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Diagnosis for PCOS profile test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
Doctor :   hi
Doctor :   please proceed with your health query
User :   I just got my blood report, I have PCOS
User :   so this was the PCOS profile test
User :   it shows lymphocyte at 47%
Doctor :   could you tell me the reports in detail please?
User :   RB dist width at 16.5
User :   MCV at 95.4
User :   SGPT at 26
User :   tsh at 9.8
User :   cholesterol total at 208.47
Doctor :   ok
User :   tricyl level in serum 152.58
User :   ldl/hdl ratio 1.55
User :   chol/hdl ratio 2.99
User :   the rest of the results are in the normal range
User :   these were the ones out of range
User :   I am meeting Dr Duru Shah on 15 Oct
User :   just wanted to try and understand what all this might mean
Doctor :   were FSH, LH and prolactin levels tested
Doctor :   your TSH, cholesterol are elevetaed
Doctor :   were FSH, LH and prolactin levels tested ? was ultrasound scan done?
Doctor :   what are your current symptoms?
User :   prolactin came on the borderline
User :   so they took another sample yday
User :   the rest of the hormones are in the normal range
User :   FSH, LH etc
Doctor :   ok. wait for the prolactin repeat levels
Doctor :   if it comes to be borderline or higher
Doctor :   then PCOS wold be confirmed
User :   PCOS is confirmed
Doctor :   are you on any treatment at present?
User :   I am undergoing treatment with Dr Shah for a year now
User :   crisanta + metformin 850 (twice)
Doctor :   ok
User :   I used to have cytomid 250 but she stopped it
Doctor :   ok
User :   in oct last yr after i lost some 12kgs
User :   what does the lymphocyte count imply
Doctor :   ok.
User :   along with the RDW
User :   and the MCV
Doctor :   lymphocyte counts are fine normal is between 20-69
Doctor :   RDW is distribution width, it is a bit elevated, it suggests that there have been new cells in the bloodstream
Doctor :   MCV is also fine, normal is between 76-100
User :   the report shows lymphocyte % as high
User :   at 47%
User :   the range as per the report is 20-40%
Doctor :   the values might vary according to teh method of test done. the values in standard labs done with standard procedure is between 20-69
User :   ok
User :   what about the SGPT...
Doctor :   if the normal range mentioned in report is 20-40, then they ight hav edone using alternate procedures
User :   what causes that to be low?
User :   ok
Doctor :   and as per the results, it is elevated
User :   what might elevated lymphocyte mean...?
Doctor :   SGPT is fine for you, it should be less than 31
Doctor :   elevated lymphocytes would suggest inflammatory process inside body
Doctor :   what are your curent symptoms?
Doctor :   for what purpose these tests were done for you?
Doctor :   PCOS if confirmed would require monitoring with FSH, LH, TSh and prolactin levels
Doctor :   LFT with SGOT and SGPT is usually done to look for liver damage due to medication use.
Doctor :   so if you could tel your curent symptoms, the test values can be correlated in a better way
Doctor :   are you there?
User :   there
User :   yeah
User :   are no current symptoms as such
User :   i hadnt gotten the insulin monitored in abt a year
User :   since i was diagnosed with insulin resistance as part of PCOS last yr
User :   so when I set up the appointmnt with Dr Shah, her office asked me to repeat the entire profile and the USG
Doctor :   yes, insulin resistance is once of the cause for PCOS
User :   the USG has come normal
Doctor :   hence insulin modifiers are used in treatment
Doctor :   along with ovulation inducers to help you concieve
User :   I just feel very tired most of the time
User :   even after a good 8 hrs of sleep at times
User :   the stamina to climb stairs is almost gone
Doctor :   ok. what other associated symptoms do you have?
User :   till Jan i was working out 5 days a week
User :   I used to be able to gym for an hr
User :   and be ok at the end of it
User :   no other symptoms as such
User :   I've had urtricaria for a few years now
User :   dermatography
Doctor :   ok
Doctor :   your tiredness could be attributed to raised cholesterol and TSH levels
Doctor :   were T3, T4, free T3, and free T4 levels tested?
User :   i gotta rush to a meeting now
User :   thanks a lot for your help
User :   I appreciate your time
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