|
Re: FAO:- PAULA
From: katie (anonymous@obgyn.net)
Tue, 9 Jan 2001 14:59:22 -0600 (CST)
At Mon, 8 Jan 2001, paula wrote:
Wow, Paula! You know so much! Thanks, that was really helpful!
>
>hi! i would get another doctor before i started the bcp, but im only
>saying that based on my onwn experience. each time i took a bcp i felt
>better, but when i came off of it, i always gained about 40-50 pounds
>and had more hair than before. so that is just in my opinion, i guess i
>dont tolerate the bcp very well.
>
>your doctor should preform the following tests:
> you should have an extensive check of the endocrine system including:
>Luteinizing hormone (LH), Follicle-stimulating hormone (FSH), total and
>free testosterone, Dehydroepiandrosterone sulfate (DHEAs), prolactin,
>Androstenedione, Progesterone.
>additionally women with irrgeular periods and very high androgen levels
>should be screened for adult-onset adrenal hyperplasia which can
>sometimes, but rarely mask as PCOS. to test for this you should have a
>hormone 17-hydroxyprogesterone.
>
>you should also have an IGTT. this is a 2-5 hour test that measures
>insulin and glucose spikes and dips. it involves several blood draws,
>and sometimes the same thing can be accomplished by a fasting insulin
>and a fasting glucose, but i do not recommend that route because often
>the easier tests come back as a false normal, and doctors sometimes do
>not want to perform the IGTT. so go for the more accurate one first.
>
>finally, your doctor should run a lipid panel. often women with PCOS
>have elevated cholesterol and an unhealthy balance of LDL and HDL. so
>the doc should run: cholesterol, HDL and LDL.
>
>your doc should perform an ultrasound of the ovaries and uterus. to be
>sure they are healthy. the ovaries do not have to be cystic for a
>diagnosis. uterine lining should be checked for unusual thickness or
>any cysts there. If it has been an extremely long time since your last
>period, you should also have a biopsy of the uterine lining to rule out
>any abnormalities. if you are overweight, it is much more accurate to
>have a vaginal ultrasound. this gives a better view of the uterus and
>ovaries...
>
>i would see an endo if you can. sometimes people can get lucky and get
>a really great ob/gyn but most of the time from what ive seen the gyns
>really dont have enough exp with PCOS to be extremely helpful.
>
>let me know if i can help you more =)
>love, paula
>
>--
>feel free to email me anytime at paulam74@hotmail.com
>
|
|
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)