found this thread. I am currently on my second box of pregnitude. I started taking it for egg quality. So far, so good. I did have a longer cycle which was odd because I'm always normal. So, I thought I was pregnant :/
Anyways, I do have a question. When they diagnosed you with PCOS what tests did they do?
My RE says I don't have PCOS. But I'm not so sure. Just because I'm a small girl doesn't mean I can't have PCOS, right?
PCOS is a syndrome, or a collection of symptoms that vary.
So you can have ovaries with cysts on them - classic PCOS
or not have ovaries with cysts on them and still have PCOS
So be SURE your RE isn't ruling PCOS out on ovaries alone.
Usually diagnosis is from a collection of symptoms or tests like:
- test FSH/LH on day 3 of cycle
PCOS will have FSH way too high compared to LH. Normal is basically equal. In PCOS it is often FSH is 3 times higher than LH ( my fsh is 15, my LH is 4.1)
- irregular cycles
- no ovulation ( confirm this with basal temp charting
- spotting in the days leading up to period ( usually indicates low progesterone if you actually ovulate)
- fasting insulin blood test - in PCOS you'll have insulin resistance ( anything over 10-12, tho some people say normal should be even lower than that)
- fasting insulin is way high, but fasting glucose is within normal range - this is insulin resistance
Now if you've had insulin resistance untreated for a while it could have developed into diabetes, in which case you'd have diabetic levels of fasting glucose
- skin tags
- weight gain, especially sudden or large amounts unexplained
- difficulty losing any weight, even with dieting and lots of exercise
- infertility. Not conceiving with unprotected sex. ( in my case we haven't been preventing in 3 yrs of marriage, and no pregnancy or miscarriage)
- repeated miscarriages. Low progesterone is to blame for this one. If you suspect you have PCOS and have a BFP, demand that your progesterone is checked, to ensure it is at levels to sustain a pregnancy
- carb cravings, hunger headaches, constantly hungry, heartburn, fatigue, feeling tired all the time or after eating
- high testosterone ( free AND total) on a blood test
- high cholestrol, especially LDH
- high blood pressure
- abnormal liver enzymes
- fat collecting around the middle, even if a slender person. Having a roll of fat around the belly, especially one you can't shake, is a huge indicator of insulin resistance and needs to be addressed immediately
- day 3 Prolactin blood test - a lot of PCOS have high prolactin
- day 3 estradiol blood test - a lot of PCOS are estrogen dominate
I purchased all these blood tests myself privately online at Life Extension's website. You get it done through Labcorp, which is a legit lab, and get the results really quickly. If your doctor won't order the tests for you, order yourself through Life Extension and then find a doctor who will look at them and diagnose you correctly.