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Re: BCP, ovarian suppression, follicles
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Wed, 5 Jun 2002 22:38:29 +0200
Hi Sally,
The ultrasound technologist should keep his/her opinion to him/herself.
Follicle sizes are as follows:
small 3-5 mm, there are dozens of them in the ovary
starters: 5-8 mm, there are several ones, and one of them will be selected to grow in each cycle.
growing: 10-15 mm only 1 or 2
preovulatory: 18-23 (25) mm (only one usually, unless you take fertility grugs).
The size from which we talk about cyts is arbitrary, I use the limit of 30 mm and up.
I do not know any connection between ovarian cysts and cysts in other organs. (Maybe I am ignorant ...)
I cant evaluate lab results without dimensions and normal limits of the individual lab.
For your info
Sam
> Dear Sam,
>
> Thanks for your response. Have been (still am) travelling (work) and no
> easy e-mail access. The size of the large follicles is 1 - 1.5 cm
> ("cysts"??). The ultrasound report did not provide any further details,
> but mentioned multiple small follicles.... on both ovaries.
>
> Anyway, my endo is more concerned that creatinine has increased by 0.3
> (from 1.0 to 1.3) since last measurement (about 9 months), potassium
> also up slightly. I am not on a high protein diet, only avoiding
> refined carbs. Have not changed diet or exercise habits. This
> indicates kidney problems? Would this mean I need to stop metformin? Dr.
> did refer me to a nephrologist for 'full work-up/at least one time check
> out' but with so little fuss, that I didn't even think to ask
> questions...... only realised that she was concerned when I saw she has
> asked for K and creatinine measurement on next blood pannel when she
> sees me in 2 months.... is there any reason for concern?
>
> Thanks so much for your time and support.
>
> Sally
>
> 'At Sun, 26 May 2002, =?iso-8859-2?q?Zalányi wrote:
> >
> >Hi Sally,
> >
> >If you stopped Diane 10 days ago, then you are not under the supprressive
> >effect of BCP anymore. What was the size of the large follicles?
> >Looking forward to your answer
> >
> >Sam
> >
> >> Hi,
> >>
> >> hope this is not a silly question.
> >>
> >> I have been on metformin, diane-35, thyroxine and calcitriol for about 9
> >> months. Just had transvaginal ultrasound today (today is day 6 - ten
> >> days since I last took Diane, and about 6 days since my period
> >> reluctantly started (it lasted for about 3 days)). The ultrasound
> >> showed numerous small 'follicles' on left ovary and a number of large
> >> 'follicles' or 'cysts' on the right. The technician said that this is
> >> not normal for this stage of the cycle....? IS that right? I thought BCP
> >> would suppress 'follicle' formation. Does mean that the BCP is not
> >> suppressing anything? Is the metformin supposed to stop the numerous
> >> follicles forming - cause it stops the excess insulin? I am not
> >> restarting the diane-35 for this next cycle cause I want to see if I get
> >> a 'normal' period on my own - otherwise how do I know if the met is
> >> working?
> >>
> >> The ultrasound technologist also told me that polycystic ovaries - if
> >> they have large cysts, are associated with cysts in other organs (I
> >> don't)..... but has anyone ever heard of this? This is a new one for
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