Hello doctor, I have had hormonal imbalances my whole life. My menstrual cycle has never been regular. I have acne and coarse hair on my body. My gynecologist said that I have severe PCOD and referred me to an endocrinologist. He asked for some blood tests and I need an evaluation of them as he was not of much help. I am attaching the reports. Please have a look.
Hello. I just read your query about your symptoms and saw your detailed laboratory tests results (attachment removed to protect patient identity). It appears that you have a non-classic congenital adrenal hyperplasia in which there is a partial deficiency of 21 alpha hydroxylase enzyme leading to an overproduction of androgens like androstenedione in your case. Androstenedione is responsible for the symptoms of PCOS, hirsutism an excessive body hair, acne, and oligomenorrhea (infrequent periods). The treatment is Metformin 500 mg thrice a day and tablet Diane (a combination of Cyproterone and Ethinyl estradiol) once daily. Since you have a deficiency of vitamin D and B12, you need to take tablet Vitamin D3 5000 IU once daily for two months and tablet Neurobion forte (Vitamin B complex) twice a day for two months. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->