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.
Maybe anons theory of them using Roger's potential ssi funds for rent isn't to far off? My grandpa used to get like 1200 a month from ssi but it's probably gone up since then and if they get some sort of housing assistance usually they would only have to pay 1/3 of their income. Which would leave plenty to live off of comfortably for the month unless you are using your funds for drugs or useless amazon crap like tuna buys
I was diagnosed with pcos while using implanon birth control in November 2012. I was told it was che...mical, it was symptom and blood diagnosed not with cysts on my ovaries. My ob/gyn told me that implanon can cause pcos and many other terrible medical conditions. I had it removed in January 2013 and have been trying to get pregnant since, after being told I needed a hysterectomy. (I was 24). In the past year I have gotten pregnant twice, both ended with miscarriage. In January this year, I had my blood tested again and I am almost completely normal. I'll always have pcos, it's life long, but the fact that after a year of getting the implanon removed I was able to get my blood back to normal. My endocrinologist called it miraculous! 

Have you all forgotten that she has her own fucking name tattooed on herself? She's a vain bitch, she just says that she finds herself ugly to get compliments. Also, she doesn't really want your advice, she just wants your pity and money. I have no sympathy for her, and even though I don't actively participate in the nitpicking most times, I think it's fair game. If she really wanted to get better, she wouldn't have dropped that therapy group as soon as she realized that it isn't fun to go through therapy.
There are also experts who suggest taking more of a lifestyle treatment approach rather than medication, which some call a “Band-Aid” to symptoms. One such expert is Amy Medling, a certified health coach who is founder of PCOS Diva and author of Healing PCOS: A 21-Day Plan for Reclaiming Your Health and Life with Polycystic Ovary Syndrome. She stresses that some women don’t feel well on some of these drugs (she was one of them), so looking at other ways to manage PCOS will get them to a more balanced place. “I hear from many women who are frustrated and hopeless and feel underserved by the mainstream way of managing PCOS,” says Medling.
A polycystic ovary is defined as an ovary containing 12 or more follicles (or 25 or more follicles using new ultrasound technology) measuring 2 to 9 mm in diameter or an ovary that has a volume of greater than 10 mL on ultrasonography. A single ovary meeting either or both of these definitions is sufficient for diagnosis of polycystic ovaries.23,25 However, ultrasonography of the ovaries is unnecessary unless imaging is needed to rule out a tumor or the patient has met only one of the other Rotterdam criteria for PCOS.19,26 Polycystic ovaries meeting the above parameters can be found in as many as 62% of patients with normal ovulation, with prevalence declining as patients increase in age.27
Wang et al. 2008 [66] Double blinded, placebo controlled randomised trial (pilot). Eight weeks. 15 overweight women with oligo/amenorrhoea and polycystic ovaries on ultrasound. Mean body mass index 28.8 ± 1.3 kg/m2. Mean age 31.1 ± 2.0 years Cinnamomum cassia extract 333 mg (Integrity Nutraceuticals International Sarasota, Florida) or placebo. One tablet three times per day. Primary outcomes: Insulin resistance and sensitivity. Secondary outcomes oestradiol and testosterone concentration. Body mass index (BMI). Before and after treatment comparisons between randomised groups plus comparison between treatment group and normal ovulatory, normal weight women. Adverse events. Improved insulin sensitivity (QUICKI) in the treatment group. 0.35 to 0.38, (7.7%) p < 0.03. Insulin resistance (HOMO-IR) significantly reduced in treatment group 2.57 to 1.43 (44.5%) p < 0.03. Controls no change insulin sensitivity or insulin resistance. No change in either group for BMI, testosterone and oestradiol. Differences between Cinnamomum cassia group and normal weight and ovulatory controls were not significant. (P < 0.17). No reported adverse reactions. Small pilot study, the authors report that larger studies are required to confirm findings. Small sample size may explain non-significant comparison with normal weight and ovulating women. Reproductive outcomes were unchanged in this study however the duration of the study was insufficient to demonstrate reproductive changes.

Polycystic ovary syndrome (PCOS) is a complex, common reproductive and endocrine disorder affecting up to 17.8% of reproductive aged women [1]. Medical management places strong emphasis on a multidisciplinary approach as pharmaceutical treatments appear to be only moderately effective in treating individual symptoms [2, 3]. Conventional pharmaceutical management is limited by the prevalence of contraindications in women with PCOS [3], non-effectiveness in some circumstances [4], side effects [5] and by preferences of women with PCOS for alternatives to pharmaceutical management [6]. This review examines the mechanisms of effect for a potential alternative treatment, herbal medicine, and reveals six herbal medicines with both pre-clinical and clinical data explaining the reproductive endocrinological effects in PCOS and associated oligo/amenorrhoea and hyperandrogenism.
My brother was a Heroin addict who started taking Benzos between his shooting up, like Luna, versus the other way around. He was an addict, he took benzos to keep up whatever feeling he was chasing. Thats inherently different than an anxiety or depression patient taking them for relief of symptoms. Im sure it does happen, there's always that risk but I wouldn't go out there and say that Benzo use is always a gateway.
Stress exacerbates inflammation. (7) “Put yourself first and make sure your needs are met,” says Medling. You can do this by practicing self-care, which means carrying out small acts that make you feel less stressed and more balanced. This may be via mediation, exercise, or getting in tune with hobbies you love. “Anxiety is one of the key symptoms of PCOS. By reducing stress, you can reduce inflammation and better your hormonal balance,” she says. (8,9)
She vain, but she's vain about her aesthetic, not her body. She mentions her imperfections all the time rather than hiding them; she knows she has cellulite, we know that she has cellulite, it isn't something she's trying to hide from the world. Her imperfections are part of her 'poor and free' aesthetic (see gutterpunks for an example of a subculture that glorifies this). The people who point out the problems with her body are adding nothing to the discussion. The comments about her body flaws do nothing but clutter the threads with self-serving, childish garbage, usually in horrible tumblr-speak. Like yeah, we get that Luna's breasts are saggy. We've seen them and heard it a billion times already. Just stop.
Sa PCOS ay hindi nahihinog ang itlog sa obaryo kaya walang tinatawag na ovulation o ang paglabas ng itlog sa obaryo papunta sa matres. Ang gamot na Clomiphene ang binibigay para makatulong sa pag-ovulate. Puwede ring idagdag ng doktor ang Metformin sa Clomiphene. Kung hindi pa rin mabuntis, maaaring magrekomenda ang doctor ng gonadotropin injections.
Some have tried to utilize ultrasound to detect IR. Of note, normoglycemic women often have the phenotypic criteria for polycystic ovaries on ultrasound[54], consistent with other data in young adolescents showing that polycystic ovaries by ultrasound appearance often does not correlate with either anovulatory menstrual cycles or metabolic abnormalities[55]. Therefore ultrasound is too non-specific to use with any reliability in measuring IR.
The principle infertility treatment initially includes preconception guidelines and the use of drugs to induce mono- or bifollicular ovulation. Other therapeutic modalities may also be employed, such as exogenous gonadotropins or laparoscopic ovarian drilling, which are considered to be second-line treatments, or in vitro fertilization (IVF), which is a third-line treatment 9. Thus, the choice of the most appropriate treatment depends on the patient's age, presence of other factors associated with infertility, experience and duration of previous treatments and the level of anxiety of the couple.
Preclinical and clinical studies provide preliminary evidence that six herbal medicines may have beneficial effects for women with oligo/amenorrhea, hyperandrogenism and PCOS. The quality of the evidence is variable and strongest for Vitex agnus-castus and Cimicifuga racemosa in the management of oligo/amenorrhea and infertility associated with PCOS; and Cinnamomum cassia for improving metabolic hormones in PCOS. Evidence for Tribulus terrestris, Glycyrrhiza spp. alone and in combination with Paeonia lactiflora and Paeonia lactiflora combined with Cinnamon cassia is promising but in an emergent phase. Further investigations into the mechanisms of effect for herbal extracts are needed to complete our understanding of the reproductive endocrinological effects for herbal medicine for these common conditions.
The study evaluated psychological symptoms in 126 women diagnosed with PCOS. Participants completed surveys using a standard tool for evaluating mental health, the Brief Symptom Inventory (BSI), and their responses were compared with those of adult women in the general population and of adult women undergoing outpatient psychiatric care. While small, and not a randomized controlled trial, the study offers insight into the psychiatric manifestations of different PCOS symptoms, Reame says. Body hair and menstrual problems most strongly predicted anxiety, while obesity was most strongly associated with hostility, the study found.
hi dok. kagagaling ko lang po sa OB ko knina at first time ko po mag pa check up at nalaman ko nga po na my PCOS po ako, my posibilidad po pala na mbuntis po ako, june po darating asawa ko, my posibilidad na po kaya na makabuo po kame bago po sya bumalik sa work nia ? niresetahan po ako ng metformin at tska po ung kulay yellow na parang fish oil.. my mas better pa po ba na gamot bukod po dun ?
Los medicamentos pueden ayudar a regular su ciclo menstrual y reducir el crecimiento anormal del cabello y el acné. Las píldoras anticonceptivas (para las mujeres que no intentan tener un bebé) y la metformina son dos medicamentos recetados que a menudo son útiles. Si usted tiene diabetes o presión arterial alta, esas afecciones también necesitan tratamiento. Si quiere tener un bebé, existen medicamentos que pueden ayudarla a quedar embarazada.
Kung gusto naman uminom ng gamot kasabay ang PCOS natural treatment na nabanggit, mayroon ring pwedeng ireseta ang doktor. Malamang, magbibigay siya ng contraceptives o birth control pills. Ang gamot na ito ay may lamang estrogen at progestin, kaya dadami ang female hormones sa katawan habang kakaunti ang male hormones. Makakatulong ang birth control pills hindi lamang sa pagiging regular ng dalas at dami ng pagregla, kung hindi pati na rin sa pagbabawas ng excessive bleeding, ng labis na hair growth, at ng acne.
Insulin-sensitizing drugs. A particular medication, called metformin, is usually prescribed.20 Another medication, pioglitazone (Actos) may also be suggested for women with PCOS. These two medications are FDA-approved for diabetes treatment, but plenty of research shows they can be equally effective for women with PCOS, too. These insulin-sensitizing medications can help your body respond more readily to insulin, and better control your glucose levels. Both metformin and pioglitazone can reduce the insulin resistance and high insulin levels that commonly occur with PCOS, and in turn, can reduce high androgen levels.

Skin Conditions: Very frustrating for many women with this disorder, skin conditions are difficult to hide and can on occasion be painful. From mild to severe acne to the development of skin tags, skin conditions caused by Polycystic Ovarian Syndrome (PCOS) can be both a nuisance and an embarrassment. Additionally, women with PCOS can experience acanthosis nigricans, which is the development of dark, thick, almost velvet-like skin in several places on the body.2

I thought that too at first (i've been following her since she was like 16, unfollowed for a while, then when i refollowed came back to grimy heroin luna). It's because her hair is longer and she's gotten thinner. That's really it. Everything else from her youth looks so much better. The light in her eyes, the freckles, the friendships, the cute babydoll dresses… She just looked happier…. I mean sure she was chunky and her hair was always mangled, but she was happy and that's much more important IMO.
Combination birth control pills — those with estrogen and Prometrium (progesterone) — are frequently prescribed to women with PCOS not looking to get pregnant. If the main concern is irregular periods and the resulting potential health risks, this is a great option. “Birth control pills are very good for protecting the lining of the uterus in women who are chronically anovulatory,” says Dunaif.
 PCOS seems to be inherited. Female relatives or children of patients with PCOS are at increased risk for having PCOS. Environmental risk factors, including low birth weight, rapid weight gain in infancy, early pubic hair and puberty development, childhood obesity, excess adult weight, and unhealthy lifestyle, are also important and may interact with genes to lead to PCOS (called epigenetics). 
In a patient not seeking pregnancy, the Endocrine Society recommends hormonal contraception (i.e., oral contraceptive, dermal patch, or vaginal ring) as the initial medication for treatment of irregular menses and hyperandrogenism manifesting as acne or hirsutism.19,30 Small studies have shown that metformin can restore regular menses in up to 50% to 70% of women with PCOS,39,40 but oral contraceptives have been shown to be superior to metformin for regulating menses and lowering androgen levels.30 There are no studies demonstrating superiority of one oral contraceptive over another in treating PCOS. Prevention of endometrial hyperplasia from chronic anovulation may be accomplished either by progesterone derivatives, progestin-containing oral contraceptives, or the levonorgestrel-releasing intrauterine system (Mirena).31,41 Patient comfort and preference should also be taken into account when treating irregular menses.

In addition to improving reproductive and metabolic factors, the reduction in body weight may be associated with reduced incidence of complications during pregnancy and the neonatal period. In this context, lifestyle change should be the first choice for weight loss because medications to reduce weight could have side effects and bariatric surgery may be associated with preterm and small for gestational age births 14.

Treatment of polycystic ovary syndrome is individualized to treat prevailing signs/symptoms and generally focused on correcting irregular bleeding from the uterus, restoring fertility, improving the skin manifestations of androgen excess (hirsutism, acne, hair loss), and preventing diabetes and cardiovascular disease. More recently, attention has also focused on improving the quality of life in PCOS women who have body image concerns.
2. Two studies investigated the ovulation rates, number of corpus luteum and follicle characteristics in rats with polycystic ovaries following exposure to various doses of Tribulus terrestris[46, 47]. 2. Equivalence of Tribulus terrestris and three ovulation induction pharmaceuticals evaluated ovulation in women with oligo/anovular infertility (n = 148) [60].G 2. No oestrogenic effects in female reproductive tissues [51].

Smoking cigarettes indoors can make things VERY grimy. I didn't think of that but yeah, maybe the cats don't like to lick the tar off their fur. I grew up with two indoor chain smokers for parents, and no matter how often I cleaned/dusted, my shit would look like this >>411657 all the damn time. It's like the tar just attracts every piece of dust. The walls, any white clothing, etc. all turned yellow. And everything I had always stank to the point that people assumed I smoked when I didn't. Smoking indoors is absolutely disgusting.
Hi dok matagal na ako gusto mag ka anak na pressure na ako sa family ko nag aantay ng baby ko 🙁 posible po bang may PCOS aq dahil ang regla q po ay irregular qng hindi po 2months minsan 4months.. nag pa check up na po ako ultrasound at nag pa inject ng anti cervical cancer ang pina painom lang sa ako Metformin tinigil ko na kc wala pa rin nangyare at hindi na din ako bumalik sa ob ko dahil laki na ng gastos ko.. anu pa ba dapat ko try inomin. salamat dok
If you’ve been told you have PCOS, you may feel frustrated or sad. You may also feel relieved that at last there is a reason and treatment for the problems you have been having, especially if you have had a hard time keeping a healthy weight, or you have excess body hair, acne, or irregular periods. Having a diagnosis without an easy cure can be difficult. However, it’s important for girls with PCOS to know they are not alone. Finding a health care provider who knows a lot about PCOS and is someone you feel comfortable talking to is very important. Keeping a positive attitude and working on a healthy lifestyle even when results seem to take a long time is very important, too! Many girls with PCOS tell us that talking with a counselor about their concerns can be very helpful. Other girls recommend online chats. The Center for Young Women’s Health offers a free and confidential monthly online chat for girls and young women with PCOS.

I think half the time she actually does have the money to spend on bullshit (like magazines, dunkin donuts) but she has to keep up the ~uwu im a poor gurl~ shit so she says that strangers bought it because she was "counting change". She got that one magazine right after visiting her dad.. And im pretty sure she gets/takes money from him. Its not enough to buy dope, so she just goes and spends it on dumb shit.
The ultimate goal is to prevent metabolic disease. Metformin (1500 mg per day) compared to placebo in a prospective 12 wk randomized control trial decreased arterial stiffness (by peripheral pressure waveforms in the brachial artery) and endothelial function (measured by augmentation index). Metformin did not reduce HOMA-IR[82]. The study population was obese but young (mean age 30 years), demonstrating the ability to reduce CAD risk even in very young women. Metformin has reduced both carotid intimal media thickness and endothelin levels in obese PCOS women[83]. In many studies metformin has reduced both total cholesterol and LDL cholesterol levels[84-86], triglyceride levels[84] and increased HDL levels[87,88]. Animal studies have shown that acarbose given to insulin resistant rats decreased carotid intimal hyperplasia and blood flow velocities[89]. Taken as a whole, the ability of metformin (and likely other insulin sensitizing agents) to elicit an overall reduction in the risk for CAD may be easier than the ability to produce consistent measureable improvements.
El ginecólogo o el endocrinólogo te preguntará sobre cualquier síntoma o preocupación que puedas tener, tu salud en el pasado, la de tu familia, los medicamentos que tomas, las alergias que tienes y otras cuestiones. También te hará muchas preguntas específicas sobre tu período menstrual y sus irregularidades. Esto le permitirá tener tus antecedentes médicos.
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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.
2. Oestrogen receptor binding affinity for Cimicifuga racemosa was studied using pituitary cell cultures from ovariectomised rats. This study followed a clinical study demonstrating significantly lowered LH in post-menopausal women following administration of Cimicifuga racemosa (2 mg for two months) against placebo control (n = 110) [45] 2. Increases luteal progesterone concentration [65, 67, 68]
Chaste berry (Vitex agnus-castus): This herb has been used for centuries for hormone imbalances and is considered an adaptogen. Chaste berry is one of the most common herbs used to treat PCOS because it helps to stimulate and stabilize the function of the pituitary gland. The pituitary gland is responsible for the release of luteinising hormone which can reduce the level of estrogen and androgen levels while raising progesterone levels.
PCOS is a heterogeneous disorder of uncertain cause.[23][24] There is some evidence that it is a genetic disease. Such evidence includes the familial clustering of cases, greater concordance in monozygotic compared with dizygotic twins and heritability of endocrine and metabolic features of PCOS.[7][23][24] There is some evidence that exposure to higher than typical levels of androgens in utero increases the risk of developing PCOS in later life.[25]