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20 Sep 2006

Hi Doc,
I have after 4 years been diagnosed with pcos...
I dont have excess hair and have never been overweight until i started fertility treatments 4 years ago...and it isnt that bad as i weigh 74 kg where i always weighed about 64. I produce follicles and they grow and this month on day 20 i had a scan and the folly was 19mm - the blood tests indicate the the estrogen increases but when we do the test 7 days later the progesterone is 2.4-3 indicating no ovulation. Howver after monitoring for about 5 months it was detected that my LH base leverls ara around 24 and only increase very slightly - there is not spike. Due to this i have been put on metmorfin. Nobody has tested my insulin though. What is your opninion on this line of treatment? On day 3 my fsh / lh levels were what they were supposed to be.
Also one day my father in law who is diabetic tested my glucose and it was high but when my doctor tested it two days later is was fine. Could this have anything to do with PCOS?
Thanks for the very informative replies
Answer 391 views
Fertility expert
fertility expert

01 Jan 0001

Dear Angie

In the first instance it is important to note that PCOS is not always associated with obesity or excessive hair growth. There are many variants of the condition and diagnosis is therefore made predominantly on hormonal essays and ultra sound scanning. It is important to do a homa index, if one is suspecting Insulin resistance prior to commencing Metformin treatment. If Insulin levels are extremely high, then a full glucose tolerance test should be performed to rule out overt diabetes. It is also important that prior to starting any ovulation, a careful down regulation of hormones and shedding of the endometrial lining of the uterus should be undertaken. Also the dosage and type of ovulation induction has to be very carefully selected and individualised.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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