BONUS 174: New PCOS Guideline

September 28, 2018

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Today’s bonus episode guest is Dr. Allison Rodgers. She is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility and has been practicing medicine since 2004. Dr. Rodgers currently practices at the Fertility Centers of Illinois. Her personal experiences with both secondary infertility and pregnancy loss have given her a unique insight into reproductive medicine in order to help you beat infertility.

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Dr. Rodgers begins by answering six listener questions. The full questions are read on the air, but here are brief summaries:

  • Caroline, with stage four endometriosis, asks if castor oil will help for her upcoming egg retrieval.
  • Michelle M. has been trying for a year and asks about some confusing results of HSG tests on the condition of her tubes. She also asks a second question about one small spot that was tested for endometriosis, and whether tests can be negative even if you do have endo.
  • Josephine asks about the actual relationship between having a C-section and subsequent difficulty in becoming pregnant again.
  • Michelle B. had a recent egg retrieval, but asks if there are further screening tests to follow a miscarriage and a failed frozen embryo transfer.
  • Chelsey had two miscarriages within six months with PGS-normal embryos. With only four normal embryos left, she wants to know if there would be a benefit to having an endometrial receptivity test.
  • Sarah has tested positive for TPO antibodies and has been advised to use a gestational carrier or use low-dose synthroid. She asks if there is any possibility for her to carry her own child.

Dr. Rodgers and Heather continue the episode by discussing the new criteria for diagnosing PCOS:

  • Given that PCOS affects millions of women worldwide, why do we often hear that it’s such a difficult condition to diagnose?
  • If a woman suspects that she has symptoms of PCOS, what tests will her physician run to determine a diagnosis?
  • A lot of the PCOS information online has to do with non-invasive ways for women to manage PCOS symptoms. Do you recommend any of these diet or lifestyle changes to your PCOS patients?
  • What challenges will a woman with PCOS face when she’s trying to conceive?
  • Please walk us through the new guideline, step by step.
  • Again, historically, PCOS has been difficult to diagnose, in part because of the discrepancies in the criteria international organizations relied on to make a diagnosis. How do you feel the new guideline will help solve this issue?
  • Beyond the new guideline, what, if anything, is needed to improve the diagnosis and treatment of PCOS?
  • Assuming it may take some time for the new guideline to be adopted widely and consistently, what can PCOS patients do to advocate for themselves when seeking a diagnosis or treatment?
  • Have you recently undiagnosed or newly diagnosed any patients based on the new guideline?
  • Has there been any research recently about PCOS? If so, please explain.
  • Is there anything else you’d like to add?

Have a question you want Dr. Rodgers to answer next time she’s on? Click here.

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