WOMENS-HEALTH Messages for August, 2002: Re: Could this be PCOS?

Re: Could this be PCOS?

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 26 Aug 2002 19:40:44 -0500 (CDT)

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In reply to: Luise: "Could this be PCOS?"
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Reply: Luise: "Re: Could this be PCOS?"

At Mon, 26 Aug 2002, Luise wrote: >
>Since I stopped taking BCP's last October my cycles have been very
>irregular, they have never been irregular before now. I was very skinny
>as a teen, since I was 19 I gained 60-70 lbs over a period of about 8
>years. I reached my peak of about 165 lbs a few months ago, and since
>starting exercise and eating right I am now back at 137 lbs.
>
>My cycles since I stopped taking the pill have varried in lenth:
>
>Cycle 1: 90 days long. my period was long, I spotted for over a week
>and then had heavy bleeding for 5-6 days and more spotting after. blood
>was very dark and had many clotts
>
>Cycle 2: 30 days long. period was normal, lasted 3-4 days
>
>Cycle 3: 55 days long. period was very light, lasted only 2 days with
>spotting on day 3
>
>Cycle 4: 31 days long. period was normal, lasted 4-5 days
>
>Current: it has been 95 days since my last period. I have had some
>cramping on and off all cycle, and a spot or two about once a month. I
>haven't ovulated yet this cycle (I did ovulate in cycles 2-4).
>

I think you've done most of the needed work-up and obviously it is PCOS with raised testosterone.if you want pregnancy you will start using fertility drugs and if you do not you might need to go back on pill or Diane. >Blood results from three weeks ago:
>
>HCG:<10
>
>LH:16
>
>FSH:6
>
>Testosterone:5.8
>
>Progesterone:1.5
>
>Free Testosterone:15.9
>
>Estradiol:217
>
>I had an ultrasound done 8 weeks ago and I had poly-cystic ovaries.
>Since I stopped taking the pill my ACNE has flared up pretty badly,
>almost as bad as it was when I was a teenager. I thought that I had
>out-grown the ACNE!
>
>--
>When I asked my doctor about PCOS he didn't know what it was. I go to see a specialist in October. Is all of this consistent with PCOS? What do I need to know about further tests/procedures that should be done to clarify the diagnosis?
>

-- Samir Fouad Aziz MD Asist.Professor OB.Gyn Director Gyn.Oncology Al-Azhar University-Egypt Editorial Advisor Obgyn.,Pregnancy & birth and Gyn.oncology

this is for educational purposes only.

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