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Polycystic – a diagnosis for infertility?

September 6th, 2010

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

Concerned Pushkova body hair

September 5th, 2010

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

What day of the menstrual cycle is better to be tested for hormones (FAQ)

September 2nd, 2010

Question: 'll show what day of the menstrual cycle (need exact date) is best tested for these hormones, FSH, prolactin, luteinizing hormone, progesterone, testosterone, TSH and T3. To vyvyavleniya cause miscarriages for 6 weeks. Analysis of sex ifektsii, genetic anamalii negative. Ultrasound of the uterus, ovaries, thyroid normal. My age and the age of the husband (the husband is healthy) 30 years, chronic diseases, no. Abortion veins. disease was not.

Answer: Hormones relating to the work of the reproductive system – for 5-7-day cycle. Progesterone – usually at 8-10-th day after ovulation. Thyroid hormones (TSH, T3) – any day of the cycle. And in general – so, and those hormones, like say your doctor (independent of their definition of pointless).

Sex glands: ovaries

Superfluous hair (FAQ)

September 2nd, 2010

Question: I'm all choked volosamiyu Every year there are more. On the chest and so on, in general ovolosenenie male pattern. She did ultrasound, not enlarged adrenal glands, hormones, were normal. Is all my life to hate the summer and open things? Doctors shrug and appoint Diana and me from him badly. Help, please.

Answer: Apparently, there are signs of excess androgens (male hormones) on the skin. If the level of testosterone (and other androgens) to analyze blood is not increased, there are no violations of the menstrual cycle – the primary method of treatment is anti-androgen drugs (except Diana, there are several). You can also see the problem in "diseases of the ovaries" – "disruption of the ovaries – can be cured? (FAQ)" additional (and quite effective) method is epilation. But you have to apply such techniques, which completely destroyed hair follicle (laser or electrolysis), although this is time consuming and expensive.

Sex glands: ovaries

Changes in facial skin after a deep massage lymph

August 23rd, 2010

Question: I recently started to attend a beauty salon to korektsii contours of the neck and chin. I performed this massage of the face with a deep massage lymph. It was produced by three procedures with an interval of 10 days each. After the third massage in the chin and down his cheeks appeared huge tracts of small red prischey, the skin has become bumpy. Cosmetologist said that the problem is not in use safer sex and avoiding them, but hormonal changes and perhaps it polikestoz ovaries. Ransche I have sometimes appeared smaller prischi three to five days before menstruation, but it was not always so. Please help me understand this situation and advise me what to do and what to do. I am 36 years old, have two children, inclined to corpulence. Thank in advance for your attention

Answer: Apparently, we are talking about acne. Indeed, it may be due to excessive action on the skin of male hormones (androgens), but if you have never been, and it was evident after cosmetic procedures – a connection with these procedures is possible (or perhaps a kind of "readiness" of the skin to develop acne, and a small effect on it (massage) may contribute to the manifestation of this problem). I would suggest that cosmetic procedures to stop a couple of months (in a quiet background) – to visit a gynecologist, endocrinologist and a survey. Not always a small deviation in the ovaries (eg, a slight excess of male hormones) require active treatment, but treatment can be initiated if there is a pronounced skin problems, irregular menstrual cycles, problems with pregnancy, etc.

Sex glands: ovaries

Acne (FAQ)

August 22nd, 2010

Question: Dear Oleg! I am 24 years in tech. 2 years has "Diane-35 for protection against pregnancy and to reduce the very high level of male hormones. 9 months ago stopped accepting tablets, because planning a pregnancy. Almost immediately, the very spoiled condition of skin – acne on the face, chest and back go into painful abscesses, inflamed, fester and leave scars. They began appearing moles are small and white discharge from the nipple. Also, become irritable and nervous. What is the reaction to the abolition of the drug? Will the state of the norm itself? The cycle of 25-28 days, painful bleeding for 5-6 days, ovulation is, progesterone in the normal genital infections are not detected, but the pregnancy has not occurred. Gynecologist said that help hormones, but when planning their pregnancy can not appoint. Can I somehow improve this condition? Thanks in advance.

Answer: Acne, among other reasons has the effect of male hormones (androgens) on the skin. Diane-35 reduces this effect, but after the withdrawal of the drug a "protective" effect, no – so rash worsened. Now you can consult a dermatologist for possible selection of treatments for acne. If ovulation is, the basal temperature is normal, and no other possible causes of infertility (obstruction of pipes, male infertility) – then we should expect the onset of pregnancy. After pregnancy and childbirth would be useful to resume reception Diana.

Sex glands: ovaries

Disruption of the ovaries – can be cured? (FAQ)

August 20th, 2010

Question: The results of blood tests for hormones seem high testosterone – 10.4 (at a rate of 0,9-4,9). Also somewhat inflated by hormones LH – 14.5 (at a rate of 1,1-8,7). But the level of FSH in normal -9,5 (normal 1,8-11,3) I prescribed during the year to "take Diane-35". Tell me, please, for what reasons can be caused by decreasing testosterone and LH, is it possible to cure the breach or the hormonal environment will now have to constantly take hormonal priporaty

Answer: There are a number of diseases of the ovaries, in which disrupted their normal work (oocyte maturation, the formation of the corpus luteum, pregnancy). This is usually accompanied by increased levels of testosterone (or amplification of its action on the tissue), often – increase in ovary and cyst, increased LH levels. For the treatment of various treatments are applied depending on the prevalence of certain disorders, often – in combination: * Drugs with anti-androgen action and contraceptive (Diane-35, Janine) * Sometimes – conventional contraceptives as a precursor to more active treatment * Preparations progesterone (dyufaston ) – for lack of corpus luteum function * Stimulants ovulation (clomiphene and injections Sc. gonadotropic hormones) – usually in preparation for pregnancy. * A large volume of ovaries (determined by ultrasound) have a great effect surgery to remove part of the ovarian tissue (previously applied wedge resection of ovaries, intervention is usually carried out laparoscopically). With excess weight plays an important role to decrease, as well as drugs, normalizing metabolism and insulin sensitivity (metformin = siofor, glyukofazh). At the same time conducted a survey to identify other states with similar manifestations (elevated levels of prolactin, VDKN (see FAQ in the "diseases of adrenal glands). The problems are chronic treat them" once and for all "is usually impossible, so treatment is usually long and rather" pragmatic ": with infertility goal is pregnancy, when signs of excess male hormones (testosterone) – use of drugs that block their effects on tissues, etc.

Sex glands: ovaries

Ovarian Diseases

August 20th, 2010

Question: Can not find the FAQ ovarian disease, disruption of the ovaries – can be cured. " All searched, the responses, see there, but where it is not clear. There is a section of "sex glands, ovaries, and what is not looking. 'll Show how to find. Thank

Answer: I recently formed a FAQ section in the section "Diseases of the ovaries. He was there:) Previously, the answers to FAQ lay with the other answers – it was hard to find: (

Sex glands: ovaries

Androgenic alopecia and pregnancy

August 6th, 2010

Question: Help me please because I am at an impasse. I was in 2005 TSNIKVI diagnosed: androgenic alopecia, was taking hormones: Free testesteron 6.5 (norm 4.5 pg / ml, DHEA-S 2,48 (norm 0,35-4,3 mg / ml), dihydrotestosterone 401 (normal 24-450 pg / ml), Androstedion 22,6 (normal 1,0-12,2 nmol / l) 8 months saw Yarin in the scheme and Androkur 8 months with 1-15 cycles. Her hair fell out as before so and fall. I have an acquaintance already found another doctor gynecologist-endocrinologist and appealed to her. She told me naznachida tests for thyroid hormones and thyroid gland all normal, as in all the insulin and glucose in normal and I myself passed on testesteron 2 , 01 (normal less than 4.3 nmol / m) and free testesteron 2.0 (normal less than 4.5 nmol / h). She looked me in the chair with the help of mirrors and hand said that everything is fine. Treatment appointed flutamide 250 mg 9 months and 9 months of Yarin s month prolonged. I drink is 2.5 months and feel better about 20% loss occurs but is less than it was. But the problem is that my husband and I, we very much want a child. I have 2 questions 1. Can get androgenic alopecia after pregnancy and childbirth. 2. Can I get pregnant with such a diagnosis? "And when I had better finish the drink hormones that would get pregnant? Because I need to pass more tests for pregnancy planning.

Answer: 1. Your problem is related to excessive production of male hormones (androgens), and well, that drugs with anti-androgen action (flutamide + Yarin) are able to reduce it. During pregnancy, their reception would have to stop (they are contraindicated during this period), after giving birth – to resume. We must also bear in mind that during pregnancy the hair fall out less (suspended their normal renewal), in the first 2-3 months after birth is likely to worsen hair loss – this is normal. 2. Problems in the ovaries, leading to increased androgen, may interfere with pregnancy, but not necessarily. You may need additional treatment, if pregnancy does not occur by itself in 6-9 months after discontinuation of contraceptives. They should cancel when you want to get pregnant. Necessary examination before pregnancy did not include tests for sex hormones (enough of the results that you have a new no additional information will not). And then, a survey of what should be done (thyroid hormones, blood sugar, infections, gynecologic ultrasound) can be performed on the background of currently ongoing treatment.

Sex glands: ovaries

Cushing's disease?

August 6th, 2010

Question: I'm 26 years old, married and really want a child with her husband. But I'm tired of the endless doctors. 2 years ago, a first miscarriage. second a year ago, both from different partners. Proveryalasna STDs, all right. The last miscarriage was the most painful, wedding, move to another town, repair. A year passed the test. Passed on hormone tests and it turns out that the ratio of LH / FSH = 2,5, ultrasound also showed polycystic ovaries, prolactin slightly inflated, all the rest were normal. Appointed, on 1 / 4 tablet of dexamethasone each during the month and veroshpiron 2 tablets 16 to 25 day menstrual cycle. began taking drugs and somewhere after 2 weeks I have started something terrible. Begun to increase pressure normal 120/70 to 175/140, appeared dizziness, was to push whiskey. This is not life but a nightmare. survey not only what took place, took all the doctors, did all kinds of ultrasound, doplerogrammu, cardiogram, everything is normal. Doctors put the IRR and prespokoynenko let me go home. And then just passed 3 months and I went to be tested for hormones. Like cured, I think, give me just in case rent is a hormone on cortisol, which is required of all, I only kept at it, and imagine my condition, I get the results. TSH increased 2-fold, testosterone and, although within normal limits, but all the same. Value for LH / FSH and 2.5 remained, but 1300 at the rate of cortisol (190-500). I'm shocked, went to the doctor prescribed me additional surveys. Did a MRI of the adrenal glands to exclude Cushing's syndrome (as in the past year was a strong gain in the amount of 17 kg), all normal. Now physically I feel even worse, doctors say that this is due to the increased cortisol levels, it raises blood pressure. Who to go – do not know. Anovulatory cycles, the doctor prescribes veroshpiron, from which there is no avail. I want to start to become pregnant, but that's as much as possible with such a picture. What

Answer: In the first study to have an endocrinologist who knows the rules for diagnosis of Cushing's disease (apparently, at the regional hospital or similar institution). The level of cortisol in the blood too much variation in, so to prove its surplus to determine the content of free cortisol in the daily urine or blood – before and after oral dexamethasone (deksametazonovaya small sample). If you have reason to Websites diagnosis of Cushing's disease – be it to heal (it is curable), and then plan the pregnancy.

Sex glands: ovaries