question-icon

Can You Please Make Sense Of My Results Or What My Next Steps Should Be?

default
Posted on Tue, 3 Sep 2024
Question: Can you please make sense of my results or what my next steps should be? My OBGYN suspected I had PCOS. I had a transvaginal ultrasound and they did not find cysts. They told me to stay on my birth control pill and wait until the end of my placebo week to take a hormonal blood test. Here are the results as of November 25, 2022: FSH: 2.3 mIU/mL LH: 0.2 L Testosterone, Free: 0.6 pg/mL Testosterone, TOTAL, MS: 21 ng/dL Prolactin: 15.6 ng/mL Hemoglobin A1c: 5.4 My thyroid has also been tested since 2017: 2017: 2.76 2019: 2.32 2020: 2.78 11/25/2022: 1.89
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
See details below.

Detailed Answer:
Hello,
I read your query and here is my advice.

I see the test results you received and most of them are in normal range except LH which is really low and it can be a reason for infertility.
This low LH may be because if a pituitary gland disorder, Kallmann syndrome anorexia and stress .
I would prefer to get these tests done again including estrogen and progesterone after the placebo week . This may lead to diagnosis.
There can also be pcos without cysts and ruled out by hormonal tests.
Hope I have answered the question.
Let me know if I can assist you further.
Thanks.
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
default
Follow up: Dr. Olgeta Xhufka (38 minutes later)
Based on the low LH is it not looking like I have PCOS?
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Doesn't seem like pcos

Detailed Answer:
Hello dear thank you for asking again.
Based on the LH levels it doesn't seem like PCOS. I would prefer to redo the hormonal tests after pills.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
Answered by
Dr.
Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Can You Please Make Sense Of My Results Or What My Next Steps Should Be?

Brief Answer: See details below. Detailed Answer: Hello, I read your query and here is my advice. I see the test results you received and most of them are in normal range except LH which is really low and it can be a reason for infertility. This low LH may be because if a pituitary gland disorder, Kallmann syndrome anorexia and stress . I would prefer to get these tests done again including estrogen and progesterone after the placebo week . This may lead to diagnosis. There can also be pcos without cysts and ruled out by hormonal tests. Hope I have answered the question. Let me know if I can assist you further. Thanks.