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Friday, 8 November 2013

PCOS: the first few weeks

Last autumn, things finally started falling into place for me. After confirmation of PCOS by ultrasound, I  fretted for weeks. And then I decided to try and write down what I was feeling and posted it online. Here's what I wrote:

8th October 2012.
Over the past couple of years, I have not had a completely smooth ride where my health was concerned. I've come to know what it's like living with chronic pain day in, day out and to not know when I'd ever get any respite. And I've been a lucky one: daily life is now, for me, pain-free most of the time. I've come out of the other side of over a year of daily pain with the understanding of how that wears you down until you feel paper-thin and exhausted and overwhelmed by the relentlessness and unfairness of it all. Still, it's left its imprint on my life and general health now. Physiologically, things won't ever be the same as they once were. But I'm happy to take that instead of the stacks of painkillers I once took each day.


Until now, I had resigned myself (after scans, blood tests, private consultants, NHS consultants, surgery and various medications including too many hormonal contraceptives for one woman to take in such a short period of time - period being an appropriate word here) to being one of the "third of women who never find receive a diagnosis for what is causing their problems". And then, a month ago, I was diagnosed with polycystic ovary syndrome.

A month later and it still stirs up a maelstrom of mixed feelings when I think about it. A concrete diagnosis. A reason for a lot of the things I have had to cope with. But one which means the surgery I had last summer (diagnostic laparoscopy, to look for evidence of endometriosis - there was none) was unnecessary. One which means the contraceptives I was coerced onto were all wrong for me and one for which the signs were there in my first ultrasound, two years ago. Because of this, I am angry. Angry that a lot of the pain and hospital trips I went through probably needn't have happened. I lost out on a huge chunk of the "university experience", including study time and multiple exams. I am incredibly proud to have earned the degree that I did under the circumstances my health put me in, but now it feels like healthcare could have given me better chances. Of course, I am also relieved to know the cause of my problems, and to know that measures can be taken to treat them.

On top of this I am scared and, overall, sad. I am only 21 and nowhere near ready to have children, but I hate that it's been presented as a fact to me that I'm less likely to conceive in the first place, and far more likely to miscarry if I do. On top of this are the increased risks of cardiovascular disease, type-2 diabetes and endometrial cancer.

But PCOS is manageable, and already I've made lifestyle changes. I've been sticking to the low GI diet, exercising more and six days ago I was prescribed Metformin, to correct insulin resistance and hopefully bring my hormones in check. In a couple of weeks I will have the Mirena coil fitted (eek!) to protect my endometrium from hyperplasia and cancer. These are significant changes but I feel lucky that I have the chance to make them for the good of my health.

I deliberated over writing about this for a while, and even now I am anxious about posting it. I have not been particularly personal with my posts so far and it's alarming to think that many people I know could read this if they happened upon it (which they easily could). But I think that I should. I want to put me into my blog and this is an entire facet of who I am. I know that I personally would like to see blogs by women with PCOS (and I'm going to hunt them down), so why not mention it in my own?


A year later and I hope this will become one of those blogs I was desperately seeking. I was so scared to talk about this then and now you couldn't shut me up! This week is PCOS Awareness Week and it feels good to speak up! I still fret about PCOS sometimes, but it's good to see how I was feeling then and know now that it will all be okay. How about you? How did you cope with learning of your PCOS? Have your feelings about changed over time?

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