WOMENS-HEALTH Messages for January, 2009: PCOS: PCOS?

PCOS: PCOS?

From: LeAnne (anonymous@obgyn.net)
Fri, 30 Jan 2009 19:01:36 -0600 (CST)

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I've been seen by an endo and had blood tests done early in the morning after fasting for 12 hours (14 days after the first day of my last cycle). I recently had a cat scan and I am waiting for results.

I picked up my labs. Originally my endocrinologist thought I might have NCAH but said it was ruled out because my 17 Hydroxyprogesterone test was fine.

My labs read:

17 Hydroxyporgesterone- LC/MS/MS 345 H Follicular Phase 185 ng/dl or less Mid-Cycle Phase 225 ng/dl or less Luteal Phase 285 ng/dl or less *no blood work of levels prior to cortrosyn injection. From what I read NCAH you should have blood work down 30 min prior to cortrosyn injection, 30 min post and 60 min post. My endo only gave injection and 30 minutes post he did not preform test at 60 minutes.

LH Hormone 15.1 reference range Follicular Phase 1.9-12.5 Mid-cycle Peak 8.7-76.3 Luteal Phase 0.5-16.9

Prolactin 6.3 Reference Range Non Pregnant 3.0-30

Testosterone, Total 113 H Reference Range 2.45

%Free Testosterone 1.03 Reference range 0.5-2.0

Testosterone, Free 11.6 H Reference Range 0.1-6.4

I went to the Endocrinologist after having years of abnormal facial hair, back hair, which gradually got worse to include my stomach, hands, forearms, and toes. My cycles are not regular and never have been. I had a heard time conceiving my child and had to use Clomid.

I know that NCAH is commonly mistaken for PCOS and wondered your thoughts on my labs? I have no idea why he told me the levels were normal and no idea what he preformed the cortrosyn test differently to no include levels prior or levels at 60 minutes.

I have had ultrasounds before to check for PCOS and never have had cysts but apparently you don't have to have cysts to have PCOS.

Thank you!

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