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Re: PCOD: sonologist arguing on Stein -Leventhal with gynecologist From: Anatoli Garkusha (midilover@yahoo.com) Tue Mar 28 20:37:18 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski MD: "Re: Lupron in pregnancy" Previous message: freda seddon: "molar preg and subsequent preg, new case" In reply to: Anatoli Garkusha: "Vaginitis/bad laboratoty?" Thanks to all who have given their comments on PCOS. I supposed U/S of ovaries was needed to put that conclusion. Yes, I have seen, though rarly, ovaries not enlarged and structurally near normal in cases of hyperandrogenism and hirsutism. The echo picture of affected ovaries is yet to be investigated. Thus the gyn endocrinologist may feel more confident to have endocrine analises at hand. Nonetheless would you not agree those analises can be misleading as well, taking into account oscillating levels, individual variations and other inner secrition glands and other organs influencing each other and ovulation at the end? Some infertility centers do not use endocrine levels to monitor ovulation in PCOS. Close cooperation with experienced sonologist was proved to be exact enough in picking up the propper treatment to enduce ovulation and endometrial positive response. Please comment on this. Regards, Anatoli Garkusha, MD. At Mon, 27 Mar 2000, Rafael Haciski MD wrote: > >Stein-Levenethal term is not in use today. > >The clinical condition of PCOS is daignosed based on the following: >1...anovulation (or evidence of anovulation) >2...signs of hyperandrogenism (elevated androgens, or hirsutism, or acne, >etc) >note that the diagnosis does NOT involve sono determination of the ovaries >(which can be cystic or not). > >For your particular problem, just describe what you see, and refrain from >making diagnoses, analogies, or allusions. > >-- >Rafael Haciski, MD FACOG >Gynecology and Infertility Associates >Baltimore, MD >410-825-0020 >web......http://www.IVF-MD.com >e-mail..GIA@IVF-MD.com > >> From: midilover@yahoo.com (Anatoli Garkusha) >> Reply-To: ob-gyn-l@obgyn.net >> Date: Sun, 26 Mar 2000 06:46:37 -0600 >> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> >> Subject: PCOD: sonologist arguing on Stein -Leventhal with gynecologist >> >> Colleagues, >> Please help me to resolve this question. >> As a sonologist I work in close cooperation with referring >> gynecologists. Some of them disagree with my statement in sono resume >> on PCOD when I conclude: the polycystic ovaries structurally correspond >> to those in Stein-Leventhal syndrome. >> >> «No way to mention Stein-Leventhal» - they would argue - >> «those with this disease are infertile whereas our patients have >> children». >> As I see it. Stein- Leventhal is just a variant of a vast range of >> hormonal and other abnormalities. The fact that women with this >> diagnose did have children means the infertility issue is not final and >> forever. >> Thus, my point of view: I must be right to deduce on Stein-Leventhal if >> there were to be infertility or not. >> What would you say? >> Anatoli Garkusha, MD, sonologist. >> Kiev, Ukraine. >> Next message: Rafael Haciski MD: "Re: Lupron in pregnancy" Previous message: freda seddon: "molar preg and subsequent preg, new case" In reply to: Anatoli Garkusha: "Vaginitis/bad laboratoty?"

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