Need help with labs

ChickinAr · 03-14-2006, 08:44 AM

I first saw an endo in Nov last year. He took ull bloodwork and started me on metformin 1000mg daily. He repeated some bloodwork and did some new tests in january. I don't really know what any of them mean in terms of my PCOS. Endo has given up on treating my PCOS and I dont really know why. He told me there is nothing else he can do that wont be counterproductive (ie adding bcp or progestone withdrawal). If anyone understands labs enough to help me understand if my status is really that bad, or is my body just not cooperating?

11/05

glucose serum 95 mg/dl
uric acid 6.1 mg/dl
BUN 8 mg/dl
creatinine 0.5 mg/dl
BUN/creatinine ratio 16
sodium 139 mmol/L
potassium 3.9 mmol/L
chloride 104 mmol/L
carbon dioxide 24 mmol/L
calcium 10.4 mg/dl
phosphurus 3.2 mg/dl
protein 7.4 g/dl
albumin 4.6 g/dl
globulin 2.8 g/dl
a/g ratio 1.6
bilirubin 0.4 mg/dl
alkaline phosphate 106 IU/L
creatine kinase total 60 U/L
LDH 149 IU/L
AST (SGOT) 16 IU/L
ALT (SGPT) 13 IU/L
GGT 18 IU/L
Iron 73 ug/dl
total cholesterol 207 mg/dl
triglycerides 147 mg/dl
TSH 0.026 uIU/ml

wbc count 7.4 x10E3/uL
rbc count 4.82 x10E6/uL
hemoglobin 14.7 g/dl
hematocrit 43.6 %
MCV 90 fL
MCH 30.6 pg
MCHC 33.8 g/dl
RDW 12.3 %
platelets 294 x10E3/uL
neutrophils 67 %
lymphs 24 %
monocytes 8 %
eos 1%
basos 0 %
neutrophils (absolute) 5.0 x10E3/uL
lymphs (absolute) 1.8 x10E3/uL
monocytes (absolute) 0.6 x10E3/uL
eos (absolute) 0.1 x10E3/uL
baso (absolute) 0.0 x10E3/uL

HDL cholesterol 43 mg/dl
VLDL cholesterol 29 mg/dl
ldl cholesterol 135 mg/dl
ldl/hdl ratio 3.1

testosterone 84 ng/ml
free testosterone 1.99 ng/dl
%free testosterone 2.37 %

c-reactive protein 9.48 mg/L
(cardiac)
PTH intact 35 pg/ml

01/06

androstenedione 270 ng/dl
dehydroepiandrosterone 982 ng/dl

Insulin fasting 8.2 uIU/ml

cholesterol total 234 mg/dl
triglycerides 305 mg/dl
HDL 40 mg/dl
VLDL 61 mg/dl
LDL 133 mg/dl
ldl/hdl ratio 3.3

testosterone 45 ng/dl
free testosterone 1.33 ng/dl
% free testosterone 2.95 %

thyroid peroxidase <10 IU/ml
antithyroglobulin <20 IU/ml

DHEA-sulfate 413 ug/dl

free t4 1.25 ng/dl

tsh 0.731 uIU/ml

triiodothyronine (T3) 172 ng/dl

Thanks -- if you are able to help but need additional info let me know

omcv · 03-14-2006, 08:54 AM

http://www.fertilityplus.org/faq/hormonelevels.html

Disclaimer: Please note that all labs have their own normal values, and those presented in these charts are just an average. These charts are provided as tool to help patients have a better dialog with their doctors, not for self-diagnosis or as a substitute for good medical care.

emma42 · 03-14-2006, 10:04 PM

I'm sorry to say I can't really help you. I just had labs done but it wasn't as comprehensive as your tests. My doc did mention that it was important in diagnosing pcos to look at the LH and FSH ratio but I don't see those numbers listed.

I do notice that your total testosterone dropped about half. Woo hoo! Just curious, did it drop just from the met alone or are you taking another med (bcp or spiro?). My T was 81 and I hope being on these meds will help mine drop too.

Another thing I noticed is that your cholesterol is slightly elevated. Did your endo mention anything about that or putting you on cholesterol meds?

ChickinAr · 03-17-2006, 07:15 AM

That first drop was just from metformin alone! I also got a letter from my endo yesterday stating that my DHEA-S had dropped from 431 to 200 (woohoo) but he wants it below 100 so he doubled my steroid!

As for LH/FSH ratio, I think I had those tests on bloodwork I had done a few months before, so he didn't test this again. My diagnosis was made over a decade ago, this is just the first treatment and consultation I have had with endo. Previously I have been put on BCP and had 3 cycles of clomid/provera