I agree with you and everything that your doing before you do your surgery. But from what I understand and have seen the most effective surgery for any type of co-morbidity is the DS. I had gastric bypass but still have hbp, diabetes, so I think if I would have known about DS at the time I would have gone more towards that end. I know its alot more complicated but what surgery isn't. But its best you research and do whats best for you and what you feel comfortable with. Good luck hope everything falls into place for you.

Liz

I have Mirena too!   I love it!  You can have it for up to 5 years.  The best thing is I don't have a period.  I have not had a period in 4 years...which also means no cysts - I don't ovulate.

PCOS slows down your WL because of the insulin resistance. I am one that knows because its done it to me. I had my WLS and I am 8 months out tomorrow and have lost 50 pounds where others have lost that in about half the time. I am not complaining but the symptoms are awful. I have also read that there is no actual surgery that cures the pcos but it will relieve some of the issues. My issues seemed to have gotten worse after the WLS but would still do it over. I am currently looking into having a hysterectomy due to other issues and hope it will clear up or atleast help me with the symptoms. But the insulin resistance is the worst of them all because of my fluctuating blood sugar levels I am still on metformin and bp meds. Which sucks because I was hoping to get off of them after the WLS.  Your hormones do tend to get out of whack afterwards but eventually get back to normal so they say. I say even though surgery will not cure pcos you should go through with it and feel good about it. Like I said my symptoms are still there and may have gotten a little worse but I don't regret having the surgery. Now I just hope to get them under control.....

Hi Soft..pls see my response to the OP if you haven't already. Also, please know it's not ok to continue in the type of pain you describe by taking ibuprofin (sp?) and NSAIDS are not allowed to post RNY patients in any event so you are quite possibly risking a healthy pouch in the process. I will probably never know how long I "carried" my cyst (left ovarian) or how fast it originally grew because except for the fatigue/LETHARGY which was generally attributed to obesity I had no symptoms/pain until post RNY.

As I understand it the ultrasound provides for the most reliable diagnosis but torsion (twisting and cutting off blood supply) can still be difficult to detect w/out surgery. Because my cyst was so large and cancer could not be 100% ruled out it initially looked like I would need open abdominal surgery to remove it which obviously would have been harder to endure than the LAP ultimately performed. But after a CA125 test and endometrial biopsy and the sample recieved from the original aspiration were benign, it was determined the probability of metastisizing was much smaller than the risk of open surgery.

I feel very fortunate/appreciative that my WLS surgical team was in close consultation w/the OBGYN surgical team so everyone could see/consider the BIG picture. Yet I am dissapointed my complaints of lethargy/fatigue/generalized pain/weight gain were so readily attributed to obesity that a CT scan/ultrasound wasn't done two years pre-RNY when I started seeking relief from the medical professionals. So again, research research research, connect the experts and be your own best advocate. Best Wishes.

Hi everyone,

     I have been dealing with PCOS for 20 years now.  I have my first appointment to see a surgeon on Oct. 15th.  I am wondering what others have learned about PCOS and WLS.  I also would like to know what the most reccommended surgery is for PCOS.  I really want to be as educated as possible about the options before I speak to my surgeon.

Thanks!