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Re: PCOS: PCOS?
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Sun, 1 Feb 2009 15:27:53 -0600 (CST)
Dr. Futterweit;
It appears you DO have PCOS. Treatment will depend on whether you wish
to conceive again or be treated for your hirsutism.
Best wishes,
Dr. Futterweit
At Fri, 30 Jan 2009, LeAnne wrote:
>
>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!
--
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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