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Bilaterla cysts, heavy bleeding, diagnosis of PCOD - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
User :   Today my wife went throgh ultra sound:(doctor suggested as he is sufferfing severe bleedings of periods)
And report says : 1. Grade 1 Fatty Liver
2. Mild Splenomegaly
3.Mildly bulky uterus
4.Bilateral polycystic ovaries with endometrial thickness of 7.7 mm
She is 29 years Old
Height : 158 cm long( 5 feet 2 inches)
Weight : 96 Kg(211 lbs)
Please let me know those impressions indicate towards danger signal
what those are meant for and let us know if we go for further tests!!
Doctor :   Hi
User :   please see my query above
User :   are u going through doctor ??
Doctor :   Was it done before periods?
Doctor :   Plz be patient
User :   okk
Doctor :   Was scan done before or after periods?
Doctor :   how old is she?
User :   period started 9 days before and todaty is 10th day.. still heavy bleeding
User :   she is 29 yrs old
Doctor :   ok
Doctor :   She PCOD
User :   everything i mentioned in my query!!
Doctor :   She has PCOD
User :   PCOD meaqs ??
Doctor :   Polycystic ovary disease
Doctor :   Ovaries has multiple cysts
User :   we dont know
Doctor :   ok
Doctor :   if in addition to the the scan findings of many cysts in ovary,if she has heavy periods, , infertility, overweight, acne the syndrome can be confirmed
Doctor :   So does she has many pimples
User :   pimples on face u mean ??
Doctor :   acne
User :   no...
Doctor :   But she has heavy bleeding/periods?
Doctor :   Y/n
User :   we have 2 kids
User :   yes
User :   heavy bleeding ..
Doctor :   She is over weight
User :   right
User :   yes
User :   she is 96 kil
User :   weight
Doctor :   Yea, she is over weight
User :   yes ..
Doctor :   Thickness, In general, 8-13 mm is good, less than 6 is potentially a problem, and greater than 15 or so might possibly reduce chances for successful pregnancy.
User :   now her thickness is 7.7 mm what does it mean ??
Doctor :   Thickness varies depending stage of cycle
User :   what does the below meant for and let us know if we go for further tests!!1. Grade 1 Fatty Liver 2. Mild Splenomegaly 3.Mildly bulky uterus 4.Bilateral polycystic ovaries with endometrial thickness of 7.7 mm She is 29 years Old Height : 158 cm long( 5 feet 2 inches) Weight : 96 Kg(211 lbs) Please let me know those impressions indicate towards danger signal
Doctor :   it is thin at the beginning
Doctor :   and thick at the end
Doctor :   Are you there?
User :   yes
Doctor :   Do you folow me?
User :   i asked about those report
Doctor :   What I am doing
User :   what is meany by the below
Doctor :   There are different findings
Doctor :   I told you cysts
Doctor :   I told thick ness
Doctor :   cysts indicates PCOD
User :   so u mean cysts is the problem ,everything else is fine ??
Doctor :   thiock ness depend on stage
Doctor :   Then discuss the metter
User :   how do we find out which stage it is ??
Doctor :   cysts are problems
Doctor :   she might get abnormal cycles and heacy periods
Doctor :   discuss further with your doctor regarding the management of PCOD
User :   so what is the solution for PCOD
Doctor :   Regarding the stage and thicj ness I was sking you questions
Doctor :   U did not answer .
User :   what questions ?? u mean thickness
Doctor :   or before she had bleeding /periods
Doctor :   Was the scandone afterr she had periods/bleeding
User :   now bleeing is going on .. periods are not over,today only scan done ......
Doctor :   ok
Doctor :   So thickness is not the real dangerous issue here
User :   endometrial thickness is 7.7 mm
User :   any info do u need
Doctor :   less then 6mm ot more 15 mm is dangerous
Doctor :   Do you follow this?'
User :   yes ..
Doctor :   Good
User :   so what is the remedy for PCOD
Doctor :   Bilaterla cysts, heavy bleeding indicates PCOD
Doctor :   PCOD has different presentations
Doctor :   it cause heavy bleeding or abnormal cycles
Doctor :   in that case, she need birth control pills
Doctor :   Also she she Metformin
Doctor :   These pills regulate the cycles
User :   family planning is done for her...
Doctor :   I will recommend LH, FSH, DHEA, Glucose , insulin in her case to confirm PCOS
Doctor :   She had family planning but she still has uterus and ovaries
Doctor :   Birth control pills here used to minimize bleeding
Doctor :   if bleeding is controlled she don't require
User :   tubectomy operation
Doctor :   But she needs metformin
User :   what is metformin ??
Doctor :   I understand what is family planning means
User :   okk
Doctor :   Metformin is used for PCOD . it regulates sugars and cycles
User :   okk
Doctor :   it is commonly given in PCOD. Request your doctor for prescription
Doctor :   So regarding Gynecology, there are two findings on scan one is worrisome and another is not
Doctor :   Fatty liver is like obese liver
User :   okk doctor ,what about fatty liver and Mild Splenomegaly and Mildly bulky uterus
Doctor :   many Overweight patients has fatty liver
Doctor :   it is not dangerous
User :   okk
Doctor :   Bully Uterus could be due to previous pregnancies But it does not say any polups or fibroids
User :   do u think it is to be looked into ,dangerours ??
Doctor :   Gynecologist will examine the uterus and feel the uterus for any mass in side
Doctor :   She needs vaginal/uterine examination
Doctor :   Do you follow me?
User :   okk
Doctor :   Did I answer your Ultrasound related Questions?
Doctor :   Thank you
Doctor :   Bye
User :   thanks bye
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