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What Does My Lab Test Report Indicate?

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Posted on Thu, 23 Jul 2015
Question: Hi,
Please see my report taken by fertility clinic.Currently on prescribition of Cabgolin .25 mg for 3 days once and Cetapine XR 500 mg for twice a day.
REPORTS
T2 102.91 ng/dl,T4-7.30 ug/dl,TSH-1.09 uIu/mL
AMH-2.3 ng/mL-doctor says its Low Normal
Insulin 34.77 mU/L
Testosterone 57.08 ng/dl
LH-6.05 mIu/mL , FSH-5.68 mIu/mL ,Prolactin-33.43 ng/mL,Estradiol 44 pg/mL.
Any Suggestions on this report? I have already done one cyst removal lapscropic surgery before 2 months on my left ovary. On Real time B mode Ultrasonagraphy of Pelvis , i had left ovary size 1.7 *1.6*1.52 cms whereas right ovary as 6*3.2*3.6 cms.
Does it implies left ovary had less function over right.And also i have delayed periods normally 50 days once.And also only for one day i had that.

doctor
Answered by Dr. Richa Agarwal (4 hours later)
Brief Answer:
Need more information.

Detailed Answer:
Hello dear,
Thanks for trusting hcm about your health care.
I can understand your concerns.
Why are you taking cetaphine, are you diagnosed as a case of PCOD, diabetes or are you overweight?
As in your reports your prolactin level is high.
Rest of the report are within normal limits except tag slightly lower side.
In your ultrasound reports is there any cyst present?
Can you please give me some details about your symptoms?
Why you had these test?(due to difficulty in conceiving).
For high prolactin level, have you done your CT scan head to rule out pitutary adenoma?
Please revert back to me with my answers.
Hope to hear from you soon.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (2 days later)
Hi,

Thanks for the reply.
Doctor Doesn't say about the CT Scan head.Doctor prescribe Cetapine tablet to lower the Insulin level.It has been nearly 1 year since i get married so went to checkup.

Usually i had joints pain during my periods and also irregular periods since my puberty age of 12 .Had one lemon Cyst in left ovary removed in Mid of 2013 by laproscopic.Doctor says that they break the little cysts.

Symptoms which i notice
1) Fat in Belly Area.(My weight 60,Age 30,Height:5.3'')
2) Joint Pains
3)Bloating in the intestine.

had brown stool now after taking the tablet

doctor
Answered by Dr. Richa Agarwal (2 hours later)
Brief Answer:
Most probably due to PCOD.

Detailed Answer:
Hello dear,
You are most welcome.
I have gone through your symptoms and history and in my opinion you are suffering from PCOD ( polycystic ovarian disease).
Bloating and brown stool is a side effect of citaphine.
You should continue your treatment and lifestyle changes are helpful in its treatment.
You can yoga and meditation, do some exercise, take healthy and nutritious diet low in carbohydrates and fats.
Hope it is useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (2 days later)
Hello Doctor,

I had my periods around 1 st of every month using duphaston tablet on the 17 th day(as per doctor prescribtion before taking the hormone test)

From XXXXXXX to April 2015 ,i had these tablet.I had period on May 1st,2015(lasted for only 1 and 1/2 day) .

From May i dont take duphaston ,so i missed my period and it comes on XXXXXXX 19th with the help of meprate on 5 days.

After XXXXXXX 24,2015 , i have been taking cetapine and cabgolin .25 mg.The problem is that i have been holding periods today.Please advice it is right to have these.Can i recheck insulin and Prolactin level now?

Note: Light Periods.

Thanks,
doctor
Answered by Dr. Richa Agarwal (3 hours later)
Brief Answer:
Yes, it is right.

Detailed Answer:
Hello dear,

Thanks for trusting me once again about health care.
I have gone through your history and I understand with your history that you again starts bleeding ( light period) after taking cetaphin and cabgolin.
You should not worry about it.
It is normal and occur due to hormonal changes.
You should not recheck your insulin and prolactin level right now.
You should wait for at least 3 months.
Hope it is useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: Need more information. Detailed Answer: Hello dear, Thanks for trusting hcm about your health care. I can understand your concerns. Why are you taking cetaphine, are you diagnosed as a case of PCOD, diabetes or are you overweight? As in your reports your prolactin level is high. Rest of the report are within normal limits except tag slightly lower side. In your ultrasound reports is there any cyst present? Can you please give me some details about your symptoms? Why you had these test?(due to difficulty in conceiving). For high prolactin level, have you done your CT scan head to rule out pitutary adenoma? Please revert back to me with my answers. Hope to hear from you soon. Good luck. Regards