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Doubt Regarding Pcos Diagnosis For Relative

Discussion in 'Gynaecology' started by generic, Mar 9, 2019.

  1. generic

    generic Gold IL'ite

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    My paternal cousin who is 17 years old is all set to start undergrad college in couple of months...she has been having extremely oily skin with acne that becomes worse a week before her periods ...
    Her cycles are ok, like once in 28-30 days but she complains of heavy bleeding sometimes..
    No abnormal hair growth..either or face or body..hair is normal..
    Mild hair loss in scalp..
    Also has put on considerable weight, I.e 6 kg in just couple of months,.
    Of course heredity plays a role..her mother and grandmother have oily skin and have had pimples too..even during middle age..weight gain and hair loss Maybe due to stress of studies and exam pressure too..
    She consulted family doc who prescribed topical ointment and based on symptoms she told to do pelvic ultra sound and suggested a consult with gynaecologist to rule out PCOS as so many teenagers are having this problem...
    She will be going to the gynaecologist in another one month after finishing exams..
    Few doubts she has:
    What is the likelihood of developing PCOS if there is no family history and at what age usually women get it?
    Is it necessary that ladies who have PCOD should have irregular period?
    Is a pelvic ultrasound enough to identify presence of cyst or Any other tests required too?
    Any other blood test?
    If the pelvic ultra sound is clear and shows no cysts, then she doesn't have PCOS?
    Ladies kindly clarify doubts..
     
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  2. generic

    generic Gold IL'ite

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    Can anyone advice regarding my query? So many views but no replies.
     
  3. Bujji32786

    Bujji32786 Senior IL'ite

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    1. There is no relation of PCOS to family history.There is fairly good chance that you will have PCOS if your mother has it.But not having PCOS family history doesn’t rule out a person having PCOS.
    2. Irregular periods is one of the symptoms of PCOS.Not the whole symptom.
    3. A vaginal ultrasound is helpful in diagnosing any abnormalities.
    4.A blood work test which indicates FSH, AMH, ESTROGEN LEVELS, PROGESTERONE LEVELS will help in interpreting further.
    It is better to take a second opinion of another gynecologist if you are not satisfied with the diagnosis.Now, most women are getting health problems due to the stressful life.Hope this helps.
     
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  4. generic

    generic Gold IL'ite

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    Thanks for your reply...will convey to my cousin.
    One doubt..
    If the pelvic ultrasound does not show any abnormalities that means she does not have PCOS right?
     
  5. Bujji32786

    Bujji32786 Senior IL'ite

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    I am not sure about this, it is better to consult a ob/gyn
     
  6. swiss

    swiss Silver IL'ite

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    Pcos can be present even if ultra sound is clear. Sometimes there are no cysts, but level of hormones could indicate pcos..
     

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