High FSH/LH

[ingpet]

I am a 28 year old female/5'8"/137 lbs.  I have never had normal periods and have suffered from ovarian cysts.  My husband and I have conceived a child once in our five year marriage and miscarried.  My only consolation after receiving my bloodwork results was that they were taken midcycle by chance because I started my period two weeks later.  My FSH was 23.9 and my LH was 101.  The doctor said my estradiol/TSH/progesterone were normal.  He did a pelvic U/S and found a cyst on my right ovary and two on my left.  He is puzzled because if I am in ovarian failure wouldn't I have low levels of estrogen, but I have endometriosis?  Where is the estrogen coming from and can I have high levels of FSH/LH at midcycle when I ovulate?  Can cysts produce hormone?  

After the miscarriage the doctor removed the large cyst from my ovary and told me he found endometriosis.  I never knew I had that disease and I don't suffer ANY problems from it unless it is the cause of my cysts and irregular periods???  The doctor that performed the surgery also did not tell me that it was a chocolate cyst, but this new doctor based on the U/S pic I brought to the appt said it was.  I don't have any symptoms of PCOS or endometriosis, so the knew doctor is doing an inhibin B and karotype test.  He also mentioned a possible pituitary tumor.

Sooo confused??  Any input would be greatly appreciated      

[ingpet]

I just don't have any of the symptoms of PCOS. They aren't tiny cysts...the one the Dr. removed was the size of a grapefruit.  I also don't think I have insulin resistance, again I don't have any symptoms.  Is there an estogen component to PCOS?

[Helen72]

I thought cysts and irregular periods were signs of PCOS...

In mid cycle you get LH surge so yes, your LH would be elevated for a few days before ovulation.

Cysts can definitely produce estrogen (e2).  

Also, your FSH should be measured on cycle day 3, I think.  That's when my ob did the blood test.