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I went to get my yearly check up at the doctor this past month and after getting my results, the doctor asked: Are you sure you have PCOS? So I thought of uploading another health update about how I cured my PCOS.
Those are the EXACT words you want to hear when you go for a check-up!! Boy, was I glad I heard them. I posted a health update with my latest test results last year (2016) and my results from this year's check-up were even BETTER!!!! It's officially been 2 years and 9 months that my PCOS is in remission!
Before I get into the details, this is what I do.
- I ride my bike everywhere under 15km.
- I take a cardio kickboxing class every Saturday.
- I do weight training once or twice a week at the gym.
- I do some light exercises or HIIT training in the morning if I wake up early.
- I do Intermittent Fasting. I eat from 12pm-8pm and fast from 8pm-12m. I started this in July.
- I do not eat gluten or sugar.
- I eat soy (only organic and fermented) and dairy on a weekly basis.
- I try to eat as much organic as I can afford (depends on the week).
- I eat low carb ranging 20g-40g/day, if I go out it'll usually go up to 60g. Under 20g gives me the keto rash and my hair falls out like crazy. I dealt with the rash for 2 months and it was too much so I upped my carbs.
- I do not eat packaged food, instant food, processed food, or GMO products.
- My main source of food is meat and veggies with lots of healthy fats.
- The fats that I eat include: nuts, dairy products, avocado/coconut/olive oil, lard/beef tallow, avocado, coconut butter, seed/nut butters.
- I do not eat corn, potatoes, beans or lentils. But I do (maybe like once every 4-5 months) eat sweet potatoes, butternut squash, beets or plantains. This is usually when I create a paleo recipe for the blog.
- The sweeteners I use are mainly stevia, erythritol, and monk fruit. I do have raw honey in my pantry, but only use it like once a year for soar throats and teas.
- The flours I use for baking include: nut flours, coconut flour, oat fiber, xanthan/guar gum, glucomannan powder, whey protein isolate, and psyllium husk powder.
- I eat fruit from time to time, maybe twice a month. I eat berries multiple times a week.
- I'm not going to lie, I do have occasional cheats like sushi (maybe once a month).
- I love to drink milk from nuts. I also make smoothies with coconut milk and cream.
THE TEST RESULTS
This year, I wanted to check a whole lot of things so I had multiple tests done and one new test that I had never done.
This is what I got checked:
- Blood Sugar
- Fasting Blood Sugar
- LH on 3rd day of periods
- FSH on 3rd day of periods
- Estradiol on 3rd day of periods
- Ovulation Test after 3rd week of periods
- TSH (Thyroid)
- PAP Smear
- LH-RH (Luteinizing Hormone-Releasing Hormone) on 3rd day of periods at 0, 30m ,60m, 90minutes after injection
- Total Cholesterol
- HDL Cholesterol
- LDL Cholesterol
- C-Reactive Protein
- White Blood Cell Count
- Red Blood Cell Count
- RBC Indices
- Platelet Count
- Antinuclear Antibody (ANA)
All of these tests, except for the LH-RH test, were covered by my insurance in Japan. I couldn't get my androstenedione checked as it wasn't included anywhere in the insurance and they couldn't find it. I'm guessing people don't test that in Japan because it wasn't in their computer and they didn't know what I was talking about. In Japan, they also don't test the Free Testosterone, only the Total Testosterone.
I had never heard of the LH-RH test before, but the doctors in Japan seem to use it a lot to see if there are any problems with our pituitary gland and ovaries. They inject you with a single dosage of 0.1mg Gonadorelin which is the same as the GnRH (gonadotropin-releasing hormone) that is naturally released from the hypothalamus gland. The GnRH causes the pituitary gland to release the LH and FSH hormones. So the gonadorelin is used to test how well the hypothalamus and pituitary glands are working. With the test results, the doctors can see whether a female is ovulating properly or if the hormones/organs are functioning as they should be. They also use this test to see if teenagers are going through puberty correctly. It cost me about 140$ without insurance.
I had to go to the doctor multiple times over the course of September to do different tests depending on where I was in my cycle. During my first visit, I did the yearly pap smear. I also wanted to do hormone tests, but I had to wait until I was on my 3rd day of periods, which was September 6th.
On September 6th, I went back to the clinic and the results from the PAP smear were back. No problems found. The nurses took a lot of blood from me for all of the hormone/health tests I requested before doing the LH-RH test.
For the LH-RH test, they made me lie down on the bed and told me I would feel dizzy once they injected me with the hormones. They took my blood before injecting me, and then injected me. It was honestly the weirdest feeling ever. My brain felt so dizzy and my eyes were spinning. I could feel the liquid go through every part of my body, especially in my stomach and in the end in my ovaries. I had to stay lying down for a good 5 minutes before getting back up because I felt like I was going to faint.
After 30, 60, and 90 minutes, they took other samples of my blood to see if my brain and ovaries were dealing with the hormones injected in me properly. After that was done, I got to go home. I noticed a few side effects the following week including dizziness and headaches. He also warned me that I may or may not get my periods earlier. Only 1% of people get their periods earlier.
The following week, on September 15th, I went to get my results back. We also took an ultrasound to see if I had any cysts. My left ovary had no cyst and my right ovary had 2 small follicles and one huge main follicle. The doctor said I should ovulate soon from my right ovary.
As for the tests, well here are the results below! My cholesterol improved again this year, especially my triglycerides. My HDL increased a little and my LDL decreased a little, which made my total cholesterol also decrease a little. My blood sugar was normal and my insulin also dramatically decreased! The only thing that changed from the previous test was that I started intermittent fasting (skipping breakfast) and weight lifting since July.
As for the hormonal tests, everything came back normal. Thyroid was also normal (though I've never had issues with it). With PCOS, you usually have a higher LH than FSH, but the FSH was slightly higher than the LH (which is good). The doctor said the LH-RH test came back with no problems at all. My male hormones (and insulin) were also completely normal which explains why my facial hair isn't growing much anymore (currently doing electrolysis once a month for 30 minutes).
After taking an ultrasound and looking at the blood test results, the doctor asked me: Are you sure you have PCOS? I had to show him my test results from Canada because he couldn't believe I did in fact have (or had?) PCOS.
He asked me to come back a week later to see if I actually ovulated or not. So on September 22, I went back in for an ultrasound and it looked like my right ovary had ovulated so we took a blood test to confirm. He then asked me to come back a week later to get the blood test results.
I actually took my BBT this cycle and used LH ovulation strips to see if I was ovulating. On cycle day 12, I took the first ultrasound that showed one dominant follicle about to get released. On cycle day 14, the OPK came back positive which meant that I would ovulate soon.
On CD 17, my BBT also increased. CD 19 is when I went to get that second ultrasound and showed no more follicles, meaning I had ovulated. On CD 19 and onwards, I had tender breasts meaning my periods would start soon. On October 2nd, I got my periods which means my cycle was 28 days. That is the first time in 2.9 years! It may have been from the side effects of the LH-RH injection, I'll see next month how long my cycle is. On October 3rd (CD2), I went back to get my blood test results to see if I had indeed ovulated. And I did! My progesterone levels were 16.01 and estradiol 94.8. He said if the progesterone was more than 6, then it meant I had ovulated.
I also wanted to include this chart. In this chart you can see what days and how long my periods were every month, the length of the cycles, my weight, and how many hours or minutes of electrolysis I had done on my face. As you can see my periods were initially in the longer days from 31-38 days, but have slowly become shorter cycles with my latest being 28 days. My weight has also slowly been coming off every month, sometimes I stall, but I usually lose.
After the appointment today, the doctor said everything looked okay and I should be able to make a baby (from looking at the test results), but alas that will still be a while. We are not ready and simply not there yet. But at least I know that I'm perfectly healthy right now!
I will continue to give it my best this coming year and I'll post another update next year with hopefully even better cholesterol results!!