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Re: Dr. Lynn, Question #2 - Multi cysts on ovaries.....Scared!
From: Allie (anonymous@obgyn.net)
Wed, 23 Aug 2000 11:45:01 -0500 (CDT)
Thank you so much for putting that the way you did. I think I needed to
hear that=) Just so I'm clear, there is a difference between PCO and
PCOSD? PCO is just having multi small cysts and PCOSD is all that
horrible stuff I read about?
At Wed, 23 Aug 2000, Lynn D. Montgomery, MD wrote:
>
>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 ;-)
>
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