Blood Results

[shellbell121]

Hi,

I didn't have a period for over 6 months so went to my GP. He ordered bloods and an ultrasound.

I had to wait to have my bloods done within the first 3 days of my period (which meant I had to wait a further 3-4 months to get them done as I hadn't been having periods..!)

Bloods say:

TSH: 1.13 mu/L
FSH: 5.7 u/L
(Range = Follicular 2.5-10.2 Mid cycle 3.4-33.4) (I have no idea if I was "follicular" or "mid cycle"?? Was day 2 of my period I think)
Prolactin: 160 mu/L
(Range = Not Pregnant 59-619 Pregnant 206 - 4420)
Testosterone 3.5 nmol/L
Range = 0.5 - 2.5
Sex hormone BG 56 nmol/L

The ultrasound said my ovaries are polycystic.

So my GP has said I have PCOS.. I just wanted to know what all these blood results mean as he just said that the Testosterone was high but didn't say anything about anything else?? Do they all look okay?

Does PCOS ever go away or will I have it forever? Also how difficult is it going to be for me to get pregnant when I want to have children?

Thanks
Shell.

P.S I am 21 y/o!

[tejodouro]

If your GP is not being careful with your issues, please find another GP.  There are many that are very caring. Good luck

[shellbell121]

Hello :)

Thank you so much for your reply!

Does my prolactin level seem too low for me to have PCOS then? I do have a few of the other signs and symptoms, excessive hair growth, bad acne (not just on my face) amenorreah, weight problems (I'm not like obese or anything, just "plump" but find it rather difficult to lose weight if I diet/excercise more)

My GP has put me on an oral contraceptive, Dianette, mainly to help with the acne and stuff and also to control my periods so I am more regular. But I have found when I have my weeks break and bleed it is quite heavy with a few clots and I also get really bad cramps and lower back ache.. Is this normal?

My GP doesn't seem very interested in my issues to be honest and didn't seem to take me very seriously when I first went to see him.. I practically had to demand a blood test and ultrasound! And he also didn't ask for my LH levels to be checked.. Should this also be done?

I will speak to him about being refered to Endo next time I go to my practice!

Thanks again for your reply!!

Shell.

[Elaine Brown, MD]

Hi!
Both testosterone and prolactin tend to be elevated when a patient has PCOS.  If I were your doctor, I would be a bit concerned about your prolactin level.  You may want to clarify that with your GP, or even better, request a referral to a reproductive endocrinologist.  It is quite important to have periods at least every 2-3 months, or the lining of the uterus tends to thicken which can lead to problems over the years.
An RE could help you out with managing your periods, and also tell you if any further follow up is warranted for your prolactin level (an MRI of the pituitary?).
This is also the type of doctor who can help you with fertility issues when the time comes for that.
Good luck!
Dr B