OT- Questioning a doctors diagnosis

So I know this is OT but I feel so close to all ofyou and I feel like it's such a generic that maybe you can answer it for me. I went to the endocrinologist yesterday and because I was shown to have a few symptoms of PCOS was immediately diagnosed with it. It just doesn't sit right with me. I have normal insulin levels and have normal periods and ovulation. All she really found that led her to believe it's PCOS is that my androgen levels were high. I also don't like te quick diagnosis. I was misdiagnosed for almost 2 years before it was found I have Crohn's. So I am now very wary about these quick diagnosis. I want to ask her to check more thoroughly to see if I have Cushing's disease because i seem to more symptoms that lead to that. Is that arrogant of me to ask her to check for something she didn't bring and contradict her.

I agree with CrohnieToo, there should be no reason at all that she should have a problem with checking if you ask it of her. Be polite, but most doctors should not have a thin skin about these things, second opinions and follow up concerns should be a fact of life for them.

If for some reason she won't, then by all means get your GP to order the tests and possibly refer you to a different practitioner for a second opinion. Also, you might ask how she came to the diagnosis too, my Dr and the specialists I have seen have always been more than happy to explain their reasonings to me. I am ALWAYS asking questions and bringing up other information, I see it as only a good thing if I can arm myself with information enough to be able to know more about what affects me and decisions that are going to possibly stay with me all my life.

I was misdiagnosed with PCOS, but my situation was a little different. All my blood work came back fine, but I had not had a period on my own for almost 2 years. (I had a normal cycle before I got Crohn's.) My OB diagnosed me with PCOS after an ultrasound on my ovaries showed several cysts. Long story short, I went to a reproductive endocrinologist and he diagnosed me with hypothalamic amenorrhea. They can both show cysts on your ovaries, but with PCOS, the cysts usually form a "string of pearls".

With all the research I did on PCOS when I thought I had it, it seems like there are varying ways to diagnose it. My OB's office said you don't have to have both an ultrasound and blood work to confirm, the diagnosis can be based on one or the other. However, in my case, it just didn't seem right, so I pursued it. I don't think there's anything wrong for you wanting to question it. I don't know a lot about Cushings, but if your symptoms are more in line with that, I would definitely ask her about it. Have you been on steroids a lot? I remember reading that steroids can correlate with Cushings.

I would pursue it further and possibly try and get a second opinion. Hope you get it figure dout.

Good! IF nothing else it will ease your mind. Here is wishing you good luck - whatever that may be in this situation.