YOUNG-WOMEN Messages for November, 2000: Re: IS THIS PCOS OR WHAT?

Re: IS THIS PCOS OR WHAT?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 22 Nov 2000 19:19:37 -0600 (CST)

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With absent perios for six months, I would also have suspected PCO. If you had all of the following and they were all normal, there would still be a chance of PCO if the sonogram were showing changes in the ovary consistent with PCO. The tests are FSH, LH, (the next three are for thyroid and the first is the most important) TSH, T3, T4 and Prolactin. It is also important to know whether or not there is leakage from the breast (either spontaneous or if a doctor tries to "milk" the area to make them leak). Any of these things can cause the period to be missing for 6 months.

For everyone's general information, pregnancy must also be checked into if one is sexually active.

To follow up with insulin resistance, you'll need a fasting blood sugar and a fasting insulin level and your doctor will have to check the ratio of one to the other.

Hope this helps and write back anytime for more information.

HSM

At Wed, 22 Nov 2000, Megan wrote: >
>Dear doctor ,
>>
>>I'm a 16 y/o female . I first got my period when I was
>>12.My menstrual flow were perfectly normal eversince
>>.But all of a sudden , my periods were absent since
>>May(this year).It's already 6 months of absent periods
>>and it still hasn't come.I also realised that excess
>>hair started growing on my body and mildly on my
>>face.It increases every few days!
>>Besides I also have abnormal cholestrol levels(270)
>>,difficulty in sleeping,smaller breasts. I suspected i'm having
>>PCOS so I went for blood tests(on hormones) and
>>ultrasond screening.But the results for both were
>>perfectly normal!What test should I do now?Is GTT
>>required?I'm sad , frusfrated , curious and confused
>>about all these!I must be having something and I want
>>it to be diagnosed.Doctor ,please help. I'm really
>>looking forward for your reply.Thanks!
>>Michele
>>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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