My daughter is almost 18 and had irregular bleeding(more often than not) from the start of her periods. Last year we took her to a GYN and she tried lo-gesterin. After 8 months, she asked to go off it, which was this past March. She did not bleed for 4 months. She went back to GYN who did blood work to check hormones after chatting with us in the office. LH, HCG, Prolactin, DHEA, FSH, and CBC were all normal. The only hormone to come back out of range was her free testosterone at 5.4 pg. Total testosterone was 39 ng, and just under the less than 40 ng range.
Nurse called and told us to use Provera then Ortho Birth Control as the doctor made a diagnosis of possible Polycystic Ovarian Syndrome. We were told no more testing was necessary. The daughter got a bad cough and cold so we delayed the treatment and began to investigate alternatives for the PCOS diagnosis. We decided to use mirconized progesterone cream and it did bring on a very light period within a few weeks. We are trying the regime now for a second month.
Should she be diagnosed with PCOS based on this one hormone level? She does not have excessive hair growth, patches, insulin issues etc. She had moderate teen acne. She is 5.9 and 150, exercising 8-10 hours a week. Could we be dealing with something else with only the free testesterone being high??
A very concerned Mom