Re: Amenorrhea

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Mon Jun 25 18:03:44 2007


Menopause - because of the high FSH & LH. PCO will never give you that high an LH, and her FSH would be normal, unless you took it in the menstrual phase, at which time the LH would be low anyway. Why did you think of chromosomes?

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, 26 June 2007 6:32 AM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Amenorrhea

39 YO Black P0121 seen today for an annual examination.

She has been amenorrheic for around 10 years.

She is obese, BMI 39.2, and has hypertension and diabetes, both treated.

Recent labs:

FSH 49, LH 28, TSH, Prolactin normal, 17 OHP normal.

Is her diagnosis premature menopause, versus a PCO pattern?

Does she need chromosomes done?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

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