Re: need infertility answers post 2
From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Fri, 29 Jun 2001 19:29:21 -0500 (CDT)
At Fri, 29 Jun 2001, Tina wrote:
>
>Nurse said doctor determined I have polycystic ovaries - I asked if
>polycystic ovaries or PCOS, she didn't know the answer.
polycystic appearing ovaries are sometimes seen in PCOS -- not always.
Doctor said to
>just keep trying. Based on info from my sister's doctor and what I
>researched, I understand DHEAS can elicit the hormone levels indicative
>of ovulation without an egg actually released. Also, DHEAS decreases
>the quality of the egg. According to the International Infertility
>Council's website, DHEAS of 400 is okay (430 is their upper limit)
normal range varies from lab to lab
>
>I am so frustrated. We've been trying for 1 year's worth of cycles
>because most cycles are so short. When I called the office today to
>press to see the doctor, nurse spoke to the doctor and said we'll do
>semen analysis and HSG. I feel she's doing this just to appease me -
>Why won't she address my concerns about the DHEAS level? Everything is
>3rd party through the nurse - she won't even call me herself. Could you
>please attempt to answer these questions.
>
>1) Is DHEAS level high?
can't answer without having the labs normal ranges. for my local lab it
owuld be mildly elevated
>2) If abnormal DHEAS, why proceed with a semen analysis/hsg?
both of these are standard parts of an infertilty workup -- why wast a
lot of time trying if your husbands sperm count is now low? If it is,
inseminations can help.
>3) Do you do screen DHEAS routinely?
no
>4) Is US consistent with PCOS or just polycystic ovaries.
not necessarily either -- have to look into where you aerin your cycle
too
No other
>symptoms of PCOS other than the elevated DHEAS (which is wi/ range
>according to the Inter. Infert. Council)
>5) Should I switch doctors. Maybe I'm impatient but next cycle begins
>Wed. She is out-of-town all next week so waiting another week actually
>means waiting another month since most drug therapies are done at the
>beginning of the cycle. They took 2 weeks give me my day 3 results
>because she was out-of-town then also.
I'd suggest seeing a reproductive endocrinologist
>
>I apologize that this is so long. I just feel like I am getting nowhere
>with my currect OB. Thank you so much.
--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA
author, Your Over-35 Week-by-Week Pregnancy Guide
available in all major bookstores and on-line at amazon.com
http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740
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