If you missed Ob/Gyn Dr. Leland Gebhart online chat Tuesday, September 13, 2011, see the discussions below.
Board certified by the American Board of Obstetrics and Gynecology, Dr. Gebhart completed his undergraduate degree at the University of Mississippi. He then earned his medical degree at the University of Mississippi School of Medicine, where he also completed both his residency and fellowship in obstetrics and gynecology. He is a member of the American Medical Association, the American College of Obstetrics and Gynecology, the Mississippi State Medical Association, the Central Medical Society and the Jackson Gynecologic Society.
Dear Dr. GebhartHi my name is Lachelle. I am 27 and will be getting married in a few months and want to become pregnant right away. I was diagnosed with PCOS in 2003. I am 5’8 and 299 pounds. I havent had a peroid for about 3 months now. That is normal for me because i go months without one and then it will all of a sudden come on and stay on for a month and is very very very heavy. I was told that i should take birth control pills containing estrogen. I was wondering if i could take estrogen pills and prenatal vitamins to get pregnant instead of the birth control pills. I also heard that geritol would help me get pregnant as well, is that true? I have heard many success stories about people using the geritol. My one dream is to be a mother, and i dont want PCOS to stand in the way. Please help me. -Lachelle
I want to get on birth control, but not to control birth. Ihave a lot of trouble with irregularity and break outs. I wason BC when I was younger, and it did wonders for my skin, butalso helped me gain a lot of weight. Though the weight gainwas healthy at the time, now I am struggling to lose weight.Is there a BC pill that will help regulate my cycle, defeat mybreak outs, and help me manage my weight?
I have really bad cramps during my menstration. I get sick,have digestive problems, back pain, and sometimes vomiting. Ican only make it through the day on heavy painkillers. Somepainkillers don’t have their effect on me anymore.Is there something I could do to help with this pain?Hormones?
Thanks Lachelle,FIrst of all, go ahead and plan on being a mother, PCOS is very treatable. Your menstrual irregularities are classic for a patient with PCOS. I commonly counsel patients with PCOS to stay positive, for a little extra work may be required to achieve the desired results. Proper nutrition is essential and critical. Most women will be successful if they modify their intake of sugars and starches and replace them with more fruits and vegetables. So in a nutshell, if you learn to replace these “bad carbs(refined)” with “good carbs(complex)” this will limit your insulin response. This will help with weight control and improve your chances for spontaneously ovulating or releasing an egg(oocyte) for fertilization. Your doctor may consider insulin sensitizing medicine to help you with this as well, a common medication known as Metformin may possibly help lower insulin levels and thereby improve the timing and regularity of your menstrual cycle. Birth control pills would certainly help regulate your menstrual cycles and are commonly used to treat women with PCOS. Birth control pills are ideal treatments until you are ready to conceive. Geritol has no improved efficacy I am aware of for increasing fertility. The most important aspect here is the preconception(months before you plan to become pregnant) need for appropriate vitamin supplementation and intake of AT LEAST 400 micrograms of folic acid daily to help prevent certain fetal birth defects. You do not need”estrogen pills” and a vitamin. Lastly, a physician may consider medications known as “ovulation induction agents” to help you ovulate as well. Additional labwork will most likely be recommended as well.
Thanks for your online question,Leland Gebhart M.D.
I have one year old twins, whom I nursed for six months. Even after six months I continue to produce milk and continue to have a “fullness” or sense of pressure in my breast, similar to when I would need to nurse/pump. How long will this continue, will it go away, or will it always be like this? Thanks for everything Dr. G and Go Rebels!!
Jenna,Birth control pills have long been associated with improving skin complexion. However, many do complain of weight gain while taking pills. Birth control pills are not first line treatments for acne, but with a coordinated plan of topical skin care, possible antibiotics, and the addition of birth control pills, you may expect to see improvement. Birth control pills may need several months to see these results. However, you have to weigh side effects and potential complications related to birth control pills before pursuing this option. You need to talk with a physician or provider about your health history and your age as this may effect your risks using birth control pills as a treatment for acne. Lastly, studies have shown that birth control pills effect on weight gain is minimal if any. Women commonly retain fluid which may give you the perception that you have gained weight (most commonly in hips, thighs, and breast).
Thanks for you online question.Leland D. Gebhart, M.D.
Ana,These complaints warrant a visit with your health care provider in the near future. There are many therapies available to help women with menstrual cramping and you should look into all your options. Both medical and surgical treatments are available, and there is a cause for concern that you are needing narcotics on a monthly basis to control your symptoms. Regarding hormones, birth control pills have been proven to reduce dysmenorrhea (cramps), as well as NSAIDS (Motrin, Advil, Aleve). Lastly, if all medical therapies fail, you may need to consider other options, including surgical therapy.
Thank you for your online question,
Leland D. Gebhart, M.D.
What is your opinion on non-hormonal birth control such as IUD’s? I am 27 years old, but have been on birth control since I was 16. I honestly dont know what my body would feel like not on the hormones. I am curious of non-hormonal options. Your opinions?
Hello Lindsey,Thanks for your online question. This condition is referred to as galactorrhea. It is not uncommon after breast feeding to have persistent production of milk. This commonly occurs for several months after cessation of nursing in many women. An exact timeline for this to stop would be difficult to predict as this condition varies. Common causes may include an underactive thyroid, excessive breast stimulation, certain medications such as antidepressants or hypertensive medications, as well as certain herbal supplements. Sometimes, a cause cannot be identified. A complete workup may include a physical examination, additional lab work, and possible radiology evaluation as well.
Thank you again for you question,
Leland D. Gebhart, MD
I certainly utilize and recommend non-hormonal therapies for contraception quite often. You can consider a ParaGard IUD as this is a non-hormonal option. You may consider the Billings Method or Natural Family Planning. Take an honest look at your plans for contraception, and if you desire long term contraception (up to 10 years) and reversible therapy, the ParaGard IUD is an outstanding option. If you are planning a family within the next one to two years, the Billings Method or Natural Family Planning is another non hormonal option. Of course, barrier methods of contraception are also non-hormonal. Lastly, women have taken hormonal contraception for years without long term negative effects. If you are pleased with your current choice, I see no reason to change.
Thanks for you question
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