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Author Archives: kkc

The Petrosal Sinus Sampling Test

Question: What is a petrosal sinus sampling test, how is it done, and when is it used? Answer: The majority of patients with Cushing’s syndrome have an ACTH-secreting tumor (pituitary or nonpituitary) causing both adrenal glands to produce excessive amounts of cortisol. Although the majority of patients have pituitary tumors, approximately 10-15% of patients haveContinue Reading

Tests for Cyclic Cushing’s

Question: My endocrinologist strongly suspects that I have Cushing’s but since some of my tests come back normal, he thinks that I cycle. Is there any consensus on how best to test for cyclic Cushing’s? Answer: The diagnosis of mild Cushing’s syndrome is difficult and it is especially challenging when the hypercortisolism is intermittent orContinue Reading

Testing for Mild Cushing’s

Question: Is testing for Cushing’s more difficult and can some tests come back normal when you haven’t had Cushing’s very long? Answer: As with most conditions, if the diagnosis is obvious clinically, then biochemical confirmation is usually simple; if the diagnosis is not clear, then biochemical confirmation or exclusion of the diagnosis is often muchContinue Reading

Testing for Cushing’s While on Birth Control Pills

Question: I’m on birth control pills. Can testing for Cushing’s be done while I’m on the pill and if not, how long before testing do I need to stop taking them? Answer: Birth control pills will affect the testing done in the evaluation of Cushing’s syndrome. The estrogens in the birth control pills will increaseContinue Reading

Testing for Cushing’s During Pregnancy

Question: I am in the middle of testing for Cushing’s and just realized that I am 8 weeks pregnant! Are there risks associated with a high cortisol and the baby? Can Cushing’s be diagnosed during a pregnancy? Is it safe to take the dexamethasone suppression tests during pregnancy? Will the baby need any special attentionContinue Reading

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