Re: Possible misdiagnosis??
From: Sally (anonymous@obgyn.net)
Fri, 28 Sep 2001 06:46:36 -0500 (CDT)
Hi Lori,
>From what I have read, and I am no expert, PCOS beleived to be caused by
insulin resistance. Diabetes is just one step further - and many people
with PCOS end up with diabetes. Treatment for borderline diabetes would
be more or less identical to PCOS.... so perhaps it doesn't matter
which diagnosis you use, the treatment approach is the same.
Different people get different degrees of symptoms with PCOS so I guess
your symptoms alone may or may not be enough. Diagnosis is based on
hormone levels, insulin and other blood tests, symptoms and family
history. I would think that the diagnosis would normally be pretty
clear, as long as they have ruled out other hormonal problems that may
cause similar symptoms (ie. hypothryroid, etc.)
Absence or presence of Ovarian cysts do not rule out or confirm the
diagnosis. Miscarriage, particularly 1st trimester, are also very
common in PCOS.... :-(! Your description still does sound like PCOS.
Don't know if my comment is any help. Best wishes and keep well.
--
Sally
At Thu, 27 Sep 2001, Lori wrote:
>
>I am starting to question my diagnosis. Does anyone know how easy it is to
>diagnose PCOS?
>
>The reason I wonder is because I have been diagnosed with PCOS but I do not
>have cysts on my ovaries (or at least I didn't in May of 2000 when I had
>specialized ultrasounds done to look for cysts and couldn't get one done
>this year because of my pregnancies which they said would make it look like
>I had no cysts), I don't have any unusual facial hair other than 2 or 3
>whiskers that I just keep pulling out, I have not had problems getting
>pregnant (1 pregnancy was natural, the second only took 1 cycle of chlomid),
>the doctors feel that 500mg of glucophage is all I need, and even though my
>periods are irregular, they do come once every couple of months.
>
>I AM overweight (210lbs and 5'8") and I carry my weight in the middle, and
>blood tests show that I have insulin resistance.
>
>Is it possible that I am closer to being borderline diabetic than PCOS?
>
>I am just questioning a lot these days since I have had 2 miscarriages this
>year. I don't want to offend my OBGYN by questioning his diagnosis unless I
>know that it makes sense to.
>
>-Lori
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