PCOS? but go and it wasnt...although i got adjectives the symptoms?

ok here is the run down... I have excess spike on my chin, upperlip, sideburns, arms and I havent had my time of year since september of 2006. I have mild acne from it but is clearing up.. I do hold pains in pelvic. i am overweight(BMI is 36) i weight 230lbs and i cant seem to lose immensity.. it is hard.. i exercise 1 hour a sunshine and yet drink healthy but cant shed the pounds. im 5'6" contained by height. i go to the doctor and he didnt do a pelvic exam... he just asked question and i answered them.. and all he said be it was a hormone problem... help yourself to birth control pills and here is provera to start your period... presently.. he was nice but didnt say aloud alot . i knew it be a hormone problem but he didnt even suggest it was PCOS? in a minute i am confused.. he never checked my blood pressure or anything.. YES HE IS A OB/GYN doc. now my sound out is.. SHOULD I SEEK A SECOND OPINION?
Answers:

How can I prevent my bras from making me sweat when it's hot?

I would recommend you to get a second view. I am really buffed at what your dr did (or better did not).
A pelvic examination would not be productive in detecting PCOS, since enlarged ovaries can be associated to the syndrome but are not a diagnostic criterion. He should own scheduled bloodwork to be done on time 3-5 of your next cycle to check your hormonal level.
It is also funny he says it's not PCOS but an hormonal problem, since PCOS IS an hormonal problem. so what he say does not exclude PCOS at all.
If your suspect is confirmed, you might expect to be prescribed the pill, since that would keep hold of your period more regular and assist keeping your male hormones low. So contained by a way what your Dr did is ok, but I reflect you should know what your problem is, since this will probably affect your family planning once you wish to have kids.
Also, PCOS is habitually associated with insulin resistance: if that's the armour with you, you might want to take medicaments (metformin) to raise your insulin sensitivity. These could also bring your cycle back to conventional and even help you to lose counterbalance.
In general an ob/gyn should be capable of do the basic diagnostics related to PCOS. An alternative would be a gyn beside an extra specialisation in fertility issues or an endocrinoligist (hirsutismus and overweight are an endocrinologiacl issue)

My wife can single orgasm once after I play with her cl*t. She say it is irritated after wards.?

I would suggest it.Let me put it this method men doctors do not experience anything the female go through as in giving birth,monthly cycle.They jump by what they read in a book.I would see a womanly doctor she will ask and advise she will also put you on a hormone to stop the fleece growth you know the manly hair,she will also suggest or put together a nutritional diet for you.Your cycle could be artificial by the weight.The pelvic headache can be a sign of a serious problem also have them check your thyroid it can be a central weight problem.It will put pounds on no issue what you eat or drink.

Not consumption?

Yes, it sounds like PCOS and I would capture a second opinion. Also, try going on an Insulin Resistance Diet. Sometimes beside PCOS, if you change your diet to compensate for the excess insulin your body produces, it is plenty to reverse some of the symptoms and definitely backing you lose weight. I've lost 20 pounds doing it and while I still would close to to lose 60 more, it's a good headstart.

If I use duplicate nasal decongestant spray that I used 6 months ago when I was sick will I find sick again?

Well I too have PCOS and my friend told me roughly this site. It has rather of everything from diet information to a forum that helps you. Especially if you own FAQ.

For most women, PCOS is actually cause by insulin resistance. The dark patch of skin like the one on your leg are call acanthosis nigricans, and they can be a symptom of insulin resistance. The pill does not treat insulin resistance. Many women with PCOS bear metformin (glucophage) for insulin resistance, and they often find that their PCOS symptoms advance because high level of insulin are thought to cause the ovaries to produce too several male hormones. Correcting the insulin problem help to correct their hormone problems. When you are able to see a doctor, you should ask in the region of having a glucose tolerance trial or a fasting insulin tryout to check for insulin resistance. A fasting glucose examination (where they just oral exam your blood sugar level) does not detect insulin resistance.

ASK YOUR OB-GYN

Can u have Polycystic Ovary syndrome and still own a regular period?

Definitely grasp a second opinion, preferably from an endocrinologist.

Common symptoms of PCOS include

* Oligomenorrhea, amenorrhea — irregular, few, or not in menstrual periods; cycles that do materialize may be heavy (heavy bleeding is also an rash warning sign of endometrial cancer, for which women beside PCOS are at higher risk)
* Infertility, unanimously resulting from chronic anovulation (lack of ovulation)
* Elevated serum (blood) levels of androgens (male hormones), specifically testosterone, androstenedione, and dehydroepiandrosterone sulfate (DHEAS), cause hirsutism and occasionally masculinization
* Central obesity — "apple-shaped" tubbiness centered around the lower half of the torso
* Androgenic alopecia (male-pattern baldness)
* Acne, fatty skin, seborrhea
* Acanthosis nigricans (dark patches of skin, sunburn to dark brown or black)
* Acrochordons (skin tags) — tiny flaps of skin
* Prolonged period of PMS-like symptoms (bloating, mood swings, pelvic pain, backaches)
* Sleep apnea

Mild symptoms of hyperandrogenism, such as acne or hyperseborrhea, are frequent contained by adolescent girls and are habitually associated with irregular menstrual cycles. In most instances, these symptoms are transient and lone reflect the irresponsibility of the hypothalamic-pituitary-ovary axis during the first years following menarche.[1]

Signs are:

* Multiple cysts on the ovaries (one form of ovarian cyst). Sonographically they may look like a string of pearls.
* Enlarged ovaries, across the world 1.5 to 3 times larger than normal, resulting from multiple cysts.
* Thickened, smooth, pearl-white outer surface of ovary.
* The ratio of LH (Luteinizing hormone) to FSH (Follicle stimulating hormone) is greater than 1:1, as tested on Day 3 of the menstrual cycle.
* High level of testosterone.
* Low levels of sex hormone binding globulin.
* Hyperinsulinemia.

Diagnosis

It is central to note that not adjectives women with PCOS hold polycystic ovaries, nor do all women near ovarian cysts have PCOS; although a pelvic ultrasound is a trunk diagnostic tool, it is not the only one. Diagnosis can be difficult, principally because of the wide length of symptoms and the variability surrounded by presentation (which is why this disorder is characterized as a syndrome rather than a disease). There is plentifully of controversy about the appropriate trialling:

* gynecologic ultrasonography
* testosterone: free more sensitive than total
* Fasting biochemical screen and lipid profile
* 2-hour oral glucose tolerance question paper (GTT) in patients beside risk factors (obesity, family connections history, history of gestational diabetes) and may indicate impaired glucose tolerance (insulin resistance) in 15-30% of women near PCOS. Frank diabetes can be seen within 6-8% of women with this condition. Insulin resistance can be observed in both typical weight and overweight patients.
* For exclusion purpose:
* Prolactin- To rule out hyperprolactinemia
* TSH- To rule out hypothyroidism
* 17-hydroxyprogesterone - To rule out 21-hydroxylase not as much as (CAH). Many such women may appear similar to PCOS, and be made worse by insulin resistance or obesity - but they can be greatly help by adrenal suppression with low-dose glucocorticoid psychotherapy.

The role of other tests is more controversial, including:

* fast insulin level or GTT next to insulin levels (also call IGTT). Elevated insulin levels own been constructive to predict response to medication and may indicate women who will need complex dosages of metformin or the use of a second medication to significantly lower insulin levels. Elevated blood sugar and insulin values do not predict who responds to an insulin-lowering medication, low-glycemic diet, and exercise. Many women near normal level may benefit from combination therapy. A hypoglycemic response within which the two-hour insulin level is superior and the blood sugar lower than fasting is consistent near insulin resistance. A mathematical derivation agreed as the HOMAI, calcualted from the fasting values within glucose and insulin concentrations, allows a direct and moderately accurate measure of insulin sensitivity.
* LH:FSH ratio
* DHEAS
* SHBG
* Androstenedione

Check out the second source down, download the .pdf, please read it thoroughly, research the questions you would resembling to ask your doctor and find a doctor (preferably recommend by a friend or you can even go to a PCOS website's chat room and ask other women for a doctor within your area). You are more than likely not losing the bulk because your insulin level is not utilizing the sugars in your body properly. You can possibly ask a doctor to prescribe metformin.

Considering contraceptive pills?

He didn't appropriate blood, or do a pelvic or anything like that? GO SEE ANOTHER DOCTOR, this guy is a lethargic quack who is just trying to see his HMO patients through his office.

And it could be PCOS, but to diagnose it they enjoy to do blood work, and sometimes a pelvic ultrasound. You could also be hypothyroid, which sometimes goes along near PCOS--and yes, I know that from personal experience, since I have both. If you are hypothyroid, you would necessitate to start on synthetic thyroid right away. My doctor also put me on glucophage for my PCOS (since it's also a metabolic disorder, and I was developing hyperinsulin anemia). I've feel MUCH better since starting those 2 medications. My gyn is also an endocrinologist (deals w/hormones), and that's severely helpful. If you can find a gyn (probably won't be an ob) who also does endocrinology, that would be great, if not, find a gyn who see a large number of PCOS patients.

Good luck to you.