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Re: PCOS: ATCH (Dr. Futterweit please)
From: Pat Sonnenstuhl (anonymous@obgyn.net)
Sat, 29 Dec 2007 15:06:26 -0600 (CST)
I appreciate the professional opinion on this. A client of mine was
diagnosed initially with PCOS. As more lab work was done, it was
determined she had a different cause for her PCOS symptoms. She had
surgery, and has gone on now to have two children, which is wonderful.
It is critically important if there is abnormal/elevated lab tests that
appropriate follow up be done. Sometimes this needs to happen within a
University Setting. She was referred to OHSU when her tests came back
highly abnormal.
At Sat, 29 Dec 2007, Walter Futterweit, MD, FACE,FACP wrote:
>
>An elevated ACTH level 4-5x normal range is very significant and
>suggestive of
>Cushing's syndrome. Polycystic ovaries may occur on ultrasound with
>Cushing's syndrome. The following must be done.
> Get an expert endocrinologist and the folloiwng must be obtained.
>1) a plasma cortisol and DHEAS
>2) a 24 hour urine collection for urine free cortisol and creatinine.
>3) an overnight suppression test taking 1mg of dexamethasone with a
>snack
>before bedtime. The next morning, fasting, get a plasma cortisol
>(should be less than 3ug%), and another ACTH level which should be
>suppressed.
> If the above are abnormal it is likely to be Cushing's syndrome:
>Imaging of the pituitary gland with gadolinium as well as a CT scan of
>the adrenals (or MRI) are needed. Sometimes extopic ACTH producing
>tumors may be found in the chest and other sites.
> By all means address these results to me, and I will respond.
>Best wishes,
>Dr.Futterweit
>
--
Pat Sonnenstuhl, CNM, CHT
Hypnosis for Healing and HypnoFertility Therapy
http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
http://home.comcast.net/~prebirthhealth/birthcounseling.htm
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