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Is Insulin Level Of 31.8 A Cause For Concern While Having PCOS?
Question: hello,
i have a mild polycystic problem in ovary because of that i have irregular periods and also have 3mm stone in right kidney at lower pole. doctor alo suggest to do insulin test and after 2 hours of eating meal insulin level is 31.8.. is it normal?
what precaution should i take as i have stone and polycystic also.
i have a mild polycystic problem in ovary because of that i have irregular periods and also have 3mm stone in right kidney at lower pole. doctor alo suggest to do insulin test and after 2 hours of eating meal insulin level is 31.8.. is it normal?
what precaution should i take as i have stone and polycystic also.
Brief Answer:
Reducing body weight will help.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The polycystic ovaries and renal stone are two different problems and are not related to each other.
Polycystic ovarian syndrome is caused by a derangement in the action of insulin, a hormone that controls blood sugar. There is no cure to this as it seems to stem from genetic origin. All treatments are aimed at reducing the symptoms it causes ( anovulation, acne, excess body hair ) and also to prevent long term complications ( endometrial hyperplasia, heart disease, diabetes, cholesterol problems ) arising out of this.
As obesity is known to worsen the situation, lifestyle changes like diet and exercise is the mainstay of treatment and reduction of body weight even by 5% helps at least 30 to 40% of women to restore their menstrual cycles. If this alone doesn't work, periods can be regularised by hormonal pills. In women trying for baby other drugs are used to induce ovulation. The treatment may have to be taken for a long term along with continued diet and exercise.
If you do not like to take hormonal pills, treatment is aimed at inducing at least 4 menstrual cycles in a year by using hormonal pills called progestagens.
I suggest you to get glucose tolerance test with 75 g of glucose. If your test report says impaired glucose tolerance then you may have to take metformin for a long time. This reduces the risk of future diabetes or slows it down. Testing insulin after 2 hours of a meal is not diagnostic.
I also suggest you to consult your gynaecologist for discussing your treatment options and proceed accordingly.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Reducing body weight will help.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The polycystic ovaries and renal stone are two different problems and are not related to each other.
Polycystic ovarian syndrome is caused by a derangement in the action of insulin, a hormone that controls blood sugar. There is no cure to this as it seems to stem from genetic origin. All treatments are aimed at reducing the symptoms it causes ( anovulation, acne, excess body hair ) and also to prevent long term complications ( endometrial hyperplasia, heart disease, diabetes, cholesterol problems ) arising out of this.
As obesity is known to worsen the situation, lifestyle changes like diet and exercise is the mainstay of treatment and reduction of body weight even by 5% helps at least 30 to 40% of women to restore their menstrual cycles. If this alone doesn't work, periods can be regularised by hormonal pills. In women trying for baby other drugs are used to induce ovulation. The treatment may have to be taken for a long term along with continued diet and exercise.
If you do not like to take hormonal pills, treatment is aimed at inducing at least 4 menstrual cycles in a year by using hormonal pills called progestagens.
I suggest you to get glucose tolerance test with 75 g of glucose. If your test report says impaired glucose tolerance then you may have to take metformin for a long time. This reduces the risk of future diabetes or slows it down. Testing insulin after 2 hours of a meal is not diagnostic.
I also suggest you to consult your gynaecologist for discussing your treatment options and proceed accordingly.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Prasad
pls see my report.
Brief Answer:
Few more blood tests are needed to find severity of problem.
Detailed Answer:
Hello.
Thanks for writing again.
The report shows that both the ovaries are polycystic in appearance. Diagnostic tests are 2 hr GTT, serum androgen and testosterone levels,LH-FSH ratio,prolactin levels,TSH levels,17-hydroxyprogesterone levels and 3D ultrasound.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Few more blood tests are needed to find severity of problem.
Detailed Answer:
Hello.
Thanks for writing again.
The report shows that both the ovaries are polycystic in appearance. Diagnostic tests are 2 hr GTT, serum androgen and testosterone levels,LH-FSH ratio,prolactin levels,TSH levels,17-hydroxyprogesterone levels and 3D ultrasound.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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