Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Insulin fasting 9.54 half-hour insulin 96.13 one-hour insulin 133.00 two-hour insulin 77.32 three-hour insulin 15.83 dehydroepiandrosterone sulfate 397.2 What does this result tell us about the condition? What is the normal value? Thank you! How long will it take to heal from the treatment? What is the approximate cost? Thank you! Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University: Hello, according to your laboratory results, you have insulin resistance and high androgen, which are consistent with polycystic ovary syndrome. If you have completed childbirth, we suggest to take Da-Ying-35 and Metformin for treatment. Polycystic ovary syndrome is difficult to treat and cure.
Patient: Thank you! But I haven’t finished having children yet.
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University.
Do you have any fertility plan in the near future? If so, it is recommended to visit the infertility center of Qilu Hospital. If you do not have any fertility plan, you can start the above treatment. The specific medication method is best determined after a visit to the hospital.
Patient: First of all, thank you very much for your prompt reply! I recently had another test for tuberculin, which came back strongly positive, 18*20mm, double circles. The doctor’s diagnosis was tuberculosis infection. Now I am taking IV levofloxacin lactate sodium chloride injection for one week; taking the following three drugs: isoniazid para-aminosalicylate tablets, sunflower liver protection tablets and rifampin capsules, which will be taken for three months and then stopped for three months. What I am struggling with now is: will the TB infection have any effect on future pregnancies, will the TB infection be fully recovered after taking the medicine for three months, and will the TB infection have any effect on the full set of secretion tests and the hysteroscopic surgery? I don’t know what the next step should be, and I am anxious to have a child to strengthen my marriage! Thank you very much for your concern and guidance!
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University.
The key now is to treat TB and consider fertility only after TB is cured. If the tuberculosis does not infect the reproductive tract it should not affect fertility. We suggest that you go to the provincial chest hospital.