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Gyn: AmenorrheaFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Sep 27 17:16:44 2006
46 YO P2002 with amenorrhea for 4 years. A bit heavy-set, has a habitus not inconsistent with PCOS, as well as a bit of facial hair and oily skin. Multiple FSH levels have been less than 10. She was found to have an elevated fasting insulin of 12, but a glucose of around 85, a year or so ago, along with elevated lipids. She has been referred to an internist and is on Metformin and Vytorin for lipids, yet still hasn't menstruated. She failed a Provera challenge last year, and had a scan showing a 16 mm endometrium. I am repeating the Provera now. I will do some homework, but any thoughts are welcome. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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