sonogram to check for PCOS

I just started TTC 2 months ago but my doctor thinks i may have PCOS- so i had lots of blood drawn but i also have to have a sonogram to check my ovaries

i was wondering what will happen - is it an internal sonogram?

i know i need to drink lots of water but is it a problem if i eat breakfast too - my appointment is at 7:30

any insight will be helpful - also what are they looking for

thanks

Re: sonogram to check for PCOS

Yes, it will be internal.

It's really no big deal. They should also be doing blood tests I believe.

They are looking for any classic signs of PCOS on your ovaries - such as a "string of pearls" or cysts, etc.

Re: sonogram to check for PCOS

Just like what Hayley said it is in fact an internal sono

Do you have any signs of PCOS- excess hair? round in the tummy area? hard time to loose weight? Your tryglicerides may be higher (along with other hormone levels)

Im here if you need support- I was diagnosed with PCOS at 13

Re: sonogram to check for PCOS

usually they will do an internal as well as external--its not soooo bad--i think just seeing the internal one makes you feel nervous since it looks so..well big.

i would go just about every 3 mos. to my last gyno to verify that my cysts weren't getting any larger than 3cms, since if they grow too large they can cause the ovary to turn and that requires surgery. i got used to it after awhile, having those internal sonos. they are mostly uncomfortable more than anythign, but not really painful

after awhile my gyno was getting to know my who-ha better than DH.

Re: sonogram to check for PCOS

I found this for you also:

Tests

PCOS is to some extent a diagnosis of exclusion. There is not a specific test that can be used to diagnose PCOS and there is not widespread agreement on what the diagnostic criteria should be. Your doctor will do tests to rule out other causes of anovulation and infertility. He will usually order a variety of hormone tests to help determine whether hormone overproduction may be due to PCOS, an adrenal or ovarian tumor, or an overgrowth in adrenal tissue (adrenal hyperplasia). Ultrasounds are often used to look for cysts in the ovaries and to see if the internal structures appear normal.
Your doctor will be looking for a combination of laboratory results and clinical findings that suggest PCOS. If you are diagnosed with PCOS, your doctor may order tests such as lipid profiles and glucose levels to monitor your risk of developing future complications such as diabetes and cardiovascular disease

Laboratory Tests

FSH (Follicle Stimulating Hormone), will be normal or low with PCOS
LH (Lutenizing Hormone), will be elevated
LH/FSH ratio. This ratio is normally about 1:1 in premenopausal women, but with PCOS a ratio of greater than 2:1 or 3:1 may be considered diagnostic
Prolactin will be normal or low
Testosterone, total and/or free, usually elevated
DHEAS (may be done to rule out a virilizing adrenal tumor in women with rapidly advancing hirsutism), frequently mildly elevated with PCOS
17-ketosteroids (urine metabolites of androgens, used to evaluate adrenal function) elevated or decreased?
Estrogens, may be normal or elevated
Sex hormone binding globulin, may be reduced
Androstenedione, may be elevated
hCG (Human chorionic gonadotropin), used to check for pregnancy, negative
Lipid profile (low HDL, high LDL, and cholesterol, elevated triglycerides)
Glucose, fasting and/or a glucose tolerance test, may be elevated
Insulin, often elevated
TSH (Thyroid stimulating hormone) some who have PCOS are also hypothyroid

Non-Laboratory Tests

Ultrasound, transvaginal and/or pelvic/abdominal are used to evaluate enlarged ovaries. With PCOS, the ovaries may be 1.5 to 3 times larger than normal and characteristically have more than 8 follicles per ovary, with each follicle less than 10 mm in diameter. Often the cysts are lined up on the surface the ovaries, forming the appearance of a "pearl necklace." These ultrasound findings are not diagnostic. They are present in more than 90% of women with PCOS, but they are also found in up to 25% of women without PCOS.

Laparoscopy may be used to evaluate ovaries, evaluate the endometrial lining of the uterus, and sometimes used as part of surgical treatment.

Re: sonogram to check for PCOS

thank you for all your help

yes i have long cycles - terrible cystic acne -was on acutane in college

I am not overwieght but not thin - i can't loose wieght easily only change how much muscle/fat i have in my body depending on how much i am execising


that is interesting that you said high tricylerodes - because when you take acutane they test those and they were always high

have a family history of type II diabetes