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Re: Adrenal HormonesFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Thu, 17 Apr 1997 23:11:17 -0500 (CDT)
Your history could takes hours to fully dicuss, but the following is a starting point. Outside of the DHEAS, I see no other results. Classically, PCO is associated with an elevated LH in a 3:1 ratio to FSH. No other androgen levels were noted in your post. There is a syndrome called HAIR-AN which involves HyperAndrogenism, Insulin Resistance and Acanthosis Nigrans. If the gyncologist doesn't feel comfortable investigating this, you should see and endocrinolgist for a full evaluation. With an elevation of DHEAS, an abnormality of the adrenal gland must be investigated as a possible cause. An endocrinologist can recommend the appropriate tests including a possible Dexamethasone suppression test. Although the workup may prove to be negative, it should be completed.
-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York
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