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Re: To Belle - a little questionFrom: Belle (anonymous@obgyn.net)Fri, 22 Feb 2002 20:12:13 -0600 (CST)
:) Tera is a sweetie. She has become very knowledgeable herself. I have noticed that her replies are excellent. I will try to remember all of the tests that I would like to see. 1) LH & FSH - we are looking for the ratio between the two. Both of them can be within normal limits and the ratio still be off. They should be about the same. If the LH is twice what the FSH is, it is an indication of PCOS. 2) Glucose and insulin levels during a Glucose Tolerance test (IGTT). This one is becoming less popular with doctors if they already feel that you qualify for the diagnosis of PCOS. This is because it is expensive and because insulin resistance is considered to be the cause of PCOS. Doctors who do research in PCOS think that all women with PCOS would show up as insulin resistant if only the tests were sensitive enough. If you are still searching for the diagnosis of PCOS, the IGTT can be very informative. Be sure that you have two tubes each time the blood is drawn. It is very important to see what the insulin levels are doing. 3) Cholesterol (total, HDL, LDL) and triglycerides (lipids) This may not seem important but insulin resistance can cause our lipid level to be out of whack. Usually, we see high LDLs and triglycerides. 4) Estrogen, progesterone and testosterone - these are useful for determining your overall picture 5) DHEAS & TSH (full thyroid scan) These tests are useful in helping to determine if it is PCOS or something else that is causing the problem. Many things can present like PCOS. Many times, the diagnosis is a process of elimination. Since women with PCOS have such a high rate of diabetes, heart disease and endometrial cancer, I think that you are right to be concerned now. My 15 yr old daughter is on metformin (well, Glucophage XR) to help ensure that she will be able to have children (in about 80 - 100 years, er, 10 - 20 years), and so that she will not have to endure the symptoms that I have developed. The symptoms do seem to worsen over time. Some GYNs do not have the understanding that PCOS is serious. For centuries, it has been just a cosmetic problem. He has probably not associated PCOS with the diabetes or heart disease. If he sees them, he probably blames these problems on the weight that so many of women seem to gain. He may not have read the research linking PCOS with the insulin resistance. Insulin resistance probably cause the weight gain. Do you have adequate sources for the link between insulin resistance and PCOS? If not, I can get some for you. I would do it now but I am not on my computer (it died at 6 months and has been sent back to the shop. :( ) None-the-less, I can probably find some fairly quickly if you would like.
At Thu, 21 Feb 2002, Heather wrote:
>
-- Hope this helps,
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