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

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

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 23 Aug 2000 14:56:06 -0500 (CDT)

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In reply to: Allie: "Re: Dr. Lynn, Question #2 - Multi cysts on ovaries.....Scared!"

At Wed, 23 Aug 2000, Allie wrote: >
>At Wed, 23 Aug 2000, Allie wrote:
>>
>>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 ;-)
>>>

They are all terms for the same thing. There is just a spectrum of problems. Not all women fit one neat category and the definitions and criteria vary. Again, I wouldn't worry about it. Its basically all irrelevent... 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: Robin: "Re: Dr McIntosh - need more info on Vaginal Stenosis"
Previous message: Lynn D. Montgomery, MD: "Re: Pelvic pain"
In reply to: Allie: "Re: Dr. Lynn, Question #2 - Multi cysts on ovaries.....Scared!"

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