First of all, I don't have Celiac disease, but I do have PCOS and thought this might be helpful to Cheryl. I was diagnosed with PCOS when I was about twelve years old by my general practitioner. He was a wonderful doctor and diagnosed me right away based on my very obvious symptoms. (I have irregular periods, insulin-resistence, weight issues, and hirsutism.) I was also put on low-dose birth control pills, which did regulate my periods, but did not affect my other symptoms in any measurable way. Anyway, when I was about 18/19 years old, I went on a sugar-busters-like/diabetic diet and lost quite a bit of weight, which helped to regulate my cycles further in combination with the birth control. (Even a small amout of weight loss will help with PCOS-induced irregularity.) I stopped taking birth control when I lost medical coverage, but as long as I maintained a reasonable weight, my cycle was relatively regular.
At 23/24 yrs old, my husband and I wanted to get pregnant. I went on Metformin (glucophage), which is a diabetic medication prescribed to regulate insulin levels and improve insulin-resistence. This is turn regulates ovulation, making it possible to get pregnant. I was on this medication for about a year, and, after a myriad of fertility testing for both of us, I was told that we couldn't, in all likelihood, get pregnant. At the time I was told this, I was already 6 weeks pregnant!
I continued to take metformin throughout the first trimester and was then taken off of it. Maintaining through the first three months is believed to reduce the chances of miscarriage, as insulin-resistence is thought to raise the risk of PCOS patients having misscarriages. However, as no conclusive study has been done to determine the risks to the fetus if meds are continued throughout the pregnancy, my doctor and I elected to stop taking the medication. BTW, metformin is only a class B medication, and should be safe for the baby, however, it's better to error on the side of caution if the pregnancy can be maintained without any medication.
With PCOS, you are at higher risk of gestational diabetes and pre-eclampcia, so get regular testing done. Your doctor, though, should be aware of these risks and test you automatically. There has also been some discussion about clotting issues with insulin-resistence and PCOS, but you should discuss this risk with your physician/mid-wife.
I am now about 6 1/2 months along, and have had no problems. My weight gain is near 16 lbs. now, which is more than my doctor and I discussed, but still within a good limit. (I was at/close-to a normal weight when I conceived.) The last ultrasound showed the baby (boy) to be of completely normal size with no physical abnormalities. It is also a PCOS-based risk to have very large babies if you yourself are overweight; conversely, PCOS is also associated with premature births due to fluctuating hormone levels and possible clotting issues disrupting uterine blood supply.
Overall, there are risks associated with PCOS and pregnancy. But, there are risks with pregnancy alone, not to mention pregnancy within a chronic disease. Discuss the medication with a competent physician. Metformin worked for me to both regulate cycles and ovulation, but some women have used it in conjunction with Clomid (ovulation stimulator).
As far as the gallbladder goes, I had mine removed when I was 15 years old. I never took enzymes, but I do avoid high-fat foods, as they upset my stomach.
I hope this was informative and will help you to get proper medical care. It always helps to be over-informed when it comes to choosing a physician you can trust. Feel free to e-mail me (reiko-fairy@cox.net) if you any more PCOS questions (a topic I've been researching extensively for 10+ years).
Rei
QUOTE (annapumpkin @ Aug 7 2007, 02:52 PM)

Hello everyone, Im new to the forums...in fact I have been diagnosed for 5 years and this will be the first group help I get...eek. Absolutely no support groups here or educated medical staff that I can find. Needless to say I have been avidly reading everything i can get my hands on but some of the stuff freaks me out. I am going to be trying to get pregnant in the next year or so but I have some problems. When I was 12 I was diagnosed with PCOS their cure for me was progesterone and birth control which got rid of the PCOS but I have been on birth control ever since(im now 21). I tried going off the pill but again the same problems...no period. Now, I am starting to miss periods even on the pill!!!!! Along with that I had my gallbladder removed in November and I just now found out Im supposed to be taking Digestive Enzymes...so I have gained quite a bit of weight

! So what I would like to know is if you guys had any advice or information for me...I would be so grateful!
SINCERELY,
Cheryl
