PCOS-MEDICATION Messages for January, 2002: Re: no subject received Fri, 25 Jan 2002 13:38:24 -0600

Re: no subject received Fri, 25 Jan 2002 13:38:24 -0600

From: Sally (anonymous@obgyn.net)
Fri, 25 Jan 2002 18:39:39 -0600 (CST)

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In reply to: =?iso-8859-2?q?Zalányi Sámuel ?=: "no subject received Fri, 25 Jan 2002 13:38:24 -0600"

Hi William,

just to add to what Dr. Sam said - the first Dr. sounds more knowledgeable - testing should be done on certain days and ultrasound is a good way to get a baseline of the situation. The second dr. probably wants to avoid any ackwardness for your daughter - but it is probably more important to get a proper diagnostic baseline and then treatment.

Regarding the vaginal ultrasound. It is NOT painful. Only mildly uncomfortable (and the drs should be sensitive and cover you up properly while they do it) and discomfort is more psychchological than physical. It is definitely no worse than a normal pelvic examination (and perhpas better) - other women may disagree - but that is my experience.

Although your daughter is young now is the time to be working with a good dr and make sure everything is properly treated then she can avoid complications (physical and psychological) that so many of us had due to long delays in diagnosis.

A great book is by Samuel Thathcher - PCOS - the hidden epidemic - it really has all you need to know and well written and detailed.

Best wishes to you and your daughter

--
Sally
At Wed, 23 Jan 2002, =?iso-8859-2?q?Zalányi wrote:
>
>Hi William,
>
>Blodd work HAS to be done on specific days. Basal hormone values are taken on day 2-3. For progesterone you should test 7 d post ovulation. Anyhow it is desirable to induce her a cycle if she is not regular, b/c she may experience irregular and prolonged bleeding if left alone.
>Vaginal ultrasound is necessary (if possible...)
>For your info
>
>Sam
>
>> Greetings all,
>>
>> I am a new visitor to these forums.  Please forgive any obvious
>> ignorance.
>>
>> My daughter (17) has recently been 'possibly' diagnosed with PCOS.  No
>> testing has been done yet.  We have taken her to two knowledgable
>> physicians.  There is a disparity with regard to procedure though and
>> trying to wade through the overload of facts is disconcerting.
>>
>> Doctor 1 wants to induce a period with progestrin and then on day 3, 4,
>> 5, or 6 wants to do a full set of hormonal testing as well as thyroid
>> and ovarian ultrasound.
>>
>> Doctor 2 overlaps with most of the test except the ovarian (via vaginal)
>> ultrasound as this would be too painful for her and probably not
>> helpful.  She also does not see any reason to induce bleeding to do the
>> blood work or have it done on a specific day.  She feels blood work can
>> be done at any time.
>>
>> Any comments will be helpful.  If I have left something important out of
>> the question, please ask.  I am on the steep learning curve.
>>
>> Thank you all,
>> William
>>

Next message: Sally: "Re: desperate! any advice?"
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In reply to: =?iso-8859-2?q?Zalányi Sámuel ?=: "no subject received Fri, 25 Jan 2002 13:38:24 -0600"

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