A Request for Help…PCOS

logooutsidebrushThe following is a particularly eloquent email one of my patients sent me before she made her first appointment. This is an excellent example of the type of inquiries I get weekly. The following is an excerpt of our communication, posted with her permission and request to remain anonymous. Her email is in italics and my response is bolded.

Hello, I am searching for a practitioner with knowledge, patience, and a history of success in treating women with PCOS.

I am hoping you would answer a few questions for me to help me decide if I should come to your office for treatment…A little bit about me:I am 34 next month. I was diagnosed with PCOS about 6 months ago after having trouble trying to conceive. I started acupuncture treatment in July to help regulate my cycles (before by diagnosis of PCOS). I went for weekly appointments from July through Mid October. Although at times it seemed to help, my cycles were still not regulated. I think I might not have given acupuncture a fair chance. For one, I did not know enough about my condition to explain my needs to the practitioner. Now that I have been charting my CM and BBT, I can bring these charts to a practitioner for a better understanding of my needs. Although the acupuncturists I saw at Five Branches were very knowledgeable, the environment seemed much too rushed. I am afraid I did not get the focused attention I was looking for.

Can you answer these few questions for me?How many women have you treated with PCOS?What were your results treating PCOS?How do you believe diet effects PCOS?Have you treated women who were taking Clomid? Did any become pregnant after treatment?Have you used women’s charts to aid in treatment?Have you read the Infertility Cure by Dr. Randine Lewis Ph.D? (this book was what convinced me to try acupuncture again, now that I am more aware of my cycle through FAM charting).

Thank you so much for taking the time to answer these questions,Sincerely looking forward to reading your response.

My Response:

First of all, I’d like to say I appreciate the time you are putting out in terms of these thoughtful questions in an effort to find the best practitioner for you. I will try to answer them to the best of my ability. I have treated several with a PCOS diagnosis, and many more who I believe had PCOS but went undiagnosed.

What were your results treating PCOS? This is a difficult condition, NOT impossible to treat, but it takes diligence on the part of the patient. To answer this question, two patient histories come to mind:
1. I treated one patient several years ago for three months with acupuncture, herbs and dietary suggestions. In this time her cycles regulated, she lost weight and reached her health goal which was to have regular periods.
2. I treated one patient about 3 years ago who came at the urging of her girlfriend. She had a lot of psychological challenges around weight and her eating habits and would not entertain the idea of dietary/lifestyle changes. She also did not want to take herbs. I saw her twice a month for 2 months and then we both decided that this was not the ideal path for her at the time.

How do you believe diet effects PCOS? This is a very interesting and complicated question. In short, I think it is pivotal. I have done a lot of work with insulin resistance and believe it plays a huge role in this disease.

Have you treated women who were taking Clomid? Many.

Have you used women’s charts to aid in treatment? Yes, they are a less expensive way to follow hormonal shifts than salivary hormone panels, though sometimes these are helpful too.

Have you read the Infertility Cure by Dr. Randine Lewis Ph.D? (this book was what convinced me to try acupuncture again, now that I am more aware of my cycle through FAM charting). Funny that you ask me that. I think this is a great laywoman’s guide to fertility. You may also enjoy Fertile Soul Cycle Companion Journal by the same author. I just ordered two copies of this book for the library at the Fertility Physicians of Northern California.

So, I’d like to give you a little background on me, my practice and how I work with Women’s Health. I attained my doctorate in Acupuncture and Oriental Medicine (DAOM) with a dual specialization in Women’s Health and Pain Management. I am continuing on to do research with the Fertility Physicians of Northern California for my PhD in Integrated Chinese and Western Medicine. I am also the only certified specialist in Oriental Reproductive Medicine in Santa Cruz county. The majority of my patients are women and it brings me great joy to help them shift their health and achieve their goals. During your initial visit we will go over your medical history in detail, go over the herbs/drugs/supplements you may be taking and your typical diet. I’ll do an assessment using Chinese and Japanese methods of diagnosis and and acupuncture treatment. The session will conclude with a treatment plan detailing appropriate modalities for treatment such as acupuncture, specific herbal formulas, dietary suggestions and other self care measures.

Hope I answered your questions and gave you the information you are looking for.
Take care and good luck to you!