Suspected Familial Hypercholesterolaemia

Everywoman basic

Female | 35 Years Old | August 2026

Case Background

35-year-old female attending for an Everywoman basic. History of PCOS, no symptoms of note. Client’s father died of a heart attack aged 55.

Key Findings

Very high total and LDL cholesterol, high small LDL and high lipoprotein (a). HbA1c in the pre-diabetic category.

Outcome

Very young for such high cholesterol. Client’s father died of a heart attack before 60 years. Likely familial hypercholesterolaemia- referral made to a cardiologist and statin therapy likely required. Advice given around reversing pre-diabetes and repeat testing recommended. Strong link between PCOS and Type 2 Diabetes due to increase in insulin resistance.

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