You "sound" like you have alot of symptoms like Cushings disease. It is true that polycystic ovarian disease can mildly elevate cortisol levels and can have clinical features that mimic cushings. The caveat is that PCOS can be treated and clinical symptoms can be improved. Are you being treated? Have you also been tested for insulin resistence with a glucose tolerance test? Have you seen an endo that specializes in PCO? The other thing is that some patients who have Cushings (ok shoot me here) may not have clearly elevated urine free cortisol levels but still have Cushings. These groups of patients are diagnosed with salivary cortisol testing done at midnight, midnight serum blood draws, dex/CRH testing and serum a.m and serum p.m. blood draws for cortisol. The Cushings doctors are scratching their heads on why this group of patients are not showing elevated urine free cortisols, but are showing diagnostic tests with these other newer testing protocols. But... other things have to be ruled out, and you need a doctor who is willing to work with you and look at the whole patient. I just wanted to give you encouragement to keep pushing for answers and let you know that we are here for you and we care about you. Minnie | 