WOMENS-HEALTH Messages for February, 1999: Re: Timing of perimenopausal FSH testing (and a couple more questions)

Re: Timing of perimenopausal FSH testing (and a couple more questions)

From: Angela (anonymous@obgyn.net)
Sat, 13 Feb 1999 21:50:20 -0600 (CST)

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At Sat, 13 Feb 1999, anonymous@obgyn.net wrote: >
>In a message dated 2/12/99 6:04:03 PM Eastern Standard Time, angela300@aol.com
>writes:
>
><<
> What I'm wondering is: At what point in the menstrual cycle should FSH
> be measured--or does the timing not matter?
>****** Why bother? A waste of money in a normal female.

Why is it a waste of money? (And whose money are you concerned about?)

><< Also, can you give me an idea how you interpret the results?
>******* No.
><< Is it important to know Estradiol level as well?
>******* No.

>
><< Finally, on the subject of the ovarian cyst:
>******** How big is it? ovaries normally make a follicle cyst each month. What
>does the Ultrasound show? Is it growing? What does it feel like on pelvic
>exam?

Most of this was in the original post. To repeat, the MD who did the ultrasound describes it as a "cyst" that is "just under three inches" and "looks like an endometrioma." It might be growing; on previous ultrasound approximately 1 year ago, the same ovary had a cystic mass about half that size. My OB-GYN could feel it on exam, which is why I was sent for ultrasound, but he didn't say anything about exactly how it felt. >
>>> Do you agree with testing for CA-125 and CEA in this situation?
> ******** These tests have a high degree of UNRELIABILITY!
>
>********** Comment: Why not wait? What is you family history of menopause (day

>of last day of last menses)? What is your ethnic background?

Maternal grandmother had very early menopause at about 38 years (but lived to 88 years, though she didn't have much of a clue what was going on for the last 10 or 15). Not sure about mother, who had hysterectomy at 47 from uncontrollable bleeding due to fibroids; I'm not certain if that really was "menstrual" bleeding. My mother's relatives were Dutch/German going back a couple of generations; father's parents came from Italy, much sturdier stock I think--paternal grandmother lived until 92 and barely ever saw a doctor. Dad's sister (still alive and quite well, now about 76 years old) also had hysterectomy at midlife due to problems with fibroids. (Dad's also still alive and well at 72; Mom died at 66 of ischemic stroke.) >
>--
>=============================================
>*Note: Opinions expressed here are for educational purposes only.
>This information is not intended to supplant the need for you to
>consult your physician prior to choosing or planning therapeutic
>options and/or interventions.
>*It is impossible to make a diagnosis or recommend specific
>treatment without a face to face medical history and physical
>examination.
>
>**Private emails cannot be answered.
>
>**Agape, DR L. ,MD [a.k.a. DR. George]
>

Next message: elizabeth: "weighted vaginal cones"
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In reply to: William D. McIntosh, MD: "Re: doppler on US"
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