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Question
Posted by: Anxious Ann | 2012-05-17

Ovarian cysts and thyroid problems

Dear Doc,
I''m 30 years old and stopped Minerva in Sept 2011 to try to conceive (no previous pregnancies), and then had 2 34 day cycles (anovulatory). On gynae exam shortly after, my ovaries both had multiple cysts. Doc ran blood tests and androgens and insulin came back normal, but I was hyperthyroid.
I then had a total thyroidectomy in Feb 2012 due to a toxic multinodular goiter. After the surgery, I was obviously hypothyroid, and my levels have only recently begun to normalize (tsh was 0.43 this week). My last 2 cycles have both been 38 days long, with heavy bleeding, and I had light cramps and occasional sharp pains for most days throughout my entire cycle. My acne has also returned (the reason I started Minerva 8 years ago) and I picked up 3 kgs in 3 months.

Could I still have PCOS despite the normal androgen profile? Can the constant cramping and sharp pains be related to the cysts? Or should I worry about endometriosis because of the pain?

Most importantly, I would like to know how long I should wait after achieving now euthyroidism and having stopped the birth control before another follow-up with my gynae to see if the cysts are still there?

Any advice would be appreciated!

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Our expert says:
Expert ImageGynaeDoc

The diagnosis of PCOS is made by finding multiple cysts on scan. Andtrogen levels can be normal. I would suggest that you see your gynae within the next 3 months.
Best wishes

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1
Our users say:
Posted by: gynaedoc | 2012-05-21

The diagnosis of PCOS is made by finding multiple cysts on scan. Andtrogen levels can be normal. I would suggest that you see your gynae within the next 3 months.
Best wishes

Reply to gynaedoc

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