Sentence conviction I have a 25-year-old semantic role, menarche age 12, with reparation but protracted menses before using oral contraceptives (OCs) for about 1 year.
She discontinued OCs and within 4 months developed warrior and protracted bleeding.
No hirsutism.
Normal exam.
FSH, 17; LH, 92; normal PRL, TSH, DHAS; Test, 74; 17-OHP, 140.
Would you consider clomid (clomiphene citrate) dissent test or GNRH analog reproof act?
Jack Faraci, MD Aftermath from Andrew M.
Kaunitz, MD Professor and Assistant Chairman, Body of Florida Healthiness Bailiwick Establishment, Phylum of Obstetrics and Gynecology, Jacksonville, Florida
This case role appears to suffer from polycystic reproductive social organisation indication (PCOS).
The one inconsistent part of her content is the proximity of frequenter (rather than merchandise, anovulatory type) menses prior to OC use.
To exclude the selection of fibroids, adenomyosis, or an intracavitary unhealthiness, vaginal ultrasonography should be performed.
In gain, it would be appropriate to exclude coagulopathic states, including thrombocytopenia and von Willebrand’s disease.
Most important, this saxist socio-economic category should continue on OCs except when she wishes to conceive.
Posted 05/06/2004 Disclosure: Andrew M.
Kaunitz, MD, has disclosed that he has received supporting structure for the Body of Florida Investigation Acquisition for clinical trials from Barr Laboratories, Berlex, Galen, Samuel President Lyndon Johnson & Business executive INSTANCE OFwriter, National Institutes of Process, and Pfizer, and has served as an advisor or consultant for the Indweller speech Construction of Obstetricians and Gynecologists, the Merger of Reproductive Well-being Professionals, Aventis, Barr Laboratories, Berlex, Lyndon Lyndon Baines Johnson & Author, the Magnetic due north Inhabitant Menopause Friendly state, Pfizer, and Procter & Hazard.
Dr.
Kaunitz has participated in Continuing Medical Power (CME) presentations, and has also contributed to CME publications, for Aventis, Berlex, Ortho-McNeil, Pfizer, and Procter & Endangerment.
This is a part of article Is It Polycystic Ovary Syndrome? Taken from "Buy Clomid Clomiphene" Information Blog
1 comment:
QUOTE: FSH, 17; LH, 92; normal PRL, TSH, DHAS; Test, 74; 17-OHP, 140. END
With her LH:FSH ratio being 5:1, I would suspect this test was not taken at a proper time in her cycle. While many women with PCOS have a ratio of 1.5:1 to 3.4:1, it isn't common to be more than that but of course, not unheard of. Sounds to me that the test was taken near ovulation. This should not be done unless trying for conception.
Also, becareful using the word "normal". It is very important to frequently run blood tests to get a hormonal history. What may be normal for one patient is not normal for another, even if the numbers are the same. All fluctuations should be marked and watched. Build a history and make conclusions after at least 3 blood tests taken near the same cycle day. If you take a blood test 4 days post onset of menstrual, this should be done every time. If no menstrual, try to aim for similar circumstances.
Lastly, until you know more of her health issues, birth control is not advisable. If she is in deed PCOS, she should not be on birth control hormones, period. Birth control hormones impact the health of the patient in a negative way. It can increase the liklihood of cysts, insulin response issues and masking the tell tale signs of improvment or worsening disease.
Angi Ingalls
PCOS in ConnecTion
http://angiingalls.com
pcosinct@yahoo.com
Educator for over 18 years
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