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Old 03-11-11, 03:08 PM
Luminous Butterfly Luminous Butterfly is offline
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Join Date: Jun 2010
Location: Glasgow, Scotland
Posts: 22
ACTH Stimulation Test

Firstly, let me start off by saying that I appreciate that very few if indeed anybody on this forum is a fully qualified endocrinologist. I have spoken to my endocrinologist and have found his responses unsatisfactory. I am seeking advice from anybody who has undergone this test.

I was given an ACTH stim test about 6 weeks ago. I was given my results recently, and told that as my 17OHP did not rise dramatically I can't possibly have CAH. I am possibly mistaken, but surely 17OHP does not rise in all cases of CAH? Surely the only reliable way to measure an ACTH stim test is a failure to increase serum concentrations of cortisol??

Also, my endocrinologist has indicated that as I am 46XX with ovaries and a uterus I am not classed as 'virilised'. My gynaecologist wrote to him suggesting that indeed I am virilized but he has responded that that term is subjective and so he refuses to give me a physical exam.

Has anybody got any advice, short of walking into his office and tearing my clothes off, or whipping out a ruler, on how to go about quantifying virilization to my endo??

Many thanks.
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