My Daughter is 20 years old and 4 years ago was diagnosed with PCOS due to her having irregular periods for 3 years. These were her main symptoms but she was still diagnosed and left to get on with it.
Even though she hates to admit it she sufferes with terrible mood swings. She is over weight and has tried various diets but struggles to even lose a few pounds which upsets her.
Last year I did attend a doctors appointment with her not because I am a pushy mum but I have never been happy about the PCOS diagnosis and with my daughters agreement wanted to ask some questions, this the doctor didn't like. She had various tests but all came back normal and back then I believed what doctors said. Her periods are sill irregular and she is unable to take the contraceptive pill because she suffers with really bad migraines.
Recently she has started to have pins and needles in her hands, arms and feet and her hands do shake at times and she is also more tired than usual and most of the time has to have a sleep in the day. She is due to start Uni in September to study Special Effects. (I know everybody needs their hands but she needs a very steady hand so I advised her to see the doctor).
She had various blood tests which came back normal according to the doctors;
Serum cholesterol - 4.1 mmol/L
Serum FSH level - 6.6 iu/L (1.0 - 11.0)
Serum LH level - 2.9 iu/L. (2.0 - 13.0)
Serum vitamin B12 - 249 ng/L (190 - 900)
Serum Folate - 4.9 ug/L (2.0 - 19.0)
Serum TSH level - 3.49 mu/L (0.35 - 5.50).
Plasma fasting glucose level - 5 mmol/L. (3.6 - 6.0)
She has also been checking her basal temperature which has been between 35.6 and 35.9.
She wants me to attend her next appointment with her, I am just asking if anybody can advise me and her on what questions to ask or any more tests.
Dar, your daughter's TSH 3.49 and her symptoms indicate hypothyroidism. Make sure her next thyroid bloods are taken early in the morning when TSH is highest and it may just push her >5.5 for a diagnosis. There is a connection with thyroid and PCOS too.
Pins and needles and tremors may be due to low B12 and folate. B12 <500 needs supplementing with methylcobalamin sublingual lozenges, patches or sprays. 5,000mcg daily for a month to build up and 1-2,000 daily thereafter. Methylfolate is preferable to folic acid.
Ask your GP to test your daughter's ferritin and vitamin D as deficiencies cause fatigue and low mood and often present with symptoms similar to hypothyroidism.
Thanks clutter for your reply, always good with your advice. Will ask for tests when I go with her to the doctors .