WOMENS-HEALTH Messages for August, 2000: Re: Question #2

Re: Question #2 - Multi cysts on ovaries.....Scared!

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 23 Aug 2000 11:21:49 -0500 (CDT)

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At Wed, 23 Aug 2000, Allie wrote: >
>My bloodwork came back and the doctors feel that I'm normal and will be
>just fine. The only thing unusual was my FSH/LH ration, it was 3.1.
>However, since I have not had my period in two months they said they did
>not know where my cycle was currently and the FSH/LH factor should not
>be used to determine PCOSD. Anyway, I guess I'm still worried, what are
>your thoughts on the LH/FSH stuff and cysts on ovaries? The doctors are
>getting rather upset with me and my worrying. They feel that I do not
>match the criteria for PCOSD and just because I have the cysts and
>irregular cycle does not mean I have it. I'm I worrying for nothing.
>Also, my Testosterone was 56, some place I've read say that is elevated?
>Is that true or a false web page? The internet can help and hender
>people when it comes to health! I hate to second guess my doctors but i
>want to be sure...so any and all opinions are welcome (I'm 29 yrs. old)
>
>At Tue, 22 Aug 2000, anonymous@obgyn.net wrote:
>>
>>At Tue, 22 Aug 2000, Allie wrote:
>>>
>>>I'm young and newly married and have had irregular periods my whole life
>>>(every 3 to 4 months). My doctor told me I was not ovulating and said I
>>>had cystic ovaries. I'm very healthly so this greatly concerns me. He
>>>said the cysts were caused by not ovulating...is that true? I've read
>>>some horrible posting about something called PCOSD or something to that
>>>effect. I dont fit those ladies characteristics but I'm afraid I might
>>>one day. Is that possible or is PCOSD something your born with? I'm I
>>>just irregular and the anovulation is causing my cysts? I'm I worried
>>>for nothing?
>>
>>This is a not uncommon problem among young women. For that matter, it
>>is almost universal during puberty, and different women will "grow out"
>>of it at different times. I would not worry about it now unless you are
>>trying to conceive at this time, and even then, you are likely to do
>>just fine on your own.
>>
>>--
>>William D. McIntosh, MD, FACOG
>>Clarksville, TN
>>
>>This is for educational purposes only, and is not intended to be replacement
>>or substitute for consultation and examination by an appropriate medical
>>professional. Due to time constraints, private e-mails cannot be answered.
>>

Allie, I think the basic premise here is that you should forget about labeling yourself with a diagnosis. If you have irregular cycles and some cysts on the ovary, that is no big deal. If you want to call it PCO, then go ahead. The fact is that the problems you have are very common and really have no down side regardless. Your cycles can easily be controlled if you like. They don't have to be except you should have at least 3-4 cycles per year. The cysts are likely small and of little consequence. Having cysts on the ovaries, as long as they are not excessively large is not a problem in a 29 yo. When and if fertility becomes an issue, patients with PCO respond nicely to ovulation induction if they have trouble conceiving on their own. Bottom line: Forget about the diagnosis, just deal with the problems as they truly become problems. Small cysts and irregular periods are small problems relative... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Sacha: "Bladder symptoms & Pelvic Congestion?"
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In reply to: Allie: "Re: Question #2 - Multi cysts on ovaries.....Scared!"
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