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Re: questions about hormone levels--THANKS Dr. M

From: Ally (anonymous@obgyn.net)
Fri, 1 Dec 2000 20:33:22 -0600 (CST)


Thanks for your response. I thougt I was losing my mind when my original post indicated that there was a reply from you, but I couldn't find it anywhere. Anyway, earlier this morning I posted yet another question (I wouldn't want you to get bored or have any extra time on your hands-haha). I think that you answered it in this response though. It turns out that I started a normal period this morning, which would indicate that I ovulated on 11/17, so I would guess that my LH surged on 11/16...the day I had the blood drawn! I called my doctor this afternoon, and he confirmed that this would explain the high ratio. I'm a bit peeved at the fact that he gave me Provera yesterday (which I obviously didn't end up needing to take) without even asking me if I could possibly have gotten pregnant between the last time I saw him (11/14) and yesterday. Isn't it pretty standard to at least give a precautionary pregnancy test? It turns out that I probably missed the window of opportunity for conception by a day or two, so what would have happened if I had taken the Provera if I had conceived? I'm sorry this is so long, but I guess I'm getting frustrated. Shouldn't he also have told me to take the tests on the 3rd day, or at least considered the possibility of the ratio being high due to a mid-cycle peak without me having to bring it up? By the way, he still seems to think I have PCO..without an ultrasound...I'm not overweight, I don't have excessive hair (in fact, I have less body hair than most people I know), and I have clear skin (I've only had about 3 real zits in my life). I know that people with PCOS don't have to have all of the symptoms and it's related to insulin resistance, but the hromone levels don't even seem to indicate it. I have the lab report, and everything falls in the normal range. Thanks for reading/listening.

At Fri, 1 Dec 2000, Harvey S. Marchbein, M.D. wrote: >
>Skip you? I don't even skip a meal. I did answer it and sometimes the
>answers get lost in cyberspace for a day and then appear.
>
>BTAIM (be that as it may) here's the answer again.
>
>The FSH and LH were taken after possible ovulation when the LH is
>supposed to be high (ala LH surge). Retake these on about day 3 of the
>cycle to see if they're stil off. the rest of the bloods look fine but
>I don't have the normals for your lab on hand to be sure.
>
>Hope this helps and write back anytime for more information.
>
>HSM
>
>At Thu, 30 Nov 2000, Ally wrote:
>>
>>Hello. I was just checking to see if you replied, but it looked like
>>you skipped me. Then when I pulled up my original post, it indicated
>>that there was a reply. However, when i clicked on the "reply to post"
>>and "Next in thread" (which indicated re: questions about hormone
>>levels), I ended up in the rply to a different post. It seems like my
>>cycles and hormones are not the only wacky things!
>>
>>At Thu, 30 Nov 2000, Ally wrote:
>>>
>>>Hello. I wrote a few weeks back about my wacky cycles since going off
>>>the pill in July-- 48 days, 56 days, 25 days--only very, very light
>>>spotting (brown), with a little bit of red. My doctor suggested that I
>>>probably have PCOS, so I went to get the blood tests. According to the
>>>doctor, the LH:FSH ratio is high, suggesting possible PCOS, but the
>>>prolactin and testosterone levels do not suggest PCOS. I would like to
>>>get pregnant, so now he has me taking my temperature to see if I'm
>>>ovulating. Could there be any other reasons for these hormone levels?
>>>Period: 11/1; Blood taken 11/16; spotting started again 11/23 w/red
>>>11/25. FSH: 3.3; LH: 26.3; Prolactin: 8.9; Total Testosterone: 33; Free
>>>Testosterone: 2.8 pg/ml, .9%. Thanks for your help/advice.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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>




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