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Dr. Owen
Dr. Owen, Doctor
Category: Health
Satisfied Customers: 55754
Experience:  Board Certified Physician and US Medical School Graduate
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I have Polycystic Ovarian Syndrome and have severe acne,

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I have Polycystic Ovarian Syndrome and have severe acne, hair growth and darkening of the skin. Is there anything i can do about the darkening of the skin and the acne? I know with the hair its as simple as waxing. I have been trying all differant perscription acne things for over 6 years now. The acne still isnt getting better and the skin darkening is just getting worse. What else can I do?

I am allergic to Sulfa medications.

Dr. Owen :

Hello, and I am pleased to help, use of my answers are for educational purposes only.

Dr. Owen :

Actually yes you can ....

Dr. Owen :

Can you tell me what medications you are on

Dr. Owen :

Do you use birth control/

Dr. Owen :

What is your height and weight?

Customer:

I am not on birth control as I have been trying to get pregnant.

Customer:

I am on reglan 5mg, zofran 4mg, humalog on a sliding scale, and humalin

Customer:

I am also taking a pre-natal vitiamin and 1000 units of vit. d

Dr. Owen :

Okay

Dr. Owen :

So is your blood sugar very well controlled?

Customer:

I am 5'3 and 206 lbs.

Dr. Owen :

What is your A1C?

Dr. Owen :

Are you trying to lose weight?

Customer:

my last a1c was 6 something

Dr. Owen :

low 6's or hight 6's

Dr. Owen :

high 6's?

Customer:

i beleive it was 6.2

Dr. Owen :

That is okay

Customer:

i know my doctor said it was prity much perfect

Dr. Owen :

are you taking a medication such as Metformin

Customer:

no

Dr. Owen :

Are you trying to get pregnant?

Customer:

yes i am

Customer:

i have had diabetes since i was 7

Customer:

6 months ago was the first time i got my a1c so perfect

Dr. Owen :

okay

Dr. Owen :

Has any ob/gyn talked you about your weight and pregnancy

Dr. Owen :

I am really going to give you advice

Dr. Owen :

And, I know it will be hard to take

Dr. Owen :

But please listen

Dr. Owen :

as an ob/gyn

Dr. Owen :

diabetics who are over weight really can hurt themselves and their unborn babies

Dr. Owen :

So, it is very advisable to get your weight down

Dr. Owen :

I would recommend working with a nutritionist,

Dr. Owen :

an ob/gyn

Dr. Owen :

and anyone who is willing to help you

Customer:

ive been on a weight loss plan with the nutritionist my obgyn reccomended for over 3 years.

Customer:

we've tried almost everything interms of the weight

Dr. Owen :

because your weight can cause a lot of other problems besides diabetes such as hypertension and preeclampsia

Dr. Owen :

I understand

Dr. Owen :

but weight loss is doable

Customer:

we are looking into lapband

Dr. Owen :

you have to put your mind to it

Dr. Owen :

a lap band would be advisable and then no pregnancy for at least 6 months after that surgery

Customer:

yes, i know. ive work out 2 hours a day everyday and eat almost all organic

Dr. Owen :

KEEP working out

Dr. Owen :

think positively

Dr. Owen :

you can do it

Dr. Owen :

Insulin is a growth factor so I know it makes it hard to lose weight

Dr. Owen :

but you can do it

Customer:

my obgyn and i have discussed everything. i would be under constant watch of my doctors if i were to get pregnant

Dr. Owen :

you really can

Customer:

oh, i know i can, it does get discorgaging at times as i keep losing inches but no weight

Dr. Owen :

You will need to be on watch

Dr. Owen :

because you are going to be a 'high' risk pregnancy

Dr. Owen :

try to lose just 1 pound per week

Dr. Owen :

That is a very realistic way and method

Customer:

yes, i go to Yale diabetes and Yale fertility so i would be under constant watch

Dr. Owen :

you can do it

Dr. Owen :

perfect

Dr. Owen :

keep doing it

Customer:

i am not sure if it matters but my doctor has been informing me for years that i do have type 1 diabetes

Dr. Owen :

the reason I say this is because children of diabetics can get birth defects very easily unless you have a very well controlled blood sugar, and your weight is in control.

Customer:

the pcos didnt happen until i was 17

Dr. Owen :

So this is why I suggest to get VERY healthy first

Dr. Owen :

Then you should e fine

Dr. Owen :

The PCOS happened because of you diabetes

Dr. Owen :

And this was a whole circle of events -

Customer:

oh it did? the PCOS was never fully explained to me

Dr. Owen :

So everything occurred because of your diabetes - no fault of yours - it just happened

Dr. Owen :

Yes

Dr. Owen :

PCOS - occurs due to excess weight - which occurred due to insulin for you

Dr. Owen :

Insulin then causes a thick capsule around the ovary

Customer:

I know when i got the pcos i went into severe depression and i jumped from 140 lbs to 200 lbs

Dr. Owen :

Hence this causes the follicles to not erupt and ovulate

Dr. Owen :

Hence PCOS

Dr. Owen :

and hence your problems

Dr. Owen :

You solve the Weight isssue

Customer:

wow. that makes alot of sence now

Dr. Owen :

You solve a lot of the problems you posed in your question

Dr. Owen :

I hope this helps

Dr. Owen :

Probably no one explained that to you

Customer:

it does. is there anything in the mean time that i can do about the darkend skin and the acne?

Dr. Owen :

Well

Customer:

i only have facial acne

Dr. Owen :

Well a birth control pill such as Yaz or Demulen will help

Dr. Owen :

Since you should not get pregnant just yet

Dr. Owen :

and that will help with the acne and facial hair too

Dr. Owen :

and decreasing the insulin will decrease the androgens too

Customer:

i was on yaz for a while but ended up having an allergic reaction to it

Customer:

as i did to most birth control pills

Dr. Owen :

and hence decrease the testosterone levels

Dr. Owen :

Then try the Demulen

Dr. Owen :

if you can't not do the birth control

Customer:

i will mention it to my doctor. thank you

Dr. Owen :

then a medication called Spironolactone will help

Dr. Owen :

Take care

Dr. Owen :

Please click on ACCEPt, thank you

Dr. Owen :

and please provide really Excellent feedback

Dr. Owen :

thank you

Customer:

i know the last time my doctor checked my testrone levels she did say they were good.

Customer:

I definatly will. Thank you!

Dr. Owen :

okay

Dr. Owen :

thank you

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