PCOS and liver disease

[Guest guest]

Hi All

I have a 30 year old woman coming to see me next week who has PCOS and

auto-immune liver disease. She is taking cyclosporin and prednisolone for the

liver disease. She wants to conceive, but has never had a period, apart from

one very small one at puberty. She was not overweight until she started on the

steroids (don't know when this was yet) but has put on 3 stone since then and

can't shift it. I usually feel very confident about treating PCOS, and

typically use fairly high doses of glyc, peony, vitex, smilax and serenoa, with

good results. I have not ever treated auto-immune liver disease, and I'm

worrying about drug-herb interactions, and also the effect of herbs on her

liver. I haven't seen her yet, so don't know the whole story. It doesn't seem

to me that she wants help with her liver disease as such - she feels that the

drugs she is on are controlling it and she has been told that she can continue

taking them during pregnancy (?) if she conceives.

I would really appreciate any advice anyone might have about helping this

person.

Best wishes

bel