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Doctor insights on: Endocrinology And Pcos

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What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.

What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.

Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more

Dr. Dennis Higginbotham
1,251 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Do girls with pcos always have low progesterone levels?

Do girls with pcos always have low progesterone levels?

Sort of: Low Progesterone comes form not ovulating, the problem is not that its 'low' but that no ovulation happened. So, in that sense any woman who skips period has Progesterone levels that are too low. ...Read more

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I have hypothyroidism, metabolic syndrome and am pre-diabetic., with gallstones. Will metformin and Synthroid (thyroxine) help?

I have hypothyroidism, metabolic syndrome and am pre-diabetic., with gallstones. Will metformin and Synthroid (thyroxine) help?

See below: Synthroid (thyroxine) can help hypothyroidism, dosing should be started by your dr.Metformin can help with blood sugar control, though there is no specific recommendations when it cones to pre-diabetes. Exercise and proper diet should be part of the treatment as well. Be well. ...Read more

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Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

PCOS: Pcos is generally best treated by a board certified reproductive endocrinologist. He/she should have gone through special training in the diagnosis and treatment of pcos. ...Read more

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I have PCOS. Estrogen is very low, high androgen. GYN not treating hormone levels. Joint problems, hirtuism. should hormones be regulated?

I have PCOS. Estrogen is very low, high androgen. GYN not treating hormone levels.  Joint problems, hirtuism. should hormones be regulated?

PCOS: It sounds plausible you may have PCOS if you have had hormone testing, BUT in most PCOS the estrogen is high, not low as you describe. There are other causes of elevated androgens that should be tested. If another problem is found, or if PCOS is confirmed then treatment should be given. Seek a second opinion. ...Read more

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Blood, hormone, metabolic panel all normal, no biochemical abnormalities. I have pcos hirsutism, hypoplastic breasts, cystic acne, irreg cycle why?

Blood, hormone, metabolic panel all normal, no biochemical abnormalities. I have pcos hirsutism, hypoplastic breasts, cystic acne, irreg cycle why?

Could be: Pcos, but you'll need to discuss w/your doctor since it's often a clinical diagnosis. Much more information is needed to make an accurate diagnosis. ...Read more

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Why do women with pcos have trouble with their cycle and fertility?

Why do women with pcos have trouble with their cycle and fertility?

Complicated: Syndrome is due to high Insulin levels. Patients have the type ii diabetes gene expression. Early in dmii, Insulin levels are high. Insulin in the ovary creates higher male hormone (androgen) production that thwarts follicle (egg) development. Thus ovulation problems and longer menstrual cycles. Anything over 30 days is abnormal. Fertility is decreased and miscarriage increased. ...Read more

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Are metformin 500 mg and spironolactone helpful for pcos and adrenal hyperplasia?

Are metformin 500 mg and spironolactone helpful for pcos and adrenal hyperplasia?

Likely not both: Two different problems, two answers. Spironolactone can be helpful for treating (symptomatically only) unwanted body hair growth with either disease. Metformin is often helpful for women with pcos but has no well established role for treating cah. ...Read more

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I'm ttc. have pcos, high testosterone and on metformin. What are my chances of conceiving?

Conceiving: The odds of conceiving at age 50 are quite low but you should certainly see an obstetrician if you want to have another baby. It may not work out but if you want that new baby don't wait. ...Read more

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If all hormones are within normal range and proper ratio, why irreg heavy cycles, polycystic ovaries, hirsutism, cystic acne, insomnia, hyperhidrosis?

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 more

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I have pcos and am on sprintec and metformin. Is sprintec a proper birth control to treat pcos and its symptoms like acne?

I have pcos and am on sprintec and metformin. Is sprintec a proper birth control to treat pcos and its symptoms like acne?

Sprintec is one : Of many useful tools for pcos. It contains a low androgen progestin norgestimate which is useful for women with pcos and androgen sensitivity. Sprintec and tri-sprintec are the generics for ortho cyclen and ortho tri-cyclen. Sounds like a reasonable plan. Give it a try! ...Read more

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Can I have Hashimoto's even with normal TSH levels? I have PCOS and low estrogen and progesterone. Male pattern symptoms.

Can I have Hashimoto's even with normal TSH levels? I have PCOS and low estrogen and progesterone. Male pattern symptoms.

Possible: Hashimoto is an autoimmune condition involving the thyroid, thus the thyroid function test may well be normal the early stage although you will eventually end up with a low thyroid function. ...Read more

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Clomide,hcg,fsh+lh,induce ovulation,thus can they help in regulating pcos woman hormones,& in decreasing pcos symptoms:Hairloss,Hirsutism,Amenorrhea?

Unclear question: It is not at all clear what your question is. The birth control pill is usually first treatment to manage PCOS symptoms. Clomid (clomiphene) would only be used when trying to conceive. ...Read more

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What to do about hypothyroidism, polycystic ovarian syndrome infertility, all in all hormone issues?

Pcos help: PCOS treatment revolves around the goals of the patient. If the goal is pregnancy, the treatment will revolve around promoting ovulation and the carrying of a healthy fetus to term. Before you see your provider, starting a fitness, weight loss strategy if you are overweight, a diet geared towards reducing carbohydrates, taking a prenatal supplement with Folic Acid are all steps you can take. ...Read more

Dr. Ira Katz Dr. Katz
1 doctor agreed:
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Why doctor prescribes metformin for pcos? does pcos cause diabetes?

Dr. Ira Katz Dr. Katz
1 doctor agreed:
Why doctor prescribes metformin for pcos? does pcos cause diabetes?

PCOS & DM related!: PCOS in most women is associated w insulin resistance, which through a complicated pathway actually contributes to condition. By the age of 40 about 35% of women with PCOS have DIABTETES or prediabetes & metformin lowers the risk. In PCOS it also seems help with weight loss. Lastly, it has been shown to help reg menses & help some women ovulate & poss get & maintain preg. PCOS is a Gyn & Endo dz! ...Read more

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What causes underdeveloped breasts in women w/ pcos, I have all normal hormones/no elevated androgens/normal ratios but poly. Cys. Ovaries/acne/hirsu?

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

Dr. Yash Khanna
298 doctors shared insights

Endocrinology (Definition)

Endocrinology is a medical specialty which involves disorders of the endocrine glands. These glands release hormones into the blood. Hormones have effects in other parts of the body. Examples of endocrine glands include the pituitary gland, adrenal gland, and thyroid gland. Diabetes is an endocrine disorder due to problems with supply ...Read more