WOMENS-HEALTH Messages for March, 2002: Re: PCOS or chronic anovulation?

Re: PCOS or chronic anovulation?

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sat, 30 Mar 2002 17:24:23 -0600 (CST)

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In reply to: Amy: "PCOS or chronic anovulation?"

At Fri, 29 Mar 2002, Amy wrote: >
>My son is 18 months old, during that time I have had two periods that
>were not induced by Provera or birth control pills. My RE has tested me
>for PCOS sort of by giving me a 2 hour GTT with insulin. According to
>him the levels came back inconclusive. (My glucose levels were normal
>and my fasting insulin was normal, but my 2 hour insulin was elevated.)
>I asked him if I had PCOS and he said he didn't know, that he thought I
>just had Lupus which was causing some kind of ovarian dysfunction. I
>ovulated the month before I saw him on my own (the first month off of
>BCPs), but my progesterone level on day 21 of the cycle after was only
>.9, so obviously I didn't ovulate. My RE is internationally known for
>his research on PCOS, but he didn't want to do anymore testing to
>confirm or disprove the diagnosis (no FSH, LH, testosterone, DHEAs--
>nothing) Is that normal? FWIW, I have no signs of hyperandrogenism
>(acne, hair, obesity), but I have Polycystic ovaries and obvious
>anovulation. Are we to the point where only glucose/insulin levels
>matter?

Not as far as I know. Last I read, some of the other tests are helpful >
>Question 2: Does pregnancy or prednisone cause permenant anovulation? I
>did take prednisone for a long time after I had my son at higher (15-30
>mg) doses, but I haven't for over three months and my cycles are still
>messed up?

3 months is not very long in terms of getting back to normal after using steroidds

What could be wrong if not PCOS

chronic steroid use

and can it be fixed?

probably

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: Placenta Attached to Fibroid"
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: pain while urinating after sex"
In reply to: Amy: "PCOS or chronic anovulation?"

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