Hello
Thanks for writing to DoctorSpring.com with your health concern.
Based on your clinical picture, I would say that you have PCOS .
However, I need to look at the blood work that has been done so far.
To diagnose PCOS, there is a battery of tests which are carried out.
Can you please upload the tests already done, so that I can guide you further ?
Looking forward to hearing from you.
Take care.
Patient replied :
Here are my blood test results, these are the only tests I have so far:
They were all normal except Estradiol.
Testosterone, Serum |
|
10 |
|
|
Free Testosterone(Direct) |
|
0.3 |
TSH |
|
1.270 |
|
|
T4,Free(Direct) |
|
1.27 |
Yes, it covers the whole panel.
Now , for PCOS;
it is diagnosed as being present when 2 out of 3 are present -
1. Clinical picture - which you have - unexplained weight gain, acne, hirsutism, irregular cycles.
2. Biochemical picture - which shows up on blood work.
3. Ultrasound scanning - showing polycystic ovaries.
So, basically if you have symptoms and a scan or blood work supporting PCOS, the diagnosis is made.
If you do not have symptoms but the other 2, you still have it. You meet the clinical picture but the biochemical tests are normal. So an ultrasound scan is required.
Was a scanning done ? If it wasn't, please discuss with your doctor to get it done. You can upload the result here.
Feel free to discuss further.
Take care.