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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53100
Experience:  GP in the United States
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I recently came off femodene and havent had periods for 3

Resolved Question:

I recently came off femodene and haven't had periods for 3 months. I asked for blood tests as I was concerned about poly cystic ovaries. I have had a phone call asking me to go to the doctor to discuss my results which is making me very anxious as I am Ttc. I can't see my doctor 3 weeks however i did manage to get acopy of my results:
Testosterone -3.3 noml/l
Progesterone 2.0 nmol/l
Fsh 3.8 ul
lH 7.8 ul
can you help?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Customer: Hello
Dr. Phil, MD :

Hi there

Dr. Phil, MD :

I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer: Gemma
Dr. Phil, MD :

Hi Gemma

Dr. Phil, MD :

nice to meet you

Dr. Phil, MD :

Did you have regular periods prior to femodene?

Customer: you too
Dr. Phil, MD :

and how long were you on it?

Customer: yes but they were on the long side 35 to 40 days
Customer: 8 years
Dr. Phil, MD :

okay

Dr. Phil, MD :

why are you worried about PCOS

Customer: i have some excess facial hair. My mum has this also however but has been cleared of pcos
Dr. Phil, MD :

I see

Dr. Phil, MD :

okay what were the normal ranges on your labs?

Customer: testorone seemed to be 3 which is why I was concerned
Dr. Phil, MD :

the others are in normal range correct?

Dr. Phil, MD :

hello?

Customer: fsh and lh are normal. I don't have a marker for progesterone. The only other low was creatinine
Dr. Phil, MD :

okay good

Customer: this was 48 the marker was 50
Dr. Phil, MD :

I'm just asking because we use different units sometimes in the US

Dr. Phil, MD :

creatinine is no worry

Dr. Phil, MD :

so what was the range on the testosterone?

Customer: 0.8 -3 nmol/l
Dr. Phil, MD :

okay

Dr. Phil, MD :

I think you are spot on here Gemma

Dr. Phil, MD :

you do need a workup for PCOS

Dr. Phil, MD :

I recommend a pelvic ultrasound

Dr. Phil, MD :

The good news is that a drug called metformin works very well for PCOS

Customer: is my testorone quite high?
Dr. Phil, MD :

no it is slightly elevated

Customer: so I need further tests for a diagnosis?
Customer: is this likely to be causing my absent periods
Dr. Phil, MD :

yes you do

Dr. Phil, MD :

and yes that is possible

Customer: ok I had a feeling it might be that. Am I likely to need much treatment to help me get my periods on track?
Dr. Phil, MD :

No, metformin works well for this

Customer: If it's just slightly elevated I hope it might just be mild case if that's what it turns out yo be. I'm very frustrated with my doctor I have had to really push these tests
Dr. Phil, MD :

Yes, I hope so too.

Dr. Phil, MD :

an easy enough test is to just get the ultrasound

Dr. Phil, MD :

and see.

Dr. Phil, MD :

I'm sorry your doctor isn't being helpful. That stinks

Dr. Phil, MD :

:(

Dr. Phil, MD :

Can I answer any more questions for you Gemma?

Customer: No thanks for clarifying for me. I have an ultrasound scheduled bug I have to wait several months. I appreciate your help
Dr. Phil, MD :

you're welcome :)

Dr. Phil, MD :

would you mind rating me positive before leaving Gemma?

Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53100
Experience: GP in the United States
Dr. Phil, MD and other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)

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