PCOS Messages for February, 2001: Testosterone Level and LH/FSH Level???? WORRIED!!!!!!!

Testosterone Level and LH/FSH Level???? WORRIED!!!!!!!

From: anonymous (anonymous@obgyn.net)
Thu, 22 Feb 2001 10:53:33 -0600

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Hi, I have not yet been diagnosed with PCOS but I do have several symptoms and my doctor suspects that I may have it. I have difficulty maintaining my 'normal' weight and have developed acne type spots over the last nine months. I have also noticed increased hair on my upper lip. My periods are bizarre! Only about 1 in 5 of them are 'normal'. I get really really bad PMS but at the end of it, quite often very little or no period at all. my doctor has put me back on the pill (which has done nothing for my skin, but I did have a 'normal' period last month- hurrah!). I have had a blood test and am now awaiting an ultrasound. However, I couldn't get an ultra sound appt for a few weeks, so my blood tests results are back but I won't see my doctor until after the ultrasound (mid march). The nurse who gave me the results simply said that 'my serum testosterone levels were low' and I should see my doctor. Surely my symptoms (esp my acne) point to my testosterone levels being high. If they are low, then I take it theres no way I can possibly have PCOS?? I'm very confused! I was wondering if perhaps this was just a medical thing... if serum levels are low, does that mean 'free' testosterone is high?

Sorry I feel so stupid as I am not giving you any useful info at all....

At Mon, 3 Apr 2000, Belle wrote: >
>These are the lab values that I use. Nearly all of the labs I have
>dealt with use values that are simular to these. The lab in your area
>may be different. I did not know where you were in your menstrual cycle
>so I included all of the values. The ratio would also depend on the
>time of your cycle. If you were a week before your period, a 3:1 ratio
>would be too high. If you were in the middle of your cycle, a 3:1 ratio
>would not be too high.
>
>Testosterone 23 - 75 ng/dl
>
>FSH
>follicular phase 3-10 mIU/ mL
>mid-cycle peak 15-26 mIU/ mL
>luteal phase 1-15 mIU/ mL
>
>LH
>follicular phase 2-15 mIU/ mL
>mid-cycle peak 30-100 mIU/ mL
>luteal phase 1-15 mIU/ mL
>
>With your only symptoms being the cysts and the irregular periods, I am
>unsure about your diagnosis. If your symptoms were cysts and facial
>hair or irregular periods and thinning head hair, I would say that
>chances are high that you have PCOS. If you have cysts and no PCOS,
>your outlook is good. The women with only cysts do not have the same
>risk factors that women with PCOS do. They do not suffer from the
>sudden weight gain or hair loss.
>
>What caused the dr to check for symptoms? Does he have any other
>suggestions about what may be causing the amenorrhea? There are several
>reasons for your menstrual cycle to stop. A change in jobs, climate,
>stress, shock, diet, and even the fear or hope of becoming pregnant can
>stop your period.
>
>On the other hand, a change in diet can also cause your lab values to
>appear to be more normal that they would have been without the diet
>change.
>
>--
>Hope this helps,
>
>Belle
>

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