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  1. #1
    Registered User Anna1227's Avatar
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    Default Blood Tests Done Mid-Cycle

    Hi, I'm a newbie and don't yet have a diagnosis, but PCOS is definitely suspected. My doctor did do a bunch of hormone tests, and after I got the results, I was reading online about them and noticed that all the sites I looked at said to get tested on CD 3. All my tests were done midcycle - my doctor didn't even ask me where I was in my cycle when I was tested. Doh. Are these test results still useful at all? I know one of the things that they look at is the LH to FSH ratio. Mine was 43.0/9.8, but it was taken sometime around mid-cycle when both levels are higher, so I don't know if looking at that ratio is even helpful in this case?

    Also, I got total testosterone, free testosterone, and bio-available testosterone. All of those were within the normal range provided by the lab, but definitely at the higher-end. Other tests he ran were prolactin, estradiol, progesterone, SHBG, as well as a lipid profile.

    I am getting frustrated with this doctor, so I am going to see another doctor next month, but I was wondering if any of this blood work is going to be useful, or if it is just going to have to be redone.

    Thanks.

  2. #2
    Registered User Diane92's Avatar
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    I don't think testosterone tests you need to be a certain cycle day.
    As to the rest, those might have needed to be taken a certain day.

    Sorry I'm not much help, I had my tests taken and they all came back normal but I had a period absent for 3 months, so I always thought my tests were messed up due to that. It's really annoying sometimes when doctors don't fully explain things or know the details of something yet do it anyway.
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  3. #3
    Feet on the Ground defygravity's Avatar
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    If I were your new doctor, I'd want it redone. Your hormones shift all throughout your cycle - it's what gives you a cycle in the first place. CD3 is the best time to get the most accurate view, because your body is focused on shedding uterine lining so the rest of the hormones are a bit "at rest". You're seeing an OB/GYN I'm guessing?
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    Registered User Anna1227's Avatar
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    Thanks for the replies.

    The doctor I have been seeing is a family practice doctor that also does prenatal care and delivers babies. I was hoping that he could do some preliminary testing and then point me in the right direction of what kind of specialist to see. The doctor I am seeing next is an OBGYN.

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    Feet on the Ground defygravity's Avatar
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    An OB/GYN can help, they'll have a better idea of diagnostics. You may also want to consider an endocrinologist - they're specialists in hormone disorders (which is ultimately what PCOS is).
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    Registered User SaraDfromSC's Avatar
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    Hi! I'm having a similar lab results issue with my doctor. I have several symptoms of PCOS - no period for 10 months after stopping BCPs, increased acne, difficulty losing weight, etc. My GYN said it's probably PCOS, so she did an exam and ordered lab work (not fasting, taken at about 3 pm). The labs came back with abnormal levels of FSH, LH, and testosterone. She put me on 10 days of Aygestin to jump start my cycle and said to come back two weeks from the date of my first blood draw for follow-up labwork. I started my period of Saturday and had my blood drawn on Monday (fasting at 8:00 am). The second round of labwork apparently came back "normal" but I noticed she didn't even test for testosterone the second time. The nurse at the office said I did not have PCOS and to call if I don't get my period again in 30 days.

    Also interesting is my glucose level. While on BCPs, it was running about 90. After stopping BCPs, it shot up to 110. The most recent test showed 96 after I had been on the Aygestin. Seems to me that the hormones definitely play a part in my glucose levels!!!

    So I'm meeting with my doctor today (I demanded an appt). I still think I have PCOS and would like to at least get on BCPs again. I would also like to discuss metformin, as my entire family is diabetic and I'm now borderline prediabetic. I'm really frustrated because I feel like the labwork is misleading. She didn't test for the same thing both times, I had taken the Aygestin in between and was on my period the second time around, one was fasting, one wasn't, different times of day, etc etc. Can anyone with more experience/knowledge give me some advice?? Am I just fat and unhealthy (although I'm trying!!!!) or can it be PCOS? Thanks!!

  7. #7
    Feet on the Ground defygravity's Avatar
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    It could be. I'm not the best with test results, but if you're not comfortable with today's session you can certainly get a second opinion. You may want to consider seeing an endocrinologist for a specialist appt - they'll have a better grip on what's going on if it is PCOS.

    There really isn't a hard and fast rule set to diagnose PCOS - despite the name, for example, not everyone has cysts on their ovaries. The nurse could be looking at a small subset of the results without the bigger picture, which could certainly distort what she says. She's also not a diagnostician, so unless you're familiar with her and trust her skills I wouldn't bite based solely on her opinion (not disparaging nurses - my sister is one, so is my sister-in-law, and several family members and friends).
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    Registered User SaraDfromSC's Avatar
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    Thanks for your response! A lot will depend on what the doctor has to say today. Part of me is really torn as to how to proceed. If I get back on BCPs, it will probably fix the periods and acne. However, to get a really good idea of what's going on, I should probably remain medication free and get additional blood work done over the coming months, but deal with the side effects of no meds. Not sure which way to go.....Try to fix the immediate problems and hope nothing happens in the future or ride out the current nastiness for a better bigger picture?

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    Proud Navy Wife Apple Blossom's Avatar
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    I agree with Defygravity. You'll get the best care under an Endocrinologist. A specialist will be able to order all the proper tests, diagnose and treat you. Good luck!
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