High results on blood test

[lorren]

I just got my lab results from my DR.  My DHEA-Sulfate is high, my cortisol - am is high and my testosterone free is high.  My thyroid is in normal range on everything.  I take  synthroid.  I have acne on my belly, never had that before, excessive hair growth on face, I am a girl. I'm gaining weight in the mid section and having headaches and am also irritable.  Doc has ordered an MRI on adrenals, but has not said what she thinks is going on.  I also have an overgrowth of yeast in my colon that she has been treating for a few months now.  What is wrong??

[Mark Lupo, M.D.]

Before MRI of adrenals is done, we usually like to make a diagnosis of an adrenal problem.....but with the high DHEA-s it's reasonable to go ahead with imaging.....that being said, would look at 24 hour urine free-cortisol to see if this is Cushing's syndrome.  Another common cause of these labs is PCOS.  
Being hypothyroid with normal labs is not causing/contributing to the other signs/symptoms.

[lorren]

Can you have PCOS if you've had a complete hysterectomy?