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Hello, I am Dr Owen, I am a Board Certified Ob/Gyn Medical Doctor and I want to help you.
Well metformin might or might not help with the acne
and given that you have elevated testosterone - what the metformin will hopefully do is Decrease your Insulin level and a decrease in the Insulin level will Decrease your testosterone level - which will then Hopefully decrease your acne.
so I'm glad to hear your testosterone level is decreasing.
Also using birth control pills such as OrthoTricyclen can help with your acne too.
I hope this helps
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Is the FSH/LH ratio of diagnostic utility in PCOS?
no - not at all
In fact I never use the FSH / LH at all for PCOS.
I am confused about why I have been diagnosed then.
Well you have an elevated Testosterone, you have Acne, and you have irregular periods - so Hence why you would be diagnosed with PCOS
Also 20% of all PCOS patients are NOT overweight
So hence this is why you are diagnosed with PCOS
My free testosterone is in the normal range, but the total testosterone is a bit high. Is that correct?
I use the total - I don't use free
Also, you have to realize that PCOS is not really a diagnosis that says you have to meet a certain number of criteria -
and try NOT to be bogged down by the Diagnosis - you should concentrate on how to help yourself with your syptoms.....and then eventually if you want to get pregnant.
So try not to worry about a Label -
I understand. The symptoms that bother me are the acne and some depression. I have always had irregular periods, so that is not as much of a concern for me. How is metformin indicated when my insulin levels have not been tested? Also, are there other ways to intervene, such as exercise and diet?
Well test your insulin levels....but more than likely with an elevated testosterone level - you can 'assume' you have a high insulin level - as high insulin levels in a woman causes a high testosterone level as I have said above.
You can try to have a GOOD exercise schedule 60 minutes per day, 7 days per week
and keeping your diet to about 1800 kcalories per day
I see. Thanks so much for your help.
you are welcome
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Have a great week
You too! :-)