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Suggest Treatment For Irregular Periods With Enlarged Ovaries

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Posted on Fri, 20 Jun 2014
Question: Hi

My wife has problems irregular period and she went see the gynic recently in XXXXXXX
And doctor did ultra sound and she said ovray enlarge and size 32mm*34mm and doctor said no problem. is there any problem with enlarge ovray

doctor
Answered by Dr. Bhagyashree.B (26 minutes later)
Brief Answer:
may be PCOS

Detailed Answer:
Dear member,
Thanks for writing.
Irregular cycles are usually associated with enlarged ovaries and small cyst in ovaries called poly cystic ovarian syndrome or PCOS.
Usually in these patients ovaries are enlarged and associated with hormonal problems. The hormonal analysis and treatment along with weight management if obese will correct this problem.
Please give details about final diagnosis infused ultrasound report so that I can help. Also details regarding menstrual cycles and weight of patient.
Thanks
Dr Bhagyashree
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bhagyashree.B (1 hour later)

Please find the attached report ultrasound report.

My age is 32 and weight 75kg.

6 months back I had period after that continues bleeding for two months then we went and see the doctor(OB/GYN) . Dr. did biopsy and said everthing is normal and Dr. Priscribed birht control pills. After that periods were regular.

Again last month I had late period but bleeding ok. This month waiting for period and went see the doctor(in india) again. Dr. did Ultra sound I have attached reports for review. Please let me know is there any health problem any medication needed.

Age: 32 yrs

Weight 75

Height : 5.4''

Two kids (Son 8 years & Daughter 5 yrs)

Please let me know if you need any further information.

Thanks

doctor
Answered by Dr. Bhagyashree.B (13 hours later)
Brief Answer:
blood tests need to be done.

Detailed Answer:
Dear xxxxxx,
Thanks for writing.
The ultrasound reports are fine but do not mention ovarian volume and stromal characteristics in detail. Whether it is PCOS depends on the ovarian volume and also presence of multiple cysts in the ovary. the scan report does not mention anything specific.
It would be ideal to repeat the scan again preferably at a specialist centre. also the following investigations need to be done on second day of menstrual period.
1. FSH, LH,PROLACTIN
2. T3,T4,TSH
3. FBS
4. serum TESTOSTERONE.
please write back with reports.
Also your weight for your height is more than the ideal weight. your BMI is more than 28. ideally you should lose at least 10% of your present weight i.e 6-7 k.g
by a healthy diet and moderate exercise if you can manage to lose weight over a period of 5-6 months this problem of irregular cycles will be easily solved.
Thanks,
Dr Bhagyashree
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
doctor
Answered by
Dr.
Dr. Bhagyashree.B

OBGYN

Practicing since :2000

Answered : 788 Questions

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Suggest Treatment For Irregular Periods With Enlarged Ovaries

Brief Answer: may be PCOS Detailed Answer: Dear member, Thanks for writing. Irregular cycles are usually associated with enlarged ovaries and small cyst in ovaries called poly cystic ovarian syndrome or PCOS. Usually in these patients ovaries are enlarged and associated with hormonal problems. The hormonal analysis and treatment along with weight management if obese will correct this problem. Please give details about final diagnosis infused ultrasound report so that I can help. Also details regarding menstrual cycles and weight of patient. Thanks Dr Bhagyashree