Re: Gyn: Amenorrhea

From: Dr Eberhard Lisse (el@lisse.NA)
Wed Sep 27 17:23:20 2006


Is she complaining about infertility?

el

on 9/28/06 12:19 AM Garry E. Siegel, M.D. said the following: > 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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el@lisse.NA el108-ARIN /   *   |   Telephone: +264 81 124 6733 (cell)
PO Box 8421             \     / Please send DNS/NA-NiC related e-mail
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