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A Patient's Guide to PCOS: Understanding--and Reversing--Polycystic Ovary Syndrome Paperback – March 21, 2006

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About the Author

Walter Futterweit, M.D. F.A.C.E., F.A.C.P., is co-chief of the Endocrine Clinic and Clinical Professor of Medicine at Mount Sinai School of Medicine in New York City. Author of more than 100 papers and numerous textbook chapters, he lectures regularly before lay and professional groups, conducts ongoing research about PCOS, and maintains a private practice in Manhattan focused on PCOS. He is married and lives in New York City.

Excerpt. © Reprinted by permission. All rights reserved.


Martine knew that she had an infertility problem. She wanted a baby, she said, but she didn’t want twins—and certainly not triplets. She’d heard that fertility treatments often led to more than one baby at a time, and she knew that wasn’t for her. “My doctor told me you were the specialist I should see,“ she said to me.

In her mid-thirties and a vice president at a well-known commercial bank, Martine was direct and to the point in a businesslike way.

“I don’t want a high risk for multiple births,“ she said. “What can you do for me?”

She clearly expected me to write a prescription and she’d be on her way. I knew her doctor well and understood why she had referred Martine to me.

“It’s true that a woman taking the popular fertility drug Clomid has a one-in-ten chance of having twins,“ I said. “But I assume you’ve been told that I don’t run a fertility clinic.”

“What can you give me?” she asked.

“It all depends on what’s causing your infertility,“ I replied.

“Doctor, we’re both busy people,“ she said. “I don’t have time for a medical investigation. My husband and I want a baby. The problem is mine, not his. Help me.”

“Are your periods regular?” I asked.

“I run in the marathon every November,“ she said. “The rest of the year I train for it—my periods aren’t all that regular.”

“You don’t look like a runner,“ I commented. She was about fifteen pounds overweight, mostly around the waistline.

“I know.” She sighed. “I’m always snacking. When I don’t eat, I get dizzy.”

Our brief conversation had already been quite revealing. Martine’s menstrual cycles were not regular. She was beginning to develop an apple shape, carrying her excess weight in her middle. This is often a sign of insulin resistance, a condition in which greater amounts of insulin than normal are needed to regulate the blood sugar level. Her snacking and dizziness also suggested unstable blood-sugar levels, probably aggravated by a diet rich in carbohydrates.

Martine noticed me examining her hair. It was auburn and cut fairly short, in a style that suited the shape of her face. There was no sign of any thinning scalp hair, which would have been an indicative symptom of PCOS. She shot me an impatient look. Obviously the last thing she expected from a specialist in my field was my apparent interest in her hairstyle!

“When did you last have acne?” I asked, having noticed very faint scar traces on both her cheeks, not quite fully concealed by makeup.

“About a year ago,“ she said, becoming curious about whatever game I was playing. “You’re seeing me at a good time. When I get it, it takes forever to clear up. I think it’s all the chocolate I eat.”

Contrary to popular myth, chocolate does not cause acne. The cause of persistent acne in adult women is often a higher than normal blood level of male hormones.

“Do you have much unwanted facial and body hair?” I asked next.

“More than most women, I suppose,“ she answered somewhat defensively. “I use electrolysis to get rid of it.”

“One more question. Have you ever heard of polycystic ovary syndrome, often called PCOS?”

She nodded. “I’ve read a little about it on the Internet.”

I told her she had some signs of the condition, but I couldn’t be sure she had it until after a physical examination and some lab tests on a blood sample. We discussed PCOS for a while. I explained that she might not always be ovulating when she had periods, something that happens commonly in women with PCOS.

“If PCOS is the cause of your infertility, I may be able to help you,“ I said.

The lab tests confirmed my suspicions that Martine had PCOS. With lifestyle changes and medication, she was soon pregnant and delivered a healthy baby. I also prescribed remedies for her acne and unwanted hair.

My guess is that Martine’s year-round training for the New York City Marathon helped keep her PCOS symptoms from becoming more troublesome. Not all women with PCOS are as fortunate in this respect as Martine. In addition to having more severe symptoms, many never discover what is really wrong with them. Instead, they bounce from doctor to doctor without ever receiving an accurate diagnosis or effective treatment.

If you’ve done any online research into PCOS, you may well have come across personal accounts that describe experiences very similar to your own. Keep in mind that not everyone who thinks she has PCOS actually does. Other hormonal illnesses can cause very similar symptoms. You can get a proper diagnosis only from a trained professional, ideally from an endocrinologist familiar with PCOS or perhaps from a reproductive endocrinologist, although a number of well-trained gynecologists and internists have the experience to diagnose PCOS. As one of the doctors who is considered to have helped pioneer PCOS diagnosis and the development of effective treatments, I have a personal stake in getting word out to women affected by this sometimes baffling syndrome. I want women to know that once they reach out to seek help in the right place, help is at hand.

If someone were to ask me what I have done with my life as a doctor, I would say that I have devoted more than twenty-five years of it to treating women with PCOS. Today the majority of patients in my New York City practice are women who know or suspect that they have PCOS. In addition to my private practice, I teach, do PCOS-related research at The Mount Sinai Medical Center and School of Medicine, and am active in numerous organizations that spread awareness of the condition. If you don’t want to hear about PCOS, don’t ask me what I do as a doctor.

As knowledge about PCOS and its treatment has increased, it has been my good fortune to have been involved in important developments and events. Although doctors still have much to learn about this syndrome, we have developed effective treatments for the various symptoms as well as the syndrome itself. The purpose of this book is, very simply, to tell you what these treatments are and how to best take advantage of them.

If you suspect that you have PCOS, the first thing you need to do is make a self-assessment. I help you do this in the first chapter. Take the PCOS Quiz—your score will indicate the likelihood of your having the condition.

Most American women with PCOS have weight problems, and conversely, losing weight can alleviate their PCOS symptoms. A woman’s weight may have much to do with insulin resistance. Excess weight and insulin resistance are often accompanied by PCOS, and in chapter 2 we look at the complicated interaction between them.

High LDL (“bad”) and low HDL (“good”) cholesterol levels, high triglycerides, high blood pressure, and insulin resistance can interact in the insulin resistance syndrome (IRS), a condition to which women with PCOS are unfortunately vulnerable. We will look at this syndrome in chapter 3, and at the possible serious health consequences of PCOS in chapter 4, which include diabetes and heart disease.

Part II is titled Getting Well Again, and if you haven’t heard this from your doctor, let me be the first to assure you that you can feel good again. The chapters in Part II all focus on managing the symptoms with the best treatments available.

Treating PCOS symptoms often requires the attention of an endocrinologist—a specialist in hormonal medicine, like me.


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Product Details

  • Paperback: 251 pages
  • Publisher: Holt Paperbacks; 1st edition (March 21, 2006)
  • Language: English
  • ISBN-10: 0805078282
  • ISBN-13: 978-0805078282
  • Product Dimensions: 6.3 x 0.8 x 9.2 inches
  • Shipping Weight: 1.1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.2 out of 5 stars  See all reviews (72 customer reviews)
  • Amazon Best Sellers Rank: #206,283 in Books (See Top 100 in Books)

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Most Helpful Customer Reviews

60 of 62 people found the following review helpful By Dreamer2008 on May 6, 2006
Format: Paperback Verified Purchase
This book is wonderful! I've been learning more and more about PCOS, little by little, since being diagnosed with it four years ago. I had problems with PCOS symptoms since I was a teenager, but no doctors knew what PCOS was at that time. We are so lucky to have all of the information on PCOS now, and that doctors are taking women with PCOS symptoms seriously.

This book is extremely informative and helpful! Although I've been gradually learning more about PCOS, there is still a lot that I need to know -- and this book covers just about everything you need to know. I really like how things are explained, so that you can understand what your body is going through and why certain things happen because of PCOS.

Great eating plan, and helpful hints on how to stick to a healthy plan too. The glycemic index is great to have on hand. I've heard a lot of success stories from women who have eaten by this index, and by following plans similar to the eating plan listed in this book.

I wish that more would have been shared about Femara being a lot more successful fertility drug for women with PCOS, who are Clomid resistant. Also, that Metformin isn't a magic pill for won't give everyone a regular cycle or help everyone get pregnant. The same goes for Clomid. It would be good to also mention that there are two different forms of Metformin -- the "regular" Metformin, and the Metformin ER (Extended Release). Metformin ER has few to no side effects, unlike the regular Metformin.

If you want to know more about PCOS, and want to take control of your health, definitely buy this book! It is literally a life saver!
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91 of 97 people found the following review helpful By M. Lancet on March 26, 2006
Format: Paperback
I was recently diagnosed with PCOS at the age of 29 and after reading this book, realize that I have probably have had this since I started puberty! I was diagnosed two months before this book came out and finally received my copy the other day...I never anticipated a book so much. Finally, I have a guide book for this syndrome! Dr. Futterweit is one of the nation's foremost authorities on this condition and has spent his life researching and treating this condition. This book is the ultimate guide to understanding PCOS, getting a correct diagnosis (as symptoms are variable among all women and are sometimes diagnosed incorrectly), eating and exercise habits to help reverse the condition, as well as strategies for alleviating many other horrible symptoms like excess facial hair, acne, thinning scalp hair, etc. As I devoured this book I found myself saying over and over, "wow, this is my life". The book is written in such a great tone. While some of the 'understanding PCOS' parts are very medical, it's not so filled with medical jargon that you won't understand it. It is evident that Dr. Futterweit truly cares about women with this condition and wants to educate us and give us hope! If you are like me, I am only discovering the full fledged condition as a result of going off the pill in hopes of getting pregnant. There are parts of this book dedicated to Getting Pregnant, Staying Pregnant (PCOS sufferers have increased chances of miscarriage), gestational diabetes, etc.

I feel this book has given me a wealth of information, some of which I intend to share with my primary care physician and ob gyn. I also found that a great compliment to this book in terms of dietary guidelines is Dr. Jennie Brand-Miller's The New Glucose Revolution Guide to Living Well with PCOS.
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21 of 22 people found the following review helpful By Sera on November 3, 2007
Format: Paperback
I've recently been diagnosed with PCOS and I found this book helpful, but nothing new really after the information I got from my obgyn (I guess I'm lucky like that). What I found really useful and extremely helpful in this book were the different options for treatment. What I was frustrated with was the diet plan. I understand that it's not made for everyone, but the fact he recommends eating 1,100 calories a day seems alarming to me, since fitness experts today never advide going under 1,200. Overall, a worthwhile read despite the disappointing diet plan.
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24 of 26 people found the following review helpful By K. Norris on November 12, 2007
Format: Paperback
I've read most anything I can get my hands on about PCOS for the last 5-6 years. While this was an informative book, it wasn't anything new to me. If you're newly diagnosed and looking for some information, this is probably a good book for you. But if you are already fairly knowledgable about PCOS, I'd skip it.
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15 of 16 people found the following review helpful By romevi VINE VOICE on November 20, 2009
Format: Paperback
Before anything else, I wish to state that I am a male, and the whole purpose in reading this book has nothing to do with my body, but with that of my soon-to-be-wife. She discovered she had PCOS about a couple years ago now, so, since then, we've been in constant research of it.
This book was high on the list on, so I thought I'd check it out.

Now, you must understand that reading any medical literature can ofttimes be tedious for anyone not under constant study of the writing style, so I admit that, at times, I was bored. But I vowed to trudge on.
Knowing so little about PCOS before, I have gained so much knowledge about the subject, perhaps even more than my other half--maybe. I recommend this book to just about anyone dealing with PCOS, whether yourself or someone else. Yes, the book can get a bit dry at times, especially when it gets down to specifics about dieting plans and other such routines (at least for me), but it provides good, solid information for just about every field: dieting, exercising, emotional balancing, fertility treatment, hair reduction, and so on and so forth.
Though it may not cover all of these in great detail, it does cover a decent amount in some, whilst providing good starting points for others.

All in all, it's a great book on PCOS, as I have already mentioned. It taught me a lot about my other half, and why she can be moody at times (hopefully she isn't reading this). The author and his team are experts in the field; however, one of the only gripes I have is that there are grammatical and syntactical errors abound. It may be a minor issue for some, but as a graduate in English, these sorts of things make my eye twitch. No doubt it isn't the fault of the author, but more so of the publisher.
But don't let that deter you.

I am confident that we'll be able to have children by following some of the concepts introduced to me in this book, and, of course, through prayer.
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