WOMENS-HEALTH Messages for May, 2008: Re: PCOS: Infertility

Re: PCOS: Infertility - PCOS correct diagnosis????

From: TK (anonymous@obgyn.net)
Wed, 28 May 2008 12:26:36 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Laura: "CONTRACEPTION: Skipped my period but then came 2 weeks early!"
Previous message: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: Infertility - PCOS correct diagnosis????"
In reply to: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: Infertility - PCOS correct diagnosis????"

Thank you. My resting insulin levels are normal, as well as prolactin, testosterone and free T levels. My thyroid was thoroughly investigated by my naturopath. About 2 years ago when I orignally started on Clomid I was put on Metformin as well without any insulin testing. However, I did not ovulate for the first 3 mths and I discontinued the treatment cycle. I started again this past fall and ovulated right from the first month any every month following for the 6 month course of treatment. Could a problem with my pituitary gland cause similar symptoms to PCOS? Or perhaps endometriosis? I came to accept the monthly pain I experience (along with other classic symptoms of endo) as a part of the PCOS. I should also note at 2 years of age I was put under investigation at the children's hospital due to a few pubic hairs developing. After some blood testing and no significant results my mother discontinued the investigation. However, no one has ever checked my pituitary directly via CAT scan, etc. Is this something in your opinion that should be further investigated? I had assumed that my gyn. would have referred me on to a RE if he saw fit but there has never been any mention of it on his part. Would an RE conduct these types of tests?

At Tue, 27 May 2008, Walter Futterweit, MD, FACE,FACP wrote: >
>At Tue, 27 May 2008, anonymous@obgyn.net wrote:
>>Dr. Futterweit:
>
> There appear to be multifactorial causes of the infertility:
>1) anovulation. PCOS is likely with that and irregular menses (80%).
>2) Any evidence of elevated insulin levels or a look at prolactin, and
>non-classic congenital adrenal hyperplasia? The diagnosis of PCOS is
>probably correct but the above studies and testosterone and free T is
>lacking.
>3) A male factor may also play a role.
>4) The need for a reproductive endocrinologist is pressing and more
>studies are needed.
>5) ?Lap. Not yet in my view.
>Good luck
>Dr. Futterweit
>
>>Are you also on Metformin ? It is an insulin sensitizer that helps to
>>improve how your cells use insulin. Have you been seeing a Reproductive
>>Endocrinologist ? They usually are up on the current management of PCOS.
>>It sounds like you have several factors affecting your fertility. The
>>best treatment is to get everything into as normal a balance as possible
>>and that improves the use of Clomid and other medications. ...
>>
>>>--
>>>TK
>>>
>>--
>>Pat Sonnenstuhl, CNM, CPPI, CHt
>>Peace on Earth Begins with Birth
>>Birth Counseling and Fertility Therapy
>>http://home.comcast.net/~prebirthhealth/birthcounseling.htm
>>Hypnosis for Healing
>>http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
>>Peaceful Birthing
>>http://www.peacefulbirthing.org
>>
>--
>Walter Futterweit, MD, FACP, FACE
>Clinical Professor of Medicine, Division of Endocrinology
>Mount Sinai School of Medicine, New York, NY 10029
>http://www.aacehost.com/pages/page.php?r=716
>

--
TK

Next message: Laura: "CONTRACEPTION: Skipped my period but then came 2 weeks early!"
Previous message: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: Infertility - PCOS correct diagnosis????"
In reply to: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: Infertility - PCOS correct diagnosis????"

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: