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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes PCOS Even When The Thyroid And Insulin Are Normal?

Hi I am 26 years unmarried female. 5.4 (62kgs). I have PCOD with( No thyroid,normal sugar levels and all blood reports are normal). Was on krimson35 for 6 months. Off taking the pill since 3 months my periods are regular now. But,again im getting acne back with bad skin texture,facial hair,hair loss,pigmentation what not :( i have all the symptoms of pcos. I have no idea how to get rid of this. My questions is i have no thyroid normal insulin levels but why pcos are effecting me that much. Please suggest.
Mon, 11 Aug 2014
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Internal Medicine Specialist,  's  Response
Hi! I can understand your frustration with this disorder. In PCOS the primary
abnormality lies with ovaries secreting too much TESTOSTERONE (the male hormone).Why do they do this? There are two hormones EITHER of which may stimulate the ovaries for this testosterone hypersecretion. These 2 hormones are LH & Insulin.
So your insulin may be normal but if you have high levels of LH you'll still be having the symptoms.Thyroid is not directly involved with PCOS - it is more oftenan associated illness like autoimmune thyroiditis. So now you know why your insulin & thyroid levels are fine and you're still having the symptoms.Your symptoms - increasing acne, facial hair, hair loss are all due to TESTOSTERONE
which is being produced by your ovaries. You might have noticed an improvement in these symptoms when you were on Krimson 35 - that's because it contains a chemical to block the actions of testosterone.
I hope you've understood to some extent the real cause of your problem. Do meet up with your gynecologist - I'm sure things will be sorted out. All the best!
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What Causes PCOS Even When The Thyroid And Insulin Are Normal?

Hi! I can understand your frustration with this disorder. In PCOS the primary abnormality lies with ovaries secreting too much TESTOSTERONE (the male hormone).Why do they do this? There are two hormones EITHER of which may stimulate the ovaries for this testosterone hypersecretion. These 2 hormones are LH & Insulin. So your insulin may be normal but if you have high levels of LH you ll still be having the symptoms.Thyroid is not directly involved with PCOS - it is more oftenan associated illness like autoimmune thyroiditis. So now you know why your insulin & thyroid levels are fine and you re still having the symptoms.Your symptoms - increasing acne, facial hair, hair loss are all due to TESTOSTERONE which is being produced by your ovaries. You might have noticed an improvement in these symptoms when you were on Krimson 35 - that s because it contains a chemical to block the actions of testosterone. I hope you ve understood to some extent the real cause of your problem. Do meet up with your gynecologist - I m sure things will be sorted out. All the best!