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Scan shows anteverted uterus within normal limits, bilateral polycystic ovaries. Treatment?

sir, today i was asked to take UT scan due to irregular cycles. And i take s report says: findings:anteverted normal size utrus.smooth contour.normal endometerial echo focal lesions. cx and vergina appear normal. reight ovary: multiple small follicles seen in the periphery of overy. left overy: multiple small follicles seen in the periphery of overy. no adnexal mass seen. p o d free. parameteria normal. no other mass lesion seen in the pelvis . impresion: 1. anteverted uterus within normal limits. 2. bilateral polycystic ovaries. is ther any serious problem in my scaning report??? i m 18 years old.. after 2 monthes i m going to be married.. now engaged.. what is the treatment for this problem???
Asked On : Sun, 16 Dec 2012
Answers:  1 Views:  627
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OBGYN 's  Response
Mar 2013
I appreciate your query.
The rest of your ultrasound findings are normal, apart from the comment on the ovaries
To diagnose polycystic ovaries, you need following criteria on ultrasound
1. multiple peripherally arranged small follicles , atleast 10 or more in number , in each ovary
2. highly dense echogenic ovarian stroma
3. increased ovarian volume bilaterally
The last two points have not been elaborated in your report, so just based on multiple small follicles, its difficult to diagnose PCOD ( polycystic ovarian disease )
However, considering that you hav irregular menstrual cycles, the probability of PCOD is high.
PCOS is a complex, heterogeneous disorder of uncertain etiology, and one of the leading causes of female subfertility

The principal features are anovulation ( inability to produce and release a mature egg each cycle ) resulting in irregular menstruation,excessive amounts or effects of androgenic hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels.

To confirm PCOD, you need to have extensive tests in form of detailed further ultrasound, OGTT, lipid profile, Day 2 FSH, LH levels, Fasting serum insulin, free testosterone, DHEAS, SHBG etc.
Mainstay of treatment is diet, lifestyle modification, exercise, weight loss and medications.

Not all PCOD women will face difficulty conceiving. For anovulatory women, ovulation inducing drugs might be required, or as a last resort, ART ( assisted reproductive technology ) might be needed.
Please do not panic or lose hope, but consult a gynecologist/ endocrinologist and have a detailed evaluation to tackle your problem as best as you can before marrying.
Also, do not delay conception for too long
All the best.
Answered: Mon, 17 Dec 2012
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