Is this PCOS? LH raised.

[Ems10014]

A couple of months ago I started bleeding after sex, nothing too heavy, just a pink line on a tissue. I went to the doctors and I apparently have a cervical ectropian and I also had some bloods done.

My LH is 12.3 and my FSH is 3.8

The sheet I got with it said that the normal LH/FSH range is 1-12. I've seen online that it should be a 1:1 ratio and my LH is definitely higher than that. The blood test was also on CD 27 and my period ended up being 10 days late.

I had an ultrasound and apparently I dont have polycystic ovaries...

However, after being told I have a cervical ectropian, it got me thinking of the symptoms I've had since the bleeding after sex started. Since august I've noticed that my hair was thinning on the left side on my head, a couple spots on my chin and lower jaw, and my periods had started being 10 days late (not sure if this is considered irregular). Last year my periods ranged from 29-32 days and now they're 40 days.

I'm going to call the doctors back tomorrow, but when I initially mentioned about having a family history of PCOS he dismissed it as my BMI is healthy, so I'm not sure what / if anything hes going to do.

It just seems super strange how I have gone from a super regular period to it being 10/11 days late, hair loss, spots, ectropian - it all just seems very quick and random for it to be PCOS, or is it?? Do you guys have any inkling of what it could be or what I could ask my GP tomorrow?

Hm. Firstly LH should be tested on CD3 and absolutely not on CD27. Secondly - if your period was "late" by 10 days, when did it show? I'm just thinking that CD27 could have been the run up to your delayed ovulation which would explain the higher LH count.

Spots on chin and lower jaw are normal PMS symptoms I'd say. Spotting/cervical erosion is also not unusual. Not sure about the hair thinning though! Have you been on hormonal contraceptives at all perhaps?

I'd certainly ask to have the blood test redone properly on CD2-3 and to include TSH, T4, Androgen, testosterone, prolactin etc in the test - those are all things that should be included in a proper day 3 test in case there's anything else the matter with you.

Thanks for your reply!

My period showed on CD 41, so you're right in thinking that CD 27 would have been the delayed ovulation day if we are working with the 2 week rule. However, as my LH was only 12.3 and it can go up to 90 in ovulation, as well as the low FSH, I'm thinking 12.3 is far too low for ovulation. But if what you're saying is true then its pointless to test LH/FSH ration later than CD3.

As for the spots being PMS - I just never get spots, and certainly not to the extent that I've been having them recently. Which is why mixing that in with the erosion, hair loss, irregular periods, it seems to me its something hormonal.

And no I'm not on any hormonal contraceptive and havent been for 6 years.

I'm going to have a chat with the doctor, but because of my normal weight and the clear ultrasound, I'm not too confident hes actually going to listen to me.

Although if you have a 12 day LP for instance then CD27 would be the run up to ovulation - the highs of 60-90 are recorded between 7-9dpo I think as it peaks around then.

Definitely speak to your doctor - hair loss and irregular periods could be to do with your thyroid for instance (hence tsh/t4 testing as part of CD3). But likewise you only need 2 of 3 main symptoms to have PCOS. You already have one of them but not another - so now he needs to confirm whether you have excess androgens, which is part of the CD3 as well.

How long have you been trying for btw?

Only for a month, so not that long!

I had a thyroid blood test and that came back normal apparently, which is good.

I will definitely be speaking to him tomorrow and hopefully I actually get somewhere with it!!