Question: I am 22 years old. At 16 years old diagnosed with polycystic ovaries. All these take years to Diana (thereby blocking all sorts of terrible external indicators of the disease). When planning pregnancy will naturally suspend reception Diana. I'm tormented by the question, how is it possible to live normally, and then look if you have a month break, causing serious changes? And what are the chances of having a child with such a problem
Answer: In polycystic ovary probability independent of pregnancy is reduced, but not to zero, and the medicine was it improves. Anti-androgen drugs during pregnancy actually have to cancel, and exit here – hair removal (electro-and laser, as the most effective).
Sex glands: ovaries
Question: I am 27 years old. The first time asked the endocrinologist as consultation on the advice of a gynecologist (as she said just in case). Ultrasound: ùÇ not increased, volume – 15,68 cu. cm, contours, fuzzy and rough, ehostruktura – a heterogeneous, mixed echogenicity. In the lower third of the right lobe of the isthmus and in the middle third of the left lobe of Education gipoehogennye size 6 * 4 14 * 8 and 8 * 13 mm. TSH-0, 725 (normal 0,3-3,9), FREE. T4-20, 75 (10-25), FREE. T3 – 6.354 (2,3-6,3), antibodies to TPO -15.56 (0-35). I can not get a doctor's response: whether the normal level of iodine content (this is particularly interested in my gynecologist)? What conclusion can be drawn from the results of these tests? that should be taken next? Thanks in advance for the answer.
Answer: 1. From the survey data are the importance of the find sites more than 1 cm, they deserve a puncture (see FAQ about the nodes). 2. The content of iodine in the body by means of analysis is not defined (although there are methods for the determination of iodine in the urine), because these figures are very variable. In any case, the content of iodine in the body has no direct effect on the sexual system, so the gynecologist can carry out the treatment, which considers it necessary. 3. Prophylactic use of iodine earlier (in the form of iodized salt, and pregnancy (if it is) – in the form of iodine) would reduce the risk of knots, but the ones that have already appeared, iodine intake has no effect.
Endocrine glands
Question: I have hirsutism in adolescence. Today I am 31 and I have 2 degrees diffuse goiter, nodular disease of the breast, and now, as it turned out, and nodular adrenal hyperplasia, aldosteronoma left, menstr regular cycle, but the apportionment of scarce-I (2 days). The analytical results are normal, hormones, Na, Na, adrenal CT within 6 months without any changes, I was advised to observe all. My grandmother died of onkologich ZAB-I and my sister suffered a radical mastectomy (after giving birth to the disease "late child"). Question: Should I be treated at the infertility (beremennosi there for 4 years) and generally have a child. What are my risks
Answer: Of the diagnoses you have a contraindication to pregnancy is just aldosteronoma (if it exists! "- because it is typical for very high blood pressure, usually lower blood potassium levels, etc.). But to prove aldosteromu is curable surgically. After that – the issue of achieving pregnancy (or, for example, adoption of the child) will depend on your desire. It is possible that your infertility can be cured (although it is also possible that the deal would be difficult) – but to understand this, you will need to spend at least a minimal examination by a gynecologist, endocrinologist, to judge the causes of infertility.
Endocrine glands
Question: My dear doctor! I wrote to you many times and thank you for clear, precise answers. I have six months ago has been detected polycystic ovaries and elevated prolactin. Following a 3-month course of taking bromocriptine ultrasound showed a decrease in the amount of the ovaries and a little ulutchilas situation with the menstrual cycle. But while at perezdachi tests for prolactin, the level of this hormone was even the higher than before the course. My doctor advised me to do an x-ray of sella turcica and a neurologist assured that everything is in order. Then, the doctor advised to retake prolactin, as they could make a mistake in the analysis. The problem is that a month has not arrived (55 days) to pass the tests and I did a pregnancy test. He was positive, although the doctors assured that prolactin will not drop until I do not get pregnant. I put up to 5 weeks. Simtomy present pregnancy (morning sickness, sore and swollen breasts). Please tell vozhmozhno at a high level of prolactin (3 times the highest rate as shown by analysis) to get pregnant? Is there a risk for ectopic pregnancy with high prolactin
Answer: Yes, pregnancy is possible and with high prolactin (the more so parlodel increases those chances), contraindications to the preservation of pregnancy no. The level of prolactin may be overstated for various reasons, in particular – is possible the synthesis of pituitary makroprolaktina (inactive hormone), so in the current situation, the ovaries can function normally, despite the increased prolactin in the analysis. The risk of ectopic pregnancy by hormonal disorders are not rising, do not worry (especially since you probably do ultrasound, and saw the embryo in the uterus). If possible – is to make MRI of the pituitary (a much more informative than X-ray sellae) to see if there is an adenoma (although prolactin may rise without it). If there is – it is not contraindication to pregnancy, but may require some additional control endocrinologist during pregnancy.
Endocrine glands
Question: Oleg, Can you please tell, my young man type 1 diabetes from 29 years in the family NIU who did not have before such a disease, I with type 2 diabetes mother (suffering from a 50 years old) and Grandma, what percentage of the probability of birth we have a sick child. I read a lot on this subject, from 5 to 10 percent, which affects the percentages and how you can verify for sure that the child was healthy
Answer: The risk of type 1 SD on your child's lifetime (but not at birth!) – 5-6% (see details in the FAQ section "Inheritance"). You and your child also has the risk of type 2 diabetes (inherited to a greater extent than type 1 diabetes), but this risk will occur after 30-40 years, so it is less relevant. There is a genetic research methods that can roughly estimate whether your child the risk of CD (say, type 1), above average or below average. But in any case, this – the calculation of probabilities, so to speak accurately, ill unborn child or not – can not. But generally speaking, the probability is small, so compelling reason for refusing to have children (or, say, the use of artificial insemination of donor sperm), no.
Endocrine glands
Question: I beg you to help! Dear Doctor! Last 2 weeks worried coma feeling in my throat. No pain, no burning. Only a lump in my throat. It should be noted. against the background of all this is very irregular cycle, I hand over blood samples for hormones, soon consultation with a gynecologist. I'm afraid it? Tumor or problems with the thyroid? Please, help. I just panic. . . I do not know what to do, I'm afraid to go to a specialist with the problem. Thank you in advance for your help and response.
Answer: do not fear: This is usually – benign symptom of the increased activity of the nervous system (excitement, stress). Check out the FAQ about it in the thyroid gland. In very rare cases, an enlarged thyroid gland can cause these sensations, but any endocrinologist, feeling your thyroid gland. Even without ultrasound can tell, it can cause such symptoms or not.
Endocrine glands
Question: Doctor, please consult me. I am 18 years old, all my life I had almost the whole body grow Pushkova hair. was tested on Day 3 of monthly 17-OH-progesterone result 6. 2 (follicular phase 1. 21.3. 09; luteal phase 3. 81-12. 97); testosterone 3. 2 (reproductive period 0. 31.3. 78), DHEA-SO4 5. 5 (the reference value of 1. 1-10. 7). Monthly I have every 28-29 days, pimples, and especially not on my head all my life is very thick, fluffy and long hair. perhaps I should have to pass tests for 5-6 day menst. cycle. ?
Answer: Pushkova hair – is the norm, and do not need to pay attention to them. It would be possible to talk about the excessive action of male hormones on the skin, if there was a growing core of hair on the skin of male pattern (upper lip, chest, white line below the navel, chin, etc.), as well as loss of hair on his head, acne etc. In this case it was necessary to seek the source of excess androgen (ovaries, adrenal glands…). You also seem to be no reason to talk about the action of androgen excess, so further steps (the analysis of hormonal indicators of androgenic activity of the adrenals) make no sense (in fact, analysis, and showed normal results).
Sex glands: ovaries
Question: Help Board. In our town the doctors do not even have a basic understanding of the treatment of hormone disruption. In preparation for pregnancy delivered every Gorman. All within normal limits. Only elevated progesterone on 21dts. 90 (rule 80) and slightly elevated 17-OP 2.5 (norm 2.3) doctor said that nothing is not required. appointed grass. Tell me is even a slight increase in OP 17 can affect the ability to become pregnant and bear a healthy child? There a need to drink dexamethasone?. I am 33 years old. Pregnancy second. first 10 years ago. 5 years ago abortion. Two years ago I was treated by polycystic ovary Diana 35. For all that I have fibro cystic breast. Pew mastodinon.
Answer: I would not appoint grass, and do not think it would be this hormonal situation requires intervention. For the diagnosis VDKN and destination dexamethasone conglomeratization takes to identify signs of more pronounced than the slight increase of 17-OH-P. You can see the FAQ on the subject in "Diseases of the adrenals.
Endocrine glands
Question: Oleg! I have 9 weeks of ber-ty, passed on hormones, in the end: progesterone 123. 10nmol / l; DGA-C 7. 45mkg/ml, 17-OH progesterone 3. 12ng/ml; testosterone 5. 53nmol / l. The doctors prescribed dexamethasone for 1 tab. in tech. 3 days, then again to pass DGA-C and advised to do ultrasound on the ugliness, nothing is really explained. What's all so terrible
Answer: On this issue – check out the FAQ about VDKN in "Diseases of the adrenals. Even if you VDKN, at 9 th week, the probability of any related disease birth defects is zero. Standards of DHEA-S are designed to neberemnnyh women, and I do not think that your laboratory has the normal value of this parameter for each week of pregnancy. Therefore, in this case will answer genetic analysis of (your) on VDKN.
Endocrine glands
Question: 'll Show and please give a link. Where is the FAQ and other questions about VDKN in the section "Diseases of the adrenal glands?" I have not found all reviewed.
Answer: This address is the question: http://www. doktor. ru/qa/gormon/48661/48685/qa. html? id = 59548Izvinite in the near future do to find it easier:)
Endocrine glands