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What Causes Pain In Pelvic Region With History Of PCOS?

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Posted on Thu, 3 Jul 2014
Question: Hi last year I had an ultrasound done that showed mildy free pelvic fluid likely physiologic. This year I had one done that showed no free fluid but a couple of peripheral subcentimeter follicles in bilateral ovaries no cystic adnexal mass seen on right on left a follicle 17x16x18 mm with some internal echoes possibly hemorrhagic or proteinaceous follicle. I had this done because I'm trying to conceive again and I have abd pain on both sides. Last yr I was dx with PCOS and 6 yr ago I had natural twins but one was a vanishing twin can you please tell what's going on
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Answered by Dr. Cori Baill (1 hour later)
Brief Answer:
Both ultrasounds on normal variance.

Detailed Answer:
Ultrasounds have become much more precise in recent years. They're able to pick up the normal physiological changes of the ovaries. That is what your ultrasound showed a year ago and more recently. Ultrasounds can also show pregnancies for earlier than they could several decades ago. We now know that twinning is much more common than was originally thought because so many of them do not continue after the first trimester. Instead the ftus stops growing and is simply resorbed. The remaining fetus goes on to develop normally. It has nothing to do with having PC OS. Women with polycystic ovarian syndrome do not ovulate easily as those without it. You do not say how many menses you have a year. Fortunately there are medications to help induce polycystic ovarian syndrome in women with this condition. The meds have been around for more than 50 years and are considered quite safe. If you do not conceive with simple measures under the care of your regular obstetrician within six months you might want to consider seeing a specialist. Thank you for your confidence. I hope this answers your questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Cori Baill (10 minutes later)
I have my cycle every month just it ranges from 33-39 days and I take metformin so what meds were you speaking of
doctor
Answered by Dr. Cori Baill (32 minutes later)
Brief Answer:
Metformin is a medication to regulate cycles

Detailed Answer:
Interestingly metforman is one of the newer medications that can regulate menstrual cycles and women with polycystic ovarian syndrome. If you're having your cycles every month than I do not think you're up PCOS is active at present. Clomid is in order medication and sometimes they're used together. If it takes more than six months to conceive using metformin or clonus it is time to see specialists.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Cori Baill

OBGYN

Practicing since :1985

Answered : 236 Questions

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What Causes Pain In Pelvic Region With History Of PCOS?

Brief Answer: Both ultrasounds on normal variance. Detailed Answer: Ultrasounds have become much more precise in recent years. They're able to pick up the normal physiological changes of the ovaries. That is what your ultrasound showed a year ago and more recently. Ultrasounds can also show pregnancies for earlier than they could several decades ago. We now know that twinning is much more common than was originally thought because so many of them do not continue after the first trimester. Instead the ftus stops growing and is simply resorbed. The remaining fetus goes on to develop normally. It has nothing to do with having PC OS. Women with polycystic ovarian syndrome do not ovulate easily as those without it. You do not say how many menses you have a year. Fortunately there are medications to help induce polycystic ovarian syndrome in women with this condition. The meds have been around for more than 50 years and are considered quite safe. If you do not conceive with simple measures under the care of your regular obstetrician within six months you might want to consider seeing a specialist. Thank you for your confidence. I hope this answers your questions.