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Re: PCOS: PCOS - lost in tranlation?
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Thu, 6 Nov 2008 17:30:15 -0600 (CST)
Dr.Futterweit:
PAO (Polyc appearing ovaries) is when there are no stigmata of PCOS and
it may be a transition stage of PCOS. No real criteria other than
normality.
You have some stigmata of PCOS and perhaps a solid endocrinologist can
define what you have with much more info. 23% women have polycystic
oaveries on ultrasound.
Keep us all informed, please.
Good luck,
Dr.Futterweit
At Thu, 6 Nov 2008, star74 wrote:
>
>Hi,
>I have an unusual and *very* dumb question… it’s more English than
>medical, but I just want to know how I call what I have/had. It may be
>a bit long, but, please, bear with me. English is not my first language
>and I’m in the country for less than 2 years now. When trying to find
>translations for my medical history to ask questions and see doctors, I
>came across “PCOS” for what I had.
>However, now that I had a miscarriage, the information about PCOS on the
>web does not match what my doctors back home always explained to me that
>I had, and I’m wondering if I’m just filling medical files with
>inaccurate information? I’ve just seen in the web that there’s a
>difference between “polycystic appearing ovaries” and PCOS, and I’d like
>to know what would be the right thing to tell doctors. Here is what my
>doctor always explained to me about my condition:
>(1) I don’t have a “disease”. I have a state that appeared 3 times in
>my past (multiple cysts in my ovaries and, therefore, no ovulation)
>which may or may not happen again;
>(2) At this moment, everything is fine and I’m considered an absolutely
>normal person from this point of view
>(3) After 7 years in birth control pills (time this long due to
>sex-active life, not due to the diagnostic), I’d take 6-12 months to get
>pregnant, everything being normal as it was in my last appointment. This
>would be the average time for everybody on birth control. (I got
>pregnant in 5 months)
>(4) I was also told I have no reason to think I’m in more danger to
>miscarry than any other person, and that, again, I don’t have a disease…
>I HAD a state in the past and I no longer have it. They always refer to
>it as “polycystic ovaries”, but there’s no addition such as “appearing”
>or “syndrome”.
>(5) I was never mentioned of anything I’m in risk for regarding this. My
>doctor is very experienced and has always explained everything to me in
>details, so she would have said anything further. All that I needed was
>the birth control to regulate the cycle, but not that it was absolutely
>necessary, if I remember it correctly... it was more to avoid problems
>in the fture when I decided to get pregnant.
>(6) I’ve already been tested to diabetes and related tests (due to
>family history) but I’m as good as one could be in this area. My only
>problem with hormones is that I was diagnosed with hypotheroidism when I
>was 8. Since then, I’m taking L-thyroxine and everything is fine.
>Actually, in the past 4 years the doses are being reduced from time to
>time after check-up exams.
>
>So, am I translating the “polycystic ovaries” I was told I had (not
>have) to PCOS correctly or I’m just messing things up?
>Thanks for the English lesson!
>Kika
--
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
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