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New...From: Rose (anonymous@obgyn.net)Thu, 24 Jul 2003 19:08:30 -0500 (CDT)
Hi, I have some questions about getting diagnosed with PCOS. I work at a hospital, but unfortuantley it is small and rather limited in services. However, the nurse practitioner where I work ordered the recommended labs for a PCOS work up for me to have handy when I see my ob/gyn next month for my yearly check up. All my labs came back normal, but I am convinced I have PCOS. I have one - two periods a year (so far one this year), acne, excessive hair growth, and of course, am overweight. I have researched this syndrome very well and the only indicator from my blood work is that my LH is higher than my FSH. I understand it should be lower. I had these tests done on day three of my cycle. My LH was 7.3 and my FSH was 2.7. Is it true that you can still have PCOS and normal lab results? My nurse practitioner wants my ob/gyn to prescribe Metformin, and I understand her being wary seeing as how she is limited in knowledge in this field. My question is this: My ob/gyn is a terrific doctor and I just love him. But... his solution to everything is birth control pills, and I really want to give Metformin a try. It sounds like it just does wonders for others. Any suggestions as to how to go about asking him to prescribe this for me? (I am unable to ask for a fertility work up due to horrid insurance coverage.) I don't necessarily want to get pregnant (though it would be great). I just want to get straightened out. Thanks so much for reading this!
-- Rose
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