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What Do The Following Test Reports Indicate?

Posted on Sat, 26 Sep 2015

Question: I have just completed my annual check up , reports attached for reference.

Need your guidance on managing Polycystic ovaries - Kindly suggest if -
1. Do I need to get any further hormonal tests done?
2. My problem is that I am gaining weight and even with regular exercise I am unable to loose weight?
3. Details of my mensuration cycle is as follows:( cycle time has reduced from 28 days to 25 days in the past two years)

20th January 2012
17th feb 2012
12th march 2012
7th April 2012
27th may 2012
23rd XXXXXXX 201
21st July 2012
13th August 2012
8th September 2012
5th October 2012
29th October 2012
25th november 2012
18th December 2012
11th XXXXXXX 2013
7th feb 2013
4th March 2013
1st April 2013
23rd may 2013
16th XXXXXXX 2013
12 July 2013
8 August 2013
2nd September 2013
27th September 2013
October ??
17th November 2013
10th December 2013
5th XXXXXXX 2014
4th Feb 2014
1st March 2014
26th March 2014
20th April 2014
16th May 2014
10th XXXXXXX 2014
6th July 2014
31st July 2014
25th August 2014
20th September 2014
15th October 2014
7th November 2014
4th December 2014
29th December 2014
22nd January 2015
15th February 2015
12th March 2015
7th April 2015
1st May 2015
23rd May 2015
16th XXXXXXX 2015
10th July 2015
6th August 2015
30th August 2015

4. Do I need to start any medication for PCOS?
5. Also note that I am not sexually active and do not have any children as yet. Do not use any contraceptives or any other medication at all . i only tale multi vitamin supplements by Amway - daily.
6. Also need guidance on the mammogram findings, pls suggest next steps.

Answered by Dr. Mahesh Koregol (9 minutes later)

Brief Answer:
Get thyroid profile tested

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about PCOS.

Following is my reply:

1) You dont need any more hormonal tests as of now.

2) You dont need to undergo rigorous training in gym under a trainer and also have less than 1000 calorie diet with the help of a dietician.

3) Your cycle details are fairly good. Nothing to worry.

4) You dont need to start any medication for PCOS as you are not trying to get pregnant.

5) Please attach mammogram report so that I can guide you further on it.

6) PCOS is not leading to weight gain in your case. Test thyroid hormone profile also.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Mahesh Koregol.
IVF & Infertility Specialist.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (24 minutes later)

I was unable to upload previously, i have now uploaded all the reports for your reference. kindly look into it and suggest.

my follow up question - are you suggesting - NOT to train in the Gym? - I have a personal trainer at present for 3 days in a week .

I plan to get pregnant few months down the line ( likely by end of this year ) hence my question about any follow-up diagnosis and tests required to prepare for pregnancy ?

the TSH shows normal now and even 3 months back i had gt normal reports tor T3/ T4 and TSH
what could be the underlying reason for weight gain in my case ?

should i try the weight loss medication given specifically for PCOS - heard / learnt about it from www.

where can i come and personally visit you , if required in the near future for further consultation .

Answered by Dr. Mahesh Koregol (7 minutes later)

Brief Answer:
Your reports are normal.

Detailed Answer:
Hi,

I suggested you continue training in gym under a trainer.

Your reports are normal and no problem.

You need to get antral follicle count done by antral follicle count by doing transvaginal ultrasound scan before trying for pregnancy and count the exact number of follicles.

Fibroadenoma of breast is not to be worried.

Normal TSH cannot be reason for weight gain.

Dont try any weight loss medicines as they are not very useful.

You can see me in XXXXXXX IVI Fertility in Koramangala 5th block at XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (18 minutes later)

in my report of ultrasound last year .. i was not diagnosed of PCOS - my question - does this happen at any age / i was under the impression PCOS is either there from start or it's not there at all... ??

what could be the reason for PCOS in my case ... i understand that in my case there are no visible symptoms of PCOS ... except weight gain ? is that right ?

if I dont take any medication now for treating PCOS.. will i face issues with conception ?

would you like to see the Ultrasound reports / pictures to decipher further , i will be collecting the hard copies of the report on Monday

what can be the reasons for no weight loss in spite of rigorous exercise regime ( burning 500 - 700 calories a day with cardio and weights training - 3 days ina week ) and 1200 calories meal every day .

concerned also with the reduced cycle time from 28 days to 25 days now could this be becuase of high protein in take ? kindly suggest

another question - is PCOS reversible ?

also with proper exercise will my cycle time go back to 28 days ? or is it age-related and nothing will change back to normal ?

Answered by Dr. Mahesh Koregol (23 minutes later)

Brief Answer:
PCOS may be wrong diagnosis

Detailed Answer:
Hi,

I doubt your PCOS diagnosis. It could be wrong especially if previous scan was normal.

PCOS may not be there as even your cycles are regular. You need another ultrasound scan by different doctor to differentiate the same.

Infact your cycle duration has reduced which could be because of reduced eggs and not PCOS.

Send your ultrasound scan pictures.

Weight loss takes time to achieve. Continue same. Workout and diet.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (6 days later)

Dear Doctor, Please review the attached reports.

Answered by Dr. Mahesh Koregol (6 hours later)

Brief Answer:
No PCOS

Detailed Answer:
Hi,

I saw the attached picture and reports of ultrasound scan.

You don't have pcos as I see from picture. You just have fibroadenoma in the breast which need to be removed surgically.

Let me know if you need any more help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (9 hours later)

Hello Dr.

Thanks for your guidance so far. I have one more question wrt water retention in my body.... I tend to retain up to 3- 4 kgs water in my body weight fluctuates by 3- 4 kgs within days / weeks. what can be done to ensure that the water retention doesnt happen and also last time a doctor mentioned that my body tend to retain water in the muscles and prescribed Feliz S 5 mg once a day for 3 months. with the medication the weight came down by 6 kgs and also I started to feel very thirsty.

however the family doctor asked me to stop the medication as its an anti depressant and shouldn't be used for long term ..

kindly suggest what should be done for water retention n the weight fluctuation.

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Water intake

Detailed Answer:
Hi,

Water retention leading to weight fluctuations is generally due to improper dieting and exercise without good amount of water intake.

This can be solved by regular exercise and adequate water intake. Tablets don't solve this problem.

Let me know if you need any more clarification.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar