Medical Scenario

P: Hello, I am Dr. Lynn, I am going to be your gynecologist today, what

brings you into my office Ms. Ana?
L: Hola Dra, fíjese que en mis últimas menstruaciones he tenido bastante
dolor de vientre.
P: When did your last menstrual period happened?
L: No estoy segura Dra. Ah, pero permítame, que lo anoté en el celular. Fue el
5 de septiembre, esa vez me duró como 7 días, yo creo que eso no es normal.
P: Oh, I see, so that means that you´ve not had your period in two months?
L: Sí, exacto, eso suele pasarme, a veces son 6 meses y no me viene mi period.
P: Well, the last time your period did you had a heavy flow, or was it very
light?
L: Tenía bastante sangrado, me cambiaba la toalla sanitaria muchas veces al
día, y siempre estaba empapada.
P: Ok, and have your periods been always like this?
L: Pues no Dra, es hasta como hace un año y medio que me sucede esto, y
vine porque una vecina dice que puedo tener algo grave.
P: You did really well in coming Ms. Ana. Now, have you notice any weight
changes? It can be weight loss or weight gain.
L: Sí, siempre fui delgada, pero desde hace poco he empezado a aumentar de
peso bastante, y alrededor del vientre es donde más he engordado, pero me
pongo a dieta y no me funciona.
P: Oh, ok. Have you noticed any acne in your face?
L: Pues, si, algo, pero creo que es más lo grasosa que se me pone la cara. ¿Qué
tendré Dra?
P: I still don´t know for sure, we need to run some tests to determine, but most
likely, I think you may have PCOS?
L: ¿Y eso que es Dra?
P: Well, PCOS, it´s a hormonal problem that happens to women during their
reproductive age, small sacs of fluid, called cysts, develop around the outer
edge of the ovary. These cysts contain follicles or inmature eggs.
L: Ay eso suena grave Dra ¿Y eso tiene cura?
P: It doesn´t have a cure actually, but it can be treated, and if you exercise
constantly and have a healthy diet it will be very much controlled. Do you
exercise or practice any sport, Ms. Ana?
L: No mucho Dra, a mi eso casi no me gusta.
P: Well, you should Ms. Anna, it´s healthy.
P: Dra y ¿Cómo van a saber si tengo eso?
L: We will run some tests in you, we will start with a blood test and an
echography, with that I will determine if you have PCOS or not.
L: Ok, dra. ¿Esos usted me los hace?
P: A nurse will come by and take some blood sample from you, but I will
perform the echography in here, so if would you please lay in the stretcher.
L: Ahorita Dra
P: I will place this gel in your belly, it may feel cool ok?
L: Ok dra.
P: I see you have some cysts around your ovaries, so yes, you have PCOS,
your blood test will confirm this later on.
L: Ay no Dra, y con que vamos a tratarlo?
P: Don´t worry, we will get you started on birth control pills, which will help
you regulate your periods, and you will go and see the dietician today, I will
give you a referral.
L: Ok, dra hoy mismo sería?
P: Yes, today, do you have any questions for me?
L: No Dra, gracias.
P: Have a great day.