCOS herbs longer with fewer problems which is important because PCOS does not go away over time. The reasons you might want to consider using herbs for your polycystic ovarian syndrome is they can be very successful in treating the contributing factors of PCOS, providing relief for symptoms and healing the body by boosting your immune system.

Hirsutism: On the complete other end of the spectrum as hair loss, women who have hirsutism experience excess hair growth in oftentimes very noticeable places, such as their face, chest, and back. This is also a very embarrassing issue for women to cope with in their daily life. According to research experts, “hirsutism appears to be strongly related with hyperandrogenism (imbalance of male sex hormones) and metabolic abnormalities in PCOS women.”4
Gynecologic ultrasonography, specifically looking for small ovarian follicles. These are believed to be the result of disturbed ovarian function with failed ovulation, reflected by the infrequent or absent menstruation that is typical of the condition. In a normal menstrual cycle, one egg is released from a dominant follicle – in essence, a cyst that bursts to release the egg. After ovulation, the follicle remnant is transformed into a progesterone-producing corpus luteum, which shrinks and disappears after approximately 12–14 days. In PCOS, there is a so-called "follicular arrest"; i.e., several follicles develop to a size of 5–7 mm, but not further. No single follicle reaches the preovulatory size (16 mm or more). According to the Rotterdam criteria, which are widely used for diagnosis,[10] 12 or more small follicles should be seen in an ovary on ultrasound examination.[53] More recent research suggests that there should be at least 25 follicles in an ovary to designate it as having polycystic ovarian morphology (PCOM) in women aged 18–35 years.[59] The follicles may be oriented in the periphery, giving the appearance of a 'string of pearls'.[60] If a high resolution transvaginal ultrasonography machine is not available, an ovarian volume of at least 10 ml is regarded as an acceptable definition of having polycystic ovarian morphology instead of follicle count.[59]
Metformin(Glucophage) is a medication used to treat type 2 diabetes. This drug affects the action of insulin and is useful in reducing a number of the symptoms and complications of PCOS. Metformin has been shown to be useful in the management of irregular periods, ovulation induction, weight loss, as well as the prevention of type 2 diabetes and gestational diabetes mellitus in women with PCOS.
I found out I had PCOS when i was 19 years old after I had lost a baby at 23 weeks along. I had gott...en my period 2 times a year so every 6 months.. I was told I wouldnt be able to have kids. Welm she had put me on medication for it and I have been on this medication for 2 years and I had lost 150 lbs and then in october of 2012 i found out I was pregnant again.. So I wasnt so thrilled about it because I thought I would lose this one too. Well needlesa to say on July 3, 2013 I had a precious baby boy!! And continue to take my medication:) See More
Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms. It should be noted that most women with the condition have a number of small cysts in the ovaries. However, women may have cysts in the ovaries for a number of reasons, and it is the characteristic constellation of symptoms, rather than the presence of the cysts themselves, that is important in establishing the PCOS diagnosis.
The cysts (fluid filled sacs) in the ovaries can be identified with imaging technology. (However, as noted above, women without PCOS can have many cysts as well.) Ultrasound , which passes sound waves through the body to create a picture of the kidneys, is used most often to look for cysts in the ovaries. Ultrasound imaging employs no injected dyes or radiation and is safe for all patients including pregnant women. It can also detect cysts in the kidneys of a fetus. Because women without PCOS can have ovarian cysts , and because ovarian cysts are not part of the definition of PCOS, ultrasound is not routinely ordered to diagnose PCOS. The diagnosis is usually a clinical one based on the patient's history, physical examination, and laboratory testing.
Metformin has been tested in combination with cholesterol lowering medications. Pretreatment of obese PCOS patients with atorvastatin (20 mg per day for 3 mo) followed by 3 mo of metformin (1500 mg per day) resulted in more effective lowering of HOMA-IR than metformin alone[80]. Other similar data show that combined treatment with metformin and atorvastatin compared to metformin alone produced similar but significant improvements in IR. Combination therapy only showed successful reduction of hyperandrogenism and not IR[81].
Cinnamon cassia	One animal study compared the effectiveness of Cinnamomum cassia with metformin against controls in rats with PCOS. Hormone concentration was measured at 15 and 30 days [48]	One pilot RCT demonstrated positive effects for metabolic parameter’s (HOMO and QUICKI) for Cinnamomum cassia in overweight women with PCOS [66]	1. Equivalence for metformin for reduced testosterone in PCOS [48]

Si bien no se recomienda como primer tratamiento, existe una operación para el tratamiento de PCOS, llamada incisión ovárica. Se realiza un pequeño corte encima o debajo del ombligo y se inserta un pequeño instrumento llamado laparoscopio que sirve como telescopio en el abdomen. Durante la laparoscopía, el médico puede hacer punciones en el ovario con una aguja delgada que tiene corriente eléctrica para destruir una pequeña porción del ovario. La cirugía puede mejorar los niveles hormonales y la ovulación, aunque es posible que la mejoría dure solo unos meses.
Side effects: Some people who are allergic to ragweed and other plants in the same family are also allergic to milk thistle so taking this herb might cause an allergic reaction. Occasionally people taking milk thistle will complain of gastrointestinal issues but this is rare. I t may also lower blood sugar levels so if you have hypoglycemia or diabetes you might want to try another herbal .
Vitamins, supplements, and other complementary treatments are popular among women with PCOS. Researchers are studying the effectiveness of such treatments. Popular treatments include cinnamon, myo-inositol, vitamin D, B complex vitamins, and acupuncture We hope to share and explain the evidence for these and other treatments and well as research findings as they develop.
On March 1, 2012, the US Food and Drug Administration (FDA) updated health care professionals regarding changes to the prescribing information concerning interactions between protease inhibitors (drugs for management of human immunodeficiency virus [HIV] and hepatitis B infection) and certain statin drugs. The combination of these drugs may raise the blood levels of statins and increase the risk for myopathy. Rhabdomyolysis, the most serious form of myopathy, can cause kidney damage and lead to kidney failure, which is life threatening. [62]
Getting three hours of exercise a week is enough to improve insulin sensitivity in women with PCOS, especially if you have been inactive up until now. Exercise can help you lose more weight, but more importantly, it can also help you lose the fat around your abdomen – that’s what contributes directly to insulin resistance, which fuels PCOS symptoms – even if you don’t lose any weight. That’s what happened in a 2017 small Monash University study.16  Women in this study added interval training (ie, short bursts of high-intensity exercise followed by regular or moderate intensity intervals) for part of their workout.16
Metformin, an antidiabetic drug, improves insulin resistance and decreases hyperinsulinemia in patients with PCOS. [68] This drug also has a small but beneficial effect on metabolic syndrome, as well as potentially causing a modest reduction in androgen levels (11%). [4] Note that women with a body mass index (BMI) greater than 37 kg/m2 may not have a good response to metformin. [4] An Italian study of 33 patients with PCOS demonstrated that metformin affected thyroid hormone by lowering thyroid-stimulating hormone (TSH) in hypothyroid patients with PCOS, regardless of whether these individuals received levothyroxine or were untreated. [69]
Although metformin is not approved by the FDA for treatment of PCOS, many doctors prescribe it for PCOS patients. Metformin is a medicine that makes the body more sensitive to insulin. This can help lower elevated blood glucose levels, insulin levels, and androgen levels. People who use metformin may lose some weight as well. Metformin can improve menstrual patterns, but metformin doesn’t help as much for unwanted excess hair.
Unfortunately, awareness of the condition is not widespread and many physicians do not perform the necessary diagnostic tests or recognize that PCOS has broad and potentially devastating consequences. According to the non-profit support organization, PCOS Challenge, Inc., PCOS awareness and support organizations receive less than 0.1 percent of the government, corporate, foundation, and community funding that other health conditions receive.
Diet is crucial component in treating PCOS and really should be considered along with herbal remedies a key consideration when managing this disorder. A well-balanced junk free diet filled with PCOS foods will also help control putting on weight too which could lessen your PCOS symptoms. PCOS food options do not have to exclude all your favorite dishes, you can still enjoy a delectable range of lean proteins, fruit, veggies and whole grain products despite polycystic ovarian syndrome problems. Many women with PCOS think carbohydrates are the enemy; however, high fiber and whole grain carbohydrates have numerous vitamins and nutrition vital so consuming these types of foods also help control glucose and reduce the influence of blood insulin sensitivity. A small decrease in carb intake may be recommended if your polycystic ovarian syndrome is severe but don’t make any major changes before you talk to your physician. Keep in mind you should spread your carb consumption equally across the entire day from breakfast to an evening snack. This helps keep the glucose level even all the way through the night. It’s also wise to combine your carbohydrates with a lean protein source every meal (including snacks) because this will stabilize your blood sugar levels. Desserts, chocolate, sodas as well as an excessive amount of juice are not considered to be PCOS foods and should be avoided because they can negatively impact polycystic ovarian syndrome symptoms and sabotage your efforts to stay healthy.

According to a recent study published in the Endocrine Society’s March 2015 issue of Journal of Clinical Endocrinology & Metabolism, women diagnosed with PCOS are twice as likely to be hospitalized for heart disease, diabetes, mental-health conditions, reproductive disorders, and cancer of the uterine lining. The cost of evaluating and providing care to women with PCOS is approximately $4.36 billion per year.


This is such a dumb argument. People who are secure in themselves do not need to post any selfies online, let alone ten every day with compliment fishing captions. It's not a sign of being confident, it's a sign of being insecure and needing outside validation. There are a ton of studies that show the more engagement a person has with social media, the less secure and confident they tend to be in themselves.

That makes a lot of sense. It's kind of a shame, though; although he does keep a roof over her head, which is much more than she could hope for (though she'll probably end up homeless at some point anyway), imo she would have kept her tumblr following and suckers who'd donate much longer had she dated somebody who matched her aesthetic and who she could take ~cool~ photo ops with rather than a dirty older man who serves to illustrate how miserable and unglamorous the lifestyle really is. Her relationship with Lurch has caused her to become almost a PSA about what junkie life is like beneath all the staging so many of them do on social media.
Following the electronic and manual searches of bibliographies, forty six clinical studies were identified for inclusion/exclusion assessment (Figure 1). A pre-requisite for the inclusion of clinical studies was identified laboratory evidence explaining the mechanism of effect in reproductive endocrinology. Fifteen met the inclusion criteria [54–68]. Eight were randomised controlled trials (RCTs) including 762 women [61–68] (Table 2). Thirty one studies were excluded for the following reasons; investigation of isolated herbal chemicals (n = 3); inclusion of male subjects (n = 4); no pre-clinical evidence (n = 11) and conditions different to those specified (n = 13).
Women with polycystic ovary syndrome (PCOS) may suffer from irregular periods, excessive hair growth (hirsutism) and acne (pimples). High levels of serum androgens (male hormone) are one of the main features of PCOS. There is no good evidence from this review that statins improve menstrual regularity, spontaneous ovulation rate, hirsutism or acne, either alone or in combination with the combined oral contraceptive pill. There is also no good evidence that statins have a beneficial effect on hirsutism or acne (pimples) associated with PCOS. In women with PCOS, statins are effective in reducing serum androgen levels and decreasing bad cholesterol (LDL), but statins are not effective in reducing fasting insulin or insulin resistance. There is no good evidence available on the long‐term use of statins (alone or in combination) for the management of PCOS.
hi doc bru ! ask ko lng po 7 years na po kami nagsasama ng asawa ko nagpafertility check naman po kami 2 years ago . ok nman po sperm count nia at ok nman din po ung ultrasound ko may nakita lng po na maliliit na bukol sa uterus ko . niresetahan po ako ng metmorfin fertyl at folic acid. regular nman po 28 days ung cycle ko! pero until now ndi pa din po kami nakakabuo . ano po ba the best way na gawin namin para magkababy na? i hope po na masagot nio .. thankyou en godbless po
meh. I think she takes selfies (including the body posi ones) because it helps her cultivate her image rather than because she thinks she's gorgeous. She's not like many of the other cows in that she doesn't try to hide her cellulite or mismatching eye sockets or her flab. Her imperfections feed into her junkie chic look, which is why calling them out every time she posts a picture ad nauseum doesn't make sense. She knows she has these features and doesn't seem to care, she mentions them herself, and she might even like how they fit into her style. She's totally comfortable with them and places a much higher importance on aesthetic than having a beautiful body.
A study supervised by Columbia University School of Nursing professor Nancy Reame, MSN, PhD, FAAN, and published in the Journal of Behavioral Health Services & Research, identifies the PCOS complications that may be most responsible for psychiatric problems. While weight gain and unwanted body hair can be distressing, irregular menstrual cycles is the symptom of PCOS most strongly associated with psychiatric problems, the study found.
Hi dok bru . kailan ko LNG po nalaman na may pcos ako ng mag patingin ako sa doctor 3 buwan po kase akong di dinatnan tas nag kasakit po kase ako dun ko LNG po napag pasyahan na mag patingin sa ob gyn na ultrasound po ako at lumabas po sa resulta ng ultrasound ko na may pcos ako . binigyan po ako ng pampa regla 10 days ko po ininom hanggang sa mag ka roon na ako at nung datnan na po ako almost 2weeks po akong meron tas bumalik po ako sa ob gyn as doctor na pinag konsultahan ko kse nga po almost 2weeks po akong may period then binigyan po ako ng pampatigil after ko pong mainom young gamot nag stop na po ang mens ko. At sabe po ng doctor ko bumalik ako pag tumigil na ang period ko pero di na po ako naka balik para sa next na check up ko sabe po reresetahan ako ng gamot for 6 months na gamutan pero di pa po ako naka balik for follow check up ngayun jan. 12 2016 ko po nalaman na may pcos ako . 20 year old pa LNG ako. Ano po ba mang yayari kung hanggang ngayun di po ako nag pupunta sa ob ko . ano po ang maipapayo nyo saken. Ellaine
Phy, J. L., Pohlmeier, A. M., Cooper, J. A., Watkins, P., Spallholz, J., Harris, K. S., … Boylan, M. (2015, July 27). Low starch/low dairy diet results in successful treatment of obesity and co-morbidities linked to polycystic ovary syndrome (PCOS). Journal of Obesity & Weight Loss Therapy, 5(2), 259. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4516387/
Another animal study examined the effects of Glycyrrhiza uralensis on the morphological features of polycystic ovaries using immunohistochemistry [50] (Table 1). This study demonstrated significantly increased ovulation rates by the number of corpus luteum in polycystic ovaries compared with controls. The authors propose that the mechanism of effect for Glycyrrhiza uralensis was competitive inhibition of oestrogen at oestrogen receptor sites, limiting the production of nerve growth factor (NGF), its neurotropic effects and inhibition of sympathetic neurological involvement in the pathogenesis of polycystic ovaries.
If he was using heroin very heavily, that may well be his starting methadone dose (or close to it.) Methadone has a long half life while heroin has a short one, so avoiding withdrawals can take a lot of methadone, initially. Methadone clinics aren't going to leave someone on a high dose though. They'll titrate up until withdrawal subsides, then taper down over time. I'm guessing he started at the clinic around when he got busted, so it's sus af to me that he'd still be taking 130mg. Or that he ever was. Maybe 100. Possibly.
Insulin-sensitizing agents, including metformin,11,32 rosiglitazone,19,20,32 and pioglitazone (Actos),17 have been effective in improving fertility and ovulation in women with PCOS. There are contradictions in the literature regarding whether metformin, clomiphene, or a combination of the two agents is superior for improving pregnancy rates in women with PCOS. A 2003 Cochrane review suggested that metformin should be a first-line treatment for infertility in women with PCOS.39 A more recent study confirmed that six months of metformin therapy was more effective than six months of clomiphene therapy for improving fertility in anovulatory, nonobese women with PCOS.8 However, a large randomized trial of more than 600 women found that clomiphene is superior to metformin in achieving live birth in infertile women with PCOS, with no statistical benefit to the addition of metformin to clomiphene.40 Another study also showed no benefit from adding metformin to clomiphene.35 However, two meta-analyses suggested that the combination is better than clomiphene alone.41,42 A more recent study found that, although ovulation rates were better with metformin than with clomiphene, pregnancy rates were similar.43 Finally, two systematic reviews found conflicting results; one suggests metformin does not affect ovulation or pregnancy rates,1 and the other suggests it does.44
Excess insulin. Insulin is the hormone produced in the pancreas that allows cells to use sugar, your body's primary energy supply. If your cells become resistant to the action of insulin, then your blood sugar levels can rise and your body might produce more insulin. Excess insulin might increase androgen production, causing difficulty with ovulation.
×