QuestionI am a bit confused. I was originally diagnosed with PCOS but my diagnosis was changed when my lab tests revealed a testosterone level of 17 and an extremely low estradiol level (below 20). I have never had any symptoms of androgen excess and my weight tends to be a bit on the lower side (I am 5'4'' about 120 lbs). I have never had insulin resistance.
For the last three years, my menstrual cycles have been normal but I have developed amenorrhea again. Should I have a full amenorrhea work-up again? Do I need to go back to a reproductive endocrinologist or can this be managed by an OB/GYN? Is Yaz still a good option if my estradiol levels are very low again?
Thanks again.
AnswerHello Again,
A reproductive endocrinologist would be the best one to see, not a general Ob/Gyn. for now, Yaz or any birth control pill is appropriate to keep you regular and replace the hormones that you need.
Good Luck,
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf
