PCOS Messages for February, 2001: Re: polycystic disease

Re: polycystic disease

From: jodi (anonymous@obgyn.net)
Tue, 27 Feb 2001 15:30:26 -0600 (CST)

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hmmm... i'd need more info before making any sort of comment.

first... irregular periods are normal in young adolescents, as are ovarian cysts (or so i've read). i'm not positive, but i think that testosterone levels are also higher than normal in young adolescents. can anyone vouch for this?

so with that taken into account... what is more important than the irrgegular periods or high testosterone is maybe, how LONG has your daughter been mestruating? if she has just begun, then both are probably no big deal. if she started, say, 2 or 3 years ago... they might be more important.

second... you don't HAVE to be overweight to have PCOS. it's just that people who have PCOS because of the insulin problem have a greater tendency to put on weight... and the excess weight further worsens the insulin problem... which leads to a greater tendency to put on weight... but many PCOS'ers were thin or normal weight children/teeenagers/young adults.

HOWEVER... you say your daughter is underweight. is she naturally underweight? or is she dieting? eating disorders can wreck havoc on the bodies hormonal system. if your daughter is undereating, making her underweight, it could ironically be controlling the insulin problem and keeping the PCOS at bay. i have heard of anorexics in which this is true. so perhaps your daughter doesn't have the insulin problem or many symptoms of PCOS... but perhaps, if she is underweight deliberately rather than naturally, it's a possibility.

third, did your doctor run FSH and LH tests? in PCOS, the LH:FSH ratio is greater than 3:1, generally. the testosterone being high is only one hormonal indicator of the syndrome. also, is her free testosterone high, or only her total? there are many other blood tests involved in PCOS...

minor acne in adolescents is also normal...

whatever the case, if there is any suspiscion that she has this, treat it NOW before things get worse. good luck!

At Mon, 26 Feb 2001, Anne wrote: >
>My 14 year old daughter was diagnosed today with this disease, but as I
>have studied it further, I wonder if the
>diagnosis applies, because she is underweight (5'6", 110 lbs.) and
>doesn't have the irregular insulin lab results.
>
>She does have a high testosterone level, irregular menses, and a history
>of ovarian cysts, beginning with a little over a year ago. She has had
>some pain, constant fever, regular nausea and headache and fatigue. Her
>other blood tests (thyroid, blood sugar, basic CBC)are all normal.
>
>She has some minor acne, just beginning, and no facial hair.
>
>Any thoughts?
>
>Thanks, Anne

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