Doctor insights on:
BCP or Fert Drugs: Pcos is an ovarian dysfunction. If you are not trying to pregnant the treatment of choice is the birth control pill. If you are trying to get pregnant we use fertility drugs, but it varies as to how a patient responds to these medications. The "fertility drug" is actually stimulating the ovary to ovulate.The first drug we use is clomid, (clomiphene) but it has to be used in higher dosages than normal ...Read moreSee 1 more doctor answer
24 years old. Normal hormones but have irregular cycles, cystic acne over face/back, hirtuism, cysts on ovaries, insomnia, depression? Cycles 40+ days
Considering ovarian drilling for PCOS high LH:FSH ratio, irreg cycles, cystic acne, insomnia, feels miserable. Does it really DESTROY part of ovary?
Yes, but wait...: technically, it HAS to, right? The word, itself "drilling" means making a hole. To make a hole you have to take SOME stuff out, right? But that doesn't mean you won't have enough left over to still do what you need them to do. Ovaries have thousands and thousands of eggs, and women only use a few hundred in a lifetime. That said, I am NOT endorsing any specific procedure for you, as I HAVENT SEENU ...Read more
If all hormones are within normal range and proper ratio, why irreg heavy cycles, polycystic ovaries, hirsutism, cystic acne, insomnia, hyperhidrosis?
Another problem: There are some disease that can look like pcos such as cushing's disease and congenital adrenal hyperplasia or androgen secreting tumor. D/w your doctor about testing for these if they have not already been done and consider seeing and endocrinologist for further workup. ...Read moreSee 1 more doctor answer
Hyperhidrosis, irregular cycles, poor healing wounds, stretch marks since childhood now faded, irreg cycles, cystic acne, hirsutism, is it cushings?
May be endocrine: Your symptoms are certainly suggestive of a possible endocrine diagnosis even if not cushings. Polycystic ovary syndrome, pcos, could also cause those symptoms. Start with your primary who may be comfortable doing all the evaluation and treatment for pcos and may send you for consult if labs are more suggestive of cushings. ...Read more
No. But it can help: Reduce acne breakouts and more cyst formation that can lead to new scars. Accutane is powerful medicine that requires monitoring and absolute avoidance of pregnancy (causes birth defects). See dermatologist for advice and prescription if you are a candidate. ...Read moreSee 1 more doctor answer
Period slight irregular.Multiple small cysts on ovaries. Day 21: progesterone 6.25nmol/l, LH 19.72miu/ml, FSH 7.45miu/ml, Prolactin 133.13 mu/l. Pcos?
Maybe: The data you provide don't give an absolute answer. "Multiple small cysts" sounds consistent with PCOS but without an image it might not. A Progesterone of 6+ only indicates that you ovulated. FSH and LH are not part of the diagnosis, nor is an FSH/LH ratio. Prolactin also is not part of PCOS diagnosis, but at 133 your is way too high, be certain to test it again fasting. ...Read more
What causes underdeveloped breasts in women w/ pcos, I have all normal hormones/no elevated androgens/normal ratios but poly. Cys. Ovaries/acne/hirsu?
Although the levels : Of hormones are normal, i suspect the bioavailability or functionality of these hormones are still off - with higher testosterone and lower estrogen bioavailability. This may explain the underdeveloped breasts. Take care! http://www.M.Webmd.Com/women/tc/polycystic-ovary-syndrome-pcos-topic-overview?Page=1. ...Read more
Sebaceous glands: Acne can occur anywhere there are sebaceous glands (oil glands) in the skin. Web md is a great resource to learn more about acne. Skin hygiene with soap and water followed by benzol peroxide or 2% salicylic acid products are over the counter options. An evaluation by a dermatologist can help develop a long term plan. Resistant acne can also be treated with antibiotics and some laser therapy. ...Read moreSee 1 more doctor answer
Well yes, but...: If the ovaries are removed, then you'll no longer be producing much female sex hormone at all, and you'd then essentially enter menopause unless hormones are replaced in pill form. Daily hormone replacement pills keep levels very stable which would generally end the sorts of symptoms you get from abnormal hormone fluctuation in PCOS. Though it's far too aggressive of a treatment just for PCOS. ...Read more
Experienced hairloss/thinning & cystic acne. Taking ocella (drospirenone and ethinyl estradiol) & spironolactone 25mg. Acne under control not thinning. Can i switch vitex for ocella (drospirenone and ethinyl estradiol)?
NO: Ocella (drospirenone and ethinyl estradiol) is a birth control pill which helps acne. Vitex is of no value ; is sold with false claims to take advantage of people: it will do nothing for acne ; it will not prevent pregnancy. The usual dose of spironolactone for acne is 50- 100 mg, sometimes 200mg. You will see improvement after 3 menst periods. Hair loss might improve with larger dose of spironolactone. See a dermatologist for help w. ...Read more