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Re: (DR L.MONTGOMERY) I need some answers (or educated guesses). PLEASE HELP ME(long)From: Lynn D. Montgomery, MD (anonymous@obgyn.net)Thu, 5 Oct 2000 12:07:59 -0500 (CDT)
At Thu, 5 Oct 2000, crystal wrote: > >>>Hi I am a 26 yr old female who over the years has had many problems with >>>her female organs. I just asked to be sent to a endocrinologist to see >>>if they can help me but I'd really like to go in at least having an idea >>>of what may be wrong with me. >>>I don't expect anyone to have the answers but I would love to have your >>>opinions as to what I may be dealing with. >>> here's a breif history..... >>> >>>i have always been real regular up until i was 19 then I started getting >>>severe stomach pains that were paralizing. they came and went sometimes >>>even making me nausiated , lightheaded or dizzy. this went on for years >>>no one knowing why. >>>at 20 I had such pain that I'd have to leave work so that I could seek >>>treatment. One day a nurse at a free clinic I was passing noticed I was >>>in pain and asked me to come in. she sat me down and we talked for a >>>few minutes about how i had lost my cycles and was having sharp pains >>>and then she gave me some anti inflamitory drugs and told me to go to >>>planned parenthood for a work-up. I went the next day and had a pap >>>done and left because the anti inflamitory drugs seemed to be easing the >>>pain. while on the drugs the pain completely went away and I got >>>pregnant. 2 days later i got a note in the mail that my pap looked >>>funny and I needed to go see an obgyn. went there and had a caloscopy >>>due to being pregnant i couldn't do a bio. it came back as reading a >>>little funny but he said it wasn't bad and could be monitored. >>>after my son was born i returned for a pap and an ultrasound. the pap >>>was normal and the ultra sound showed @ 1 dozen small cyst on each >>>ovary. they said it was nothing to worry about and sent me home. the >>>next month (4 months after having my son) my cycles went away again. >>>@ age 22 i was put on bc pills to regain my cycles, it worked for almost >>>a year. then i started getting a strange swelling ( gain 30 pounds of >>>water litteraly over night) and was put on water pills... they worked >>>too. one day i was cramping real bad and had to go to the er. he said >>>i had a high white blood cell count in my urine but that he couldn't >>>find any signs of infection in my urinary tract (never found out what >>>caused this). >>>at 23 I went off all meds and was trying for a second child, it took >>>forever. it wasn't until the doc put me back on anti inflamitory pills >>>for the pain and swelling in my stomach that I finally got pregnant, >>>again after having received back a bad pap. >>>this prgnancy like before went off without many problems other then an >>>excessive weight loss while pregnant (40+ with first child, 100+ with >>>second),and on both ocassions my cervics dialated at least 2 months too >>>early causing me to have them both a month early. >>>now we are almost up to date. after having my son my cycles returned >>>for 3 months. then they just disappeared (not that i miss them much)but >>>after they left all sorts of weird things started to happen. >>> my bladder kept having slight leakage >>> my pain in my lower stomach returned >>>I instantly gained 80 pounds in under 3 months AFTER HAVING LOST MY >>>CYCLE >>> my hair started falling out >>> my mood swings so much that even I can't tollerate me >>> the swelling returned and worse >>> still having high white count in urine >>> ovaries still very sensitive >>> no sex drive, and on ocassion i do .......IT HURTS >>> puss being excreted from vagina >>> and now i have hair growing on my upper lip---what's that about? >>> >>>what could be wrong with me.. I need some ideas so that i know what i >>>need to research and what i need to ask my doctor to rule out. >>> >>>see i haven't gone back for a pap since just after my son was born and >>>lost my cycle that month..that's right , no cycle for almost 15 months. >>>can cry if someone says my name wrong and a total mess. >>> >>> I need some answers or a gun... can I get any help at all? >>> now we are almost >>> >>>-- >>>crystal >>> >>Crystal, >>Based on your history, I have serveral observations: >>1. By your history, it sounds as though you have polycystic ovarian >>syndrome (i.e. the loss of periods, the weight gain, the hair growth, >>etc.) It is good that you are going to see an endocrinologist. >>2. You need an evaluation of your cervix to assure that this pap is >>normal. >>3. You need to have at least three-four periods per year to maintain >>uterine health. Talk this over with your endocrinologist. >>4. You need a urologic evaluaion to determine why you have persistent >>white cells in your urine. This could be very significant... >>Lynn >> >>-- >>Lynn D. Montgomery, MD >>Director, Maternal-Fetal Medicine >>Rocky Mountain Perinatal Center >>Missoula, Montana > >>I had at first thought it was PCOS but I do not have the hair growth on my chest chin or neck, just my upper lip. >I asked my gp about it yesterday and he said that he's not convinced >because he took test back in early 96 after my son was born and all >blood work came back ok. he never bothered to find out why i have a >high white cell count in my urine at all. as a matter of fact he hasn't >paid much attention to anything, better then the obgyn i saw who was >kind enough to say that i was fat, lose weight. i've tried and to no >gain. i even drink 1 1/2 gallons of water a day to flush my system and >i still keep gaining...does water have calories that i don't know >about??? > >-- >crystal > Crystal, My feeling is that you do need to see the endocrinologist. I would make sure that they check your thyroid function as well as the PCOS stuff. Additionally, I really don't even need the labs (i.e. FSH/LH ratio, androgens, etc.) to make the diagnosis of PCOS. Your history is convincing enough. Finally, water has no caloric content, unless you are drinking the flavored water available... Lynn
-- Lynn D. Montgomery, MD Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center Missoula, Montana
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