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PCOS - Confusion

  1. #1
    Chicago Girl 28 is offline Registered User
    Join Date
    Aug 2007

    PCOS - Confusion

    I've been diagnosed with PCOS over two years ago, but wasn't trying for a baby then, so paid no attention to the lack of periods over the years, but now that we are trying, it's becoming a problem. My last period that I got was in May.

    I went to Dr. Grace Cheung who basically told me to lose weight and then call her. I thought this was strange because I'm not extremely overweight, but I listened to the advice, am now down 7 kilos and still no period.

    My question is should I continue trying without any help from meds? Do I need to switch doctors? Has anyone been told this before?

    Any advice is would be helpful.

  2. #2
    sky123 is offline Registered User
    Join Date
    Jun 2005
    Hong Kong
    See a fertility expert, I think they are better at handling people with PCOS and more proactive. You can search this website for comments but to name a few, (not in any particular order) , Dr Christine Choy, Dr Derek Lo, Dr Alex Doo, Dr Milton Leung, Dr Philip Ho etc.

  3. #3
    rani's Avatar
    rani is offline Administrator
    Join Date
    Sep 2002
    Pokfulam, Hong Kong
    Hey CG! Welcome back! You've lost 7kg, that's amazing! I'm with sky on this. Best to get a 2nd opinion.

  4. #4
    UKlady is offline Registered User
    Join Date
    Aug 2007
    Hong Kong
    Hi Chicago Girl,

    I also have PCOs which I have known abojut for a long time, and only really realised it was a problem when i started TTC last year. I'm seeing Dr Christine Choy, who I wasn't sure about at first, but now am very happy with. She is very matter-of-fact and abrupt, but the more I have seen her the more involved she has become, and she seems very determined to do all it takes to get me pregnant! I think you definitely need more than just to lose some weight (DR Choy also recommended that I do the same - and I have always been slim - before my PCOS diagnosis in the UK, my Dr thought I may have been missing periods because I was underweight!!)- normally for PCOS a doctor will start you on Clomid, and if that doesn't work try injectibles. I did 2 rounds of Clomid with Dr Choy and have just done the first injectibles cycle. Dr Choy also immediately put me on Metformin, but you will need to have blood tests to see if you need this. I think PCOS varies greatly from case to case, so you would be better off with a fertility specialist who can make a proper diagnosis and give you the meication you need.

    Best of luck!

  5. #5
    HappyV is offline Registered User
    Join Date
    May 2005
    I would think if you've lost 7 kilos, then that's a good first step.
    PCOS is affected by certain kinds of excess weight, and a lot of it has to do with insulin resistance - which is why PCOS is often a precursor of diabetes.
    Lucy Lord is fabulous with PCOS - myself and other firneds have seen her regasrding this.
    I also had servely interrupted cycles, and her advice got me back on track.
    As a PP said, each case is different.
    But just telling you to lose weight is not enough! You should be given an explanation as to why it's important and how it affects your body.

  6. #6
    fee is offline Registered User
    Join Date
    Jun 2006
    Tai Po, Hong Kong
    I was diagnosed with PCOS 9 years ago and have since had two kids (one conceived on clomid). I was also told to lose weight first - which I did. Am trying for number 3 and started with Lucy Lord, whom I liked, but there was no proactive testing etc. Had to have an appointment with Grace Cheung as Lucy was only seeing pregnant patients for a while and she has instigated a raft of tests to track what is happening and whether clomid is right for me this time. I like both doctors but have to say I will be staying with Grace. Since you have lost some weight, go see a doctor, and they will possibly put you on clomid straight away. They will probably also do blood tests at different points in your cycle to test your hormone levels. Best of luck!

  7. #7
    ka__ying is offline Registered User
    Join Date
    May 2007
    Hong Kong
    Hi Chicago Girl & UKlady,

    I was seeing another doctor about my fertility problem (had been TTC for over 18 months), and the only thing the first doctor told me is to lose weight, which I managed to shred 10kg off but still doesn't make my period regular. Then after coming to this forum and reading comments, I decided to see Dr. Christine Choy for 2nd opinion. I must agree with UKlady that Dr. Choy is very matter-of-fact, and she immediately put me on metformin and clomid. I've just finished my 2nd cycle of Clomid and waiting. I feel more confident with Dr. Choy than my first doctor (his name is also mentioned quite frequently in this forum too, but I feel he is taking my case not seriously enough as he didn't even tell me I have PCOs but only told me to lose weight....).

    Anyway, good luck and do get a 2nd opinion!

  8. #8
    binky is offline Registered User
    Join Date
    Dec 2007
    hong kong

    christine choy

    Just a word of warning on Christine Choy as although she has had good reviews here I had some problems with her.
    Firstly, her fees are very high (for her tests) and she doesn't warn you of the cost before performing the tests. This is made worse by the fact she does some unnecessary tests (doubled up on some I had had already) and gives unnecessary drugs so the costs really mount up. (eg you can get folic acid in any pharmacy but she charges a lot for it)
    I was diagnosed by her as having PCOS but she didn't explain any of the tests she was giving me, didn't listen first to my problem and then pushed her agenda (getting pregnant) which I had not gone in there for. She didn't listen when I kept telling her I wasn't trying for a baby yet. It's fine if you have medical insurance I guess (does it cover fertility treatment?) but worth knowing that she won't always warn you as the costs mount up. As I couldn't pay it all immediately (I hadn't expected it to be so much after a 15 min consultation) I paid a quarter and when I came back for my follow-up appoitment, she hadn't submitted any of the tests as I hadn't paid it all. I wasn't warned about this so came for a wasted consultation (which again I had to pay for).
    Plus her manner is very brusque (finding out you've got PCOS isn't nice if you're not expecting it!) and I was left waiting both times.
    I won't be returning to her.

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