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PCOS or chronic anovulation?From: Amy (anonymous@obgyn.net)Fri, 29 Mar 2002 22:26:41 -0600 (CST)
My son is 18 months old, during that time I have had two periods that were not induced by Provera or birth control pills. My RE has tested me for PCOS sort of by giving me a 2 hour GTT with insulin. According to him the levels came back inconclusive. (My glucose levels were normal and my fasting insulin was normal, but my 2 hour insulin was elevated.) I asked him if I had PCOS and he said he didn't know, that he thought I just had Lupus which was causing some kind of ovarian dysfunction. I ovulated the month before I saw him on my own (the first month off of BCPs), but my progesterone level on day 21 of the cycle after was only .9, so obviously I didn't ovulate. My RE is internationally known for his research on PCOS, but he didn't want to do anymore testing to confirm or disprove the diagnosis (no FSH, LH, testosterone, DHEAs-- nothing) Is that normal? FWIW, I have no signs of hyperandrogenism (acne, hair, obesity), but I have Polycystic ovaries and obvious anovulation. Are we to the point where only glucose/insulin levels matter? Question 2: Does pregnancy or prednisone cause permenant anovulation? I did take prednisone for a long time after I had my son at higher (15-30 mg) doses, but I haven't for over three months and my cycles are still messed up? What could be wrong if not PCOS and can it be fixed?
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