Doctor insights on:
Ovarian Hyper Stimulation Syndrome Crying
NO!: In PCOS the prolactin level can be on the high end of normal or even JUST above normal, but THE DEFINITION OF PCOS STATES THAT OTHER DISORDERS WITH HIGH PROLACTIN BEING A SPECIFICALLY STATED ONE BE RULED OUT. You can not make the diagnosis of Polycystic Ovarian Syndrome if prolactin is high! This needs to be worked up and treated if necessary first. ...Read more
Sore breasts, diminished positive feelings during orgasm, increased depression, thoughts of hurting myself. Also diagnosed w/ crohns disease?
Depression: You need professional help and shouldn't attempt to work your way through these worrisome symptoms. Make an appointment with a psychiatrist as soon as possible and be sure to inform him or her of your thoughts of harming yourself. A combination of psychtherapy and medication should help you. If your Crohn's disease is acting up, your state of mind may well be an aggravating factor. ...Read more
Do patients with cyclic cushings have symptomatic adrenal insufficiency between episodes? Also, can cyclic cushings be diagnosed by a stimulation test?
Great Question : Serotonin syndrome is an acute toxicity due to medications which enhance serotonin in the brain. The treatment is supportive and requires stopping the offending drugs. I have not seen anything in the medical literature linking this syndrome with the development of dementia. Usually the syndrome resolves with appropriate treatment resulting in a favorable prognosis. ...Read more
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
Not Really: Most of the scientific evidence points to melatonin secretion, which is largely governed by a part of the brain called the suprachiasmatic nucleus, as the main chemical in circadian rhythm disturbances such as delayed sleep phase disorder. Serotonin is just one brain messenger important for us to feel awake. ...Read moreSee 1 more doctor answer
Sheehan syndrome or hypopituitarism. Does this sound like it... Low t3, (liothyronine) low-norm TSH, low-norm estrogen, low-norm acth, insulin sensitive, hypokalemia?
No: Since you have not listed your periods having stopped, the chances of this being Simmond's / Sheehan's are slim-to-none. What I'd like you to do is form a relationship with a patient, understanding physician who's good at endocrinology, and can help you manage the big picture -- while solving whatever physical problems may exist, find ways of turning bad stress into eu-stress in your life. ...Read more
Varies: Many women improve by using ocp's for cycle control and ovarian suppression - this gradually decreases the elevated testosterone that cause the hirsuitism.. There are also medications that can block the elevated testosterone and minimize the progression of the hirsuitism. ...Read moreSee 1 more doctor answer
I have hypothyroidism and polycystic ovarian syndrome. Can these 2 be related? If not, what causes polycystic ovarian syndrome?
Not generally: These 2 generally are not related. Pcos is caused by Insulin resistance which leads to high male hormone levels (testosterone) in the ovary which keeps you from ovulating. Pcos is caused by multiple genes, but worsens with weight gain. Weight loss will occasionally help to resume menstruation. You should also see your doctor to make sure you get tested for diabetes/prediabetes. ...Read more
Can adrenal insufficiency cause terrible lightheaded spells w/ fogginess? If so, which condition? I'm having acth stim test.
Yes indeed: There are other, more common causes, especially if the picture does not otherwise suggest addisonism. I agree with the decision to have an acth stimulation test as part of your workup, though there are many other causes. I trust cerebrovascular disease has also been considered. ...Read moreSee 1 more doctor answer
Yes: But recent research showing that the hormone oxytocin may be helpful in this regard. I suspect that we will have either oxytocin or an oxytocin analog available for the treatment of autism, asperger's, schizophrenia, and possibly even antisocial personality disorder sometime in the future. Oxytocinspray.Org/tag/oxytocin-treatment-for-autism. ...Read more
Not likely. : In medicine you can never say never. However, it is highly unlikely that ibs will lead to any heart irregularities. Common symptoms include abdominal crampy pain, constipation, and or diarrhea. None of these symptoms will affect your electrolytes which could lead to heart abnomalities or directly affect the heart in any way. ...Read more
17-oh progesterone 33.7 nmol/l (1112.21 ng/dl). I'm 29, previously diagnosed with pcos due to ogliomenorrhea and hirsutism. Is this pcos or lo-cah?
Is there a vascular disorder that causes severe raynauds w/ digital ischemic, partial adrenal insuff, and multi-wk episodes of ovarian failure, carb intol, bradycardia, & sev. Constip (sibo etc.)?
Check out endocrine : These systemic issues would seem to hint of more than a vascular disorder. Would look into your endocrine system (hormones), as features of adrenal insufficiency, and thyroid insufficiency (bradycardia and constipation) seem to be at play (pituitary might be the common denominator). Raynauds canoccurfora for primary or secondary reasons. In absence of a known ctd, shd rule out hormone issues. ...Read moreSee 3 more doctor answers
Pop diagnosis: I've run into a "pop" claim that if a man usually masturbates lying face-down, he won't be able to have intercourse normally (tms!). This sounds like dubious fear-mongering / tabloid stuff and I have seen nothing in the real medical literature. A problem exists only if you can't function and you have a really meaningful and warm relationship with the other person. Good luck. ...Read more
interesting ?: Raynaud's syndrome occurs when temperatures cause the muscular lining of blood vessels to spasm and to dilate usually in response to temperature changes. Though not aware of a relationship with stress, it is not inconceivable. If so, as stress resolves, so should raynauds. Wait and see. ...Read moreSee 1 more doctor answer
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