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Re: What to do next??
From: anonymous@obgyn.net
Mon, 17 Jun 2002 11:00:51 EDT
After being diagnosed 5 years ago I had my first consultation with an
endocrinologist on Saturday. He asked me how I knew I had PCOS & I told him
how I had been diagnosed via an ultrasound. He then informed me that this is
not how PCOS is diagnosed any more, as women can have cysts without having
PCOS & they can have PCOS without having cysts. From memory he said diagnosis
is made from a variety of factors, but most importantly a blood test. As well
as an insulin resistance test and a variety of other tests that I can't
remember, I am having a blood test done that has a look at my androgen
levels, to make sure all my symptoms do not stem from an androgen problem. A
vaginal ultrasound was never mentioned as a form of diagnosis.
Hope this helped some :)
Kirstie
Australia
http://www.babiesonline.com/babies/c/calenpm
In a message dated 17-Jun-02 8:30:19 PM W. Australia Standard Time,
anonymous@medispecialty.com writes:
>
> I agree with Sonnet. Sounds like PCOS is the diagnosis and the
> treatment is correct (Glucophage and lower carb diet and exercise).
> Don't be worried about not having a definitive diagnosis - just proceed
> from here on and things should improve for your son's girlfriend. BTW,
> vaginal ultrasound is not traumatic, no worse than a regular pelvic
> examination (actually I reckon it is better).
>
> Best wishes
>
> Sally
>
> At Mon, 17 Jun 2002, Sonnet wrote:
> >
> >Actually, from what I hear, most doctors that are up to date on PCOS
> >don't even use an ultrasound as a diagnostic any more, because the cysts
> >are so secondary to the PCOS. Many women have cysts and don't have
> >PCOS, many women have PCOS and dont have cysts. PCOS is definitively
> >diagnosed just as you've already described, by a physical examination
> >and bloodwork.
> >
> >At Sun, 16 Jun 2002, Clista wrote:
> >>
> >>I believe my son's girlfriend has PCOS. She has several outward
> >>indicators, excessive facial/body hair, menstruation issues, weight
> >>gain. I started putting these "symptoms" together after a good friend of
> >>mine was diagnosed with PCOS and I hit the Internet to read up on it. I
> >>shared my concerns with my son last summer and he, in turn with her.
> >>They checked over the PCOS support website and she took the quiz... told
> >>her she was a likely candidate for PCOS. Ok, long story short... she
> >>saw a GP recently, tests were run and they show she is insulin resistant
> >>and her cholesterol is whacky, surprise surprise. The GP put her on
> >>glucophage and BCPand told her to watch her diet and exercise, but is
> >>reluctant to get a solid PCOS diagnosis because it would require a
> >>vaginal ultrasound which she feels would be too traumatic for her. She
> >>and my son aren't too thrilled about not having the definitive
> >>diagnosis. Should they just assume she has PCOS and go with this
> >>perscribed treatment or should they push for a ultrasound and certain
> >>diagnosis? The treament perscribed sounds like the SOP but I'd
> >>appreciate input from you ladies who have been there and done that.
> >>
> >>Thanks in advance,
> >>
> >>--
> >>Clista
> >>
> >--
> >email always welcome: sonnet_fitz@hotmail.com
> >
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