Post # 1
For those of you who have irregular periods/ PCOS/ Hypothyroidism, could you please elaborate on the testing and diagnosis procedure at the doctor?
I just ended a 19- day period, and will be calling to make a doctor’s appointment this afternoon. This is “normal” for me, and actually not even my worst one. Back in March I had a 3 week period, followed by a week off, then followed by another 3 week period, bringing me to mid April. Had the entire month of may off, then had my period from June 7-30.
I came off of my nexplanon in September 2018 and wanted to give my body time to adjust but obviously no luck.
So I guess my question is, what kind of tests are typical for them to do to figure out the cause? My best friend had a similar issue but not to this extreme, and was misdiagnosed with pcos when she actually had a thyroid condition. I guess I’m just afraid they will use pcos as a blanket diagnosis without digging deeper.
Post # 2
I’m surprised your friend was misdiagnosed with PCOS since they usually diagnose that with an ultrasound and it should be fairly straight forward to see if there are cysts or not!
I’m actually going through all these tests right now for irregular, but not long periods. Mine are like 2-6 months apart and super sporadic and I’m trying to get a sense of how early I should start ttc.
I think just chat to your doctor and see what they say, I wouldn’t worry about a blanket diagnosis until you have spoken to someone.
Post # 3
haley309 : Sorry you’re going through this – some OBGYNs don’t believe in PCOS. It can be diagnosed with an ultrasound, but like I said some believe several cysts are normal.
Next would be bloodwork to test for possible causes like diabetes, hormone issues, thyroid issues, etc. These can vary as well. Along with a good OBGYN, an endocrinologist can help rule out the causes of the abnormal periods. That’s a lot of blood loss! I’m surprised you haven’t ended up in the hospital yet.
Best wishes and don’t give up until you get an answer and a plan of treatment.
Post # 4
zzar45 : good luck with your tests! Ttc is frustrating when your cycle is so out of whack. Best of luck to you!
hellonursenola : thanks so much. That’s something else I was wondering about – whether this is an OB thing or a family doctor thing but I guess it just depends on what they find to be the cause. It really is a lot of blood loss, they are heavy and crazy long
Post # 5
I second the idea of a family doctor or endocrinologist. And everyone should be able to see all your results and tests done. Your family doctor is always a good starting point and can refer you to who they think can best help. You can also start a lot of blood work at this point. You can request a full metabolic panel and go from there. That should include TSH (thyroid stimulating hormone) value which will give you an idea of thyroid function. A more in depth thyroid test will include T4 and T3 which can further indicate how well your body is using thyroid hormone.
PCOS is NOT always diagnosed by ultrasound. I’ve had PCOS patients who look completely normal so blood tests are going to be so, so important in that diagnosis. Ultrasound can help categorize and corroborate a diagnosis though.
Post # 6
I was diagnosed with PCOS earlier this year but that was after a fasting blood test to test for multiple hormone levels among other things and an internal ultrasound.
The blood tests helped with the fact I am not a insulin resistance a PCOS which made a difference in my treatment. My local doctor order all the tests and then only went to the OB after diagnosis as needed medication only they could approve as trying for a baby.
Post # 7
I would pursue both an endo and an OB for this. You also want to double check any answers you’re given because womens health can be really spotty and not exactly handled correctly. I went through 5 OBs to get to one who really understood everything that had been going on with me and was able to explain via proper testing why it was happening. Good luck!!
Post # 8
Thank you so much ladies. I have an OB appointment Friday afternoon so fingers crossed!
Post # 9
haley309 : I agree with all that was said in this thread- tsh, t3 and t4 blood work for thyroid and the ultrasound for PCOS.
You could also add testosterone blood test for PCOS. Definitely see a Gyno and Endocrinologist or a PCP with experience in these. Another question, have you noticed brain fog , weight gain, tiredness (commonly associated with hypothyroidism) recently? Do you have any of the secondary attributes of PCOS (dark hair on belly, chin, etc)? I was diagnosed with PCOS in 2007 and recently diagnosed with hypothyroidism/Hashimoto’s. I am happy to discuss further, just reach out! Good luck with your appointment!
Post # 10
arnie12 : Ooh yes, I’ll message you when I can! I have follow up questions 😂 thank you!!