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Re: Hypothyroid/PCOS?From: Pat (anonymous@obgyn.net)Sat, 20 Jul 2002 13:25:58 -0500 (CDT)
It is helpful to have a Thyroid screen, as if your levels are too high or too low, this can affect metabolism. A Fasting Blood sugar isn't as helpful as a FBS and 2 hour, for getting a clear picture of what the status of your blood sugar is. Also, a fasting cholesterol panel is very helpful, looking at cholesterol, triglycertides, HDL and LDL. Also, if you are on a the birth control pill, this will affect both your labwork for PCOS, and the cysts for PCOS...as the pill suppresses these things. I would look at what things were like before you started on the pill....irregular cycles, more dramatic PCOS symptoms. What is being recommneded is appropriate, especially when you look at the long term consequences of untreated PCOS (diabetes, syndrome x and endometrial ca). Origianlly these things weren't identified as being linked to PCOS, now they are. So, medication will help prevent or delay the progression. Once diagnosed, then you can decide on best management. If you have PCOS/diabetes and/or syndrome x, or had gestational diabetes in pregnancy, you can pretty well assume you have some degree of IR, and proceed. The main goal of treatment is to improve your body's cells sensitivity to insulin. Each of these lab tests show different things, and will help you decide where on the continuum you are. Dysmetabolic Syndrome [http://www.aace.com/members/socio/syndromex.php] is a real condition, and needs to be indentified and managed appropriatly. Pat Sonnenstuhl, ARNP, CNM, MS Balanced Eating Support http://home.attbi.com/~cnmpat/favlowcarbsites.htm http://home.attbi.com/~cnmpat/siteindex.htm IR, Diabetes and PCOS Relationships http://home.attbi.com/~creationsunltd/visualoverview.htm <http://home.attbi.com/~creationsunltd/visualoverview.htm> PCOS Support http://www.midwivesofwa.org/pcos.htm http://www.midwivesofwa.org//pcosarticles.htmAt Fri, 19 Jul 2002, Jessica wrote: > >I'm so confused. I just talked to my doctor again (well, a nurse >practioner actually) > >She's sending me a referral for a pelvic ultrasound to check for cysts. >They can't check further beyond that for PCOS without going off the >pills for 2-3 months - yikes. > >She's also talking about doing maybe a glucose tolerance test. The >sugar test they did the other day was just some average thing? > >I'm not totally sure what my insurance will and won't cover of all of >this yet and I'm lost as to if these are the right steps. I haven't >really gone over all this with my husband yet either. As for the facial >hair she told me I need electrolosis. She said that it's bad right now >because I shave and that makes it worse. > >I'm very confused. Anyone know of an L.A. area doctor that might be a >good choice for a 2nd or more thorough opinion? > >At Fri, 19 Jul 2002, Jessica wrote: >> >>So I got my initial blood tests back in the mail of all things >>yesterday. I'm still on BCPs so they could only test so much. My >>sugar, kidney and liver were fine as were my hormone levels. (They >>tested only for testosterone I think just to see if there was an excess >>even with the BCPs or something like that.) But they found a slight >>defecit of thyroid hormone and have mailed me a prescription for >>Synthyroid. >> >>I saw a few messages on here when I did a search that made it seem like >>this is something many of you PCOS sufferers have along with PCOS. The >>symptoms of hypothyroidism fit me to a T but I'm still really concerned >>about the facial hair. >> >>Should I insist my doctor run more tests? She wants me to take the >>Synthroid for 6 weeks and go in for a recheck. Is it bad to wait until >>this time to ask about it? >> >>Just trying to find out if this is a coincidence or if this is indeed a >>common thing.
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