Hey gals! I am 8 years post op of my RNY. When I had my surgery my comorbidities were PCOS, Diabetes, and fibromyalgia. I would say within 6 months of surgery my A1C was in the normal ranges and I was completely diet controlled until 2 years ago. My cycle never went to a "normal" state and I have had a healthy child who is now 5 during this time. Had some difficulties during my pregnancy, but over all it was good. I gained 18 pounds with him and it was all gone within 2 weeks of having him.

I have since been diagnosed 2 years ago with Lupus and Sjogrens which has landed me on steriods and made me gain 45 pounds. i am getting off the steriods now and hope to see the weight dwindle. . My RNY surgery has been a huge blessing when it comes to my health issues. I would do it again tomorrow. It did not help regularity AT ALL!! I have had the mirena IUD incerted (still allows you to have kids) and it has helped TREMENDOUSLY with the cramping, heavy cycle, and regularity.

Be well and I hope this post helps!!! Good luck with your surgeries!

I think you are confusing  "metbolic change" with "malabsorbtion". The RNY provides malabsorbtion for a period of time and DS'ers malabsorb forever. Malabsorption doesn't result in metabolic change, it results in less calories absorbed. Metabolism is a very different mechanism that is exremely complex. DS (and RNY for that matter) diabetes cure rates aren't related to metabolic change, they are related to nutirional intake and absorption change. Same goes with PCOS, which is largely believed at this point to be caused by insulin resistance (which both causes and is worsened by obesity) rather than the other way around. Rapid and massive weight loss will undo the escalation of PCOS by scaling back the obesity, and nutritional intake and absorption will help to contain the insulin resistance over time. That doesn't mean that there has been any underlying metabolic cure. 

I did South Beach pre-op and had a lot of success with it. My post-op diet isn't much different aside from the fact that my food volumes are much smaller. It's focused on the good carbs and good fats - and reducing carbs overall. There's a two week Phase 1 that is like an induction - No bread, fruit, sweets, at all, then Phase 2 you can reintegrate good carbs (whole grains, raw fruit, etc) slowly.

Thanks.  The more research I've done, the more I'm starting to be convinced that the sleeve is probably not going to be as effective with the PCOS.  I still need to talk to my Dr. again, but I think I'm leaning toward  the RNY now.  Sigh.  Decisions, decisions.

I'm looking to have RNY in the next few months.  I was HEART SET on the sleeve but until I sat with my pcp and my obgyn.  They stated that RNY was best for pcos and most other obesity related comorbities.  (I'm diabetic as well). 

Also, you're very similar in structure to me.  I'm 5'9 284

I hope this helps.