PCOS Messages for May, 2003: Re: PCOS

Re: PCOS

From: Angela (anonymous@obgyn.net)
Wed, 21 May 2003 15:30:10 -0500 (CDT)

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I know my messages wasn't completely correct..so I pulled this - cause it explains it better.

2.7 Is it possible to have polycystic ovaries without having the syndrome?

About 20-30 percent of women will have the appearance of polycystic ovaries, while only an estimated 5-10 percent of women would be diagnosed as having Polycystic Ovary Syndrome as based on signs and symptoms. It may be best to consider the finding of polycystic ovaries as a possible sign of PCOS, but not to rely on this as the sole criterion in making a diagnosis.

A large percentage of women with polycystic ovaries have at least some subtle hormone alterations, even if they do not clearly exhibit other signs of the syndrome.

2.8 Is it possible to have PCOS without having cysts?

This is another area of some disagreement among medical professionals. Most women with PCOS will in fact have the polycystic ovaries for which the syndrome is named, but it is possible to be diagnosed with the syndrome without this particular symptom. Some doctors diagnose PCOS based on the appearance of other physical symptoms or hormone abnormalities, regardless of ultrasound findings.

It is difficult to make a firm diagnosis of PCOS without the presence of either an increased number of small cysts or ovarian enlargement. Polycystic ovaries may not have been recorded as an official finding on an ultrasound even though they were seen. Often ultrasounds have been performed to exclude pathology and may not have diagnosed minor increases in cystic structures or ovarian enlargement. Some ultrasonographers may consider the milder forms of PCOS as variations of normal. Ovarian enlargement is not always associated with ovarian cyst development, but still can be a variant PCOS. In other words, if one has the signs and symptoms of PCOS it is likely that there is some alteration in the appearance of the ovary, even if it has not been recognized.

At Wed, 21 May 2003, Angela wrote: >
>TO have PCOS you must have Polycystic ovaries and another symptom. Which
>could be weight gain, hirsutism, acne, high cholesterol, high blood
>pressure, infertiltiy. If you don't have any of these you could just
>have PCO - which is a case in a lot of situations. Or you could just
>not be showing some of the other signs of PCOS yet. Either way - it
>would be best to follow a PCOS diet format and exercise to help keep
>your ovaries healtier. Good luck
>
>At Wed, 21 May 2003, Leslie wrote:
>>
>>i am 24 and have been diagnosed with pcos by my gynecologist through
>>transvaginal ultrasound only. the ultrasound showed multiple cysts on
>>my right ovary. my gynecologist did not ask me to have hormone tests or
>>a GTT. i do not have most of the symptoms indicative of pcos (acne,
>>hirsutism, high blood pressure, etc). my periods occur regularly and
>>last 7 days. the first day is light then the next 3 days are very heavy
>>(pad change every 3 hours except early morning or late at night in which
>>my period is moderate) but become lighter the days thereafter. i also
>>have moderate to severe cramps during my menstruation. i used tampons
>>before which caused my bleeding to become heavier. i have since then
>>stopped using them. for about 4 years i have had brown blood spotting
>>in between my periods. my left ovary was removed about a year ago due
>>to a dermoid cyst. a D&C was performed during the removal of the cyst
>>and it did not aleviate the spotting in between my periods. i'm not
>>sure if i am fertile since i have not tried to get pregnant. i have
>>never been on birth control except for the 1 month before the removal of
>>my dermoid cyst. is there any other possible diagnosis for my condition
>>besides pcos, if so, what?

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