Re: For Belle - PCOS tests RESULTS
From: anne (anonymous@obgyn.net)
Fri, 8 Mar 2002 21:38:55 -0600 (CST)
Thank you very much for replying. About the dianette, I had started it
for the first time ever two days before getting the testosterone redone,
because I was told to get the tests redone before starting it and I
didn't know then the testosterone hadn't come back. All the other tests
were done before I started it when I wasn't on any medications, so the
LH/FSH ratio and stuff is what it is right now without the pill. The
doctor and I were not sure what kind of effect only two days of the
dianette would have on the testosterone level.
As for the insulin stuff, I'm gathering my research articles, I WILL get
my insulin sensitizer! As for the bone growth, thanks for looking. The
doctor said to wait till I saw the endo. That was a couple of months
ago and my appointment is still 5 weeks away. (6 months in between
appointments, and unfortunately symptoms got worse immediately after the
last one.)I will bring this up then but I will have a lot to cover- and
an insulin sensitizer and further help with hairloss (other than trying
to get insulin etc down) are highest on my list of priorities!
At Thu, 7 Mar 2002, Belle wrote:
>
>As luck would have it, I do have the European ranges. Each lab does
>have its own "normal" range based on the calibration of their equipment
>and the individual lab tech's mode of operation.
>
>I would like to see a fasting and hourly insulin levels but PCOS has
>been so clearly associated with insulin problems, that some doctors no
>longer check this routinely.
>
>I am concerned that you are telling me that you had your hormone levels
>taken "just after a period...ended that day because of the dianette."
>This could have seriously altered your hormone levels. We recommend
>that you be off of the pill for a couple of months before having your
>hormone levels tested. I understand your frustration at the lab mix-up
>with the testosterone.
>
>I notice right away that your LH is a third higher that your FSH. This
>is not to the point that we can diagnose PCOS but it is higher than the
>FSH and this is commonly seen in women with PCOS. If you were on the
>pill, it may account for the closeness of these two values.
>
>Your lipid levels are actually quite good. You are at below average
>risk for heart disease based on your ratios.
>
>I do not know your history nor the problems that you present with in the
>dr. office, but there is nothing here that jumps out as being out of
>range. Keep in mind that this could be due to the pill. Also remember
>that a doctor can diagnose you based on personal history, family history
>and physical attributes (excess hair, central weight gain, scalp hair
>loss, etc.). When combined, it creates a fairly good picture of your
>health. The blood work is very valuable and I recommend that you get it
>done without the influnce of the pill.
>
>I have tried to find out what could be causing your collar bone and
>ribcage to grow and I have been unable to come up with anything other
>than what I mentioned before. What does your doctor say about this?
>
>At Wed, 6 Mar 2002, anne wrote:
>>
> I just wondered if you had reference ranges for UK/European?
>>results to hand?
>>
>> So the rest of the tests were done
>>together just after a period, and the testosterone was done on day 3 a
>>week or two later, when I had just started dianette for 2 days.
>>Actually, my period ended that day because of the dianette. So I'm not
>>sure as to the accuracy of the testosterone result, but doctor and I
>>agreed it was just tough, because I waited long enough trying to get the
>>tests redone, and then they don't come back...hopefully they will mean
>>something to the R.E.
>>OK these are the results with the reference intervals given in brackets:
>>
>>L.H = 8.9 IU/l (3-16)(luteal)
>>FSH = 6.4 IU/l (0.5-8.0)
>>PROLACTIN = 83 mIU/l (40-530)
>>OESTRADIOL = 147 pmol/l (75-1470)(luteal: 180-1100)
>>TSH = 0.82 mIU/l (O.4-4.0)
>>
>>and day 3 testosterone/done on separate occasion
>>
>>TESTOSTERONE = 2.6 nmol/l (2.3-4.1)
>>
>>LIPIDS (I'm sure these are horrible)
>>
>>cholesterol = 4.7 mnol/l
>>HDL = 1.79 mnol/l (1.0-1.8)(females)
>>triglycerides=1.06 mnol/l (o.6-2.2)(fasting)
>>LDL = 2.4 mnol/l
>>CHOL HDL RATIO = 2.6
>>
>>When I originally posted you I was going on about my ribcage and
>>collarbone growing. So far they have not grown again (thank God)but
>>they definitely did grow. I am a little bigger - not just fat! than I
>>used to be. You suggested you were worried about that and I wondered if
>>you ever did have a chance to research it. (I have temporarily switched
>>my obsessing to hairloss!)
>>
>--
>Sorry I could not be of more help,
>
>Belle
>
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)