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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Kidney Tumor. PCOS, Delayed Period, Brown Discharge. On Krimson. Done T3, T4, TSH Level Tests, Done Transvaginal Scan. What Does It Mean?

I am 27 year old married girl.My height is 5 ft 1 inch.My weight is 50 kg.I have been diagnosed with pcos.I was having late periods and flow during my periods was very less.Its been almost 1 year since i got married.I consulted a gynecologist.She asked me to do T3, T4 and TSH test.Serum T3 was 116.00 ng/ml,Serum T4 was 7.80 µg/dl,Serum TSH was 3.0 µIU/ml.She prescribed me krimson35 tablet for 3 months and asked me to do pelvis ultrasound after 3 months.I have just completed 3 months dose of krimson35.During those 3 months my periods was on time But the flow was very very less.I was getting brownish blood discharge most of the time during periods.In between i consulted another gynecologist.She also asked me to do T3,T4,TSH test and additional SERUM PROLACTIN and 17 Aalpha-Hydroxy Progesterone test.All these tests were done while i was taking krimson35 during 3rd month of its dose.T3 was 1.30 ng/ml,T4 was 8.1 ug/dl,TSH was uIU/ml,SERUM PROLACTIN LEVEL was 23.0 ng/mL,17 Aalpha-Hydroxy Progesterone(17 OH PROGESTRONE) was 1.66 ng/mL.She asked me to wait for periods after completing 3 months dose of krimson35 and do a TVS PELVIS ULTRASOUND on 2nd day of period.My ultrasound report was "TRANSVAGINAL SCAN SHOWS AN ANTEVERTED UTERUS MEASURING 4.9 x 4.5 x 3.1 CM.ENDOMETRIAL ECHOES MEASURE 2.9 MM.MYOMETRIAL ECHOES ARE NORMAL.NO INTRAUTERINE GESTATION SAC SEEN.
BILATERAL OVARIES SHOW INCREASED STROMAL ECHOGENICITY WITH MULTIPLE FOLLICLES IN THE PERIPHERY SUGGESTING POLYCYSTIC APPEARENCE.
RIGHT OVARY MEASURES 3.3 X 2.3 X 2.0 CM, VOL 8.1 CC AND CONTAINS 7,7,7,6,6,5,5,5 MM FOLLICLES.
LEFT OVARY MEASURES 3.9 x 2.4 x 1.9 CM, VOL 9.5 CC WITH FOLLICLES OF 9,8,8,7,7,7,6,6,5,5,5,5 MM.
MILD FLUID IS SEEN IN THE CUL-DE-SAC"
Am i on right medication?why flow is very very less during periods?Would i be able to conceive in future?What should i do next?I am very much worried.Please help.Is there any permanent treatment of this disease?One more information i would like to give you is that i underwent kidney tumor removal operation 10 months back in may 2012 in which my right kidney was partially removed.please help
Fri, 12 Jul 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Queries are as,
1 You are on right medication.
2 Flow is very very less ,because of ovarian cyst ( PCOD),
3 conceive? Depend upon release of ovum or ova from follicles.
As far as concerned about the treatment it depends upon many things,
Level of estrogen , F S H / L H.
atretric follicles with ovarian stroma findings.
Level od testosterone and androgen hormones,
Obesity if any .
Amennorrhea , dysfunctional uterine bleeding and scanty menstruation is common features of poly Cystic ovarian Disease (P C O D).
Consult an Endocrinologist and get his opinion.
Hope I have answered your question .
If further any question I will help.
Get well soon.
Dr. HET
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Had Kidney Tumor. PCOS, Delayed Period, Brown Discharge. On Krimson. Done T3, T4, TSH Level Tests, Done Transvaginal Scan. What Does It Mean?

Hello, Thanks for the query to H.C.M. Forum. Queries are as, 1 You are on right medication. 2 Flow is very very less ,because of ovarian cyst ( PCOD), 3 conceive? Depend upon release of ovum or ova from follicles. As far as concerned about the treatment it depends upon many things, Level of estrogen , F S H / L H. atretric follicles with ovarian stroma findings. Level od testosterone and androgen hormones, Obesity if any . Amennorrhea , dysfunctional uterine bleeding and scanty menstruation is common features of poly Cystic ovarian Disease (P C O D). Consult an Endocrinologist and get his opinion. Hope I have answered your question . If further any question I will help. Get well soon. Dr. HET