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What Do These Lab Reports Indicate?

Posted on Fri, 4 Aug 2017

Question: hi doc,my wife has PCOS issue as per her reports and due to this pcos she has insulin resistance. she is taking auyrvedic medicine for pcos and sugar. after 3 months of sugar medicine her HBA1C level has come down to 5.9 from 6.1. i am attaching her reports of floicular scan latest and previous. kindly suggest is there any improvement or not. latest report is not in the period duration. as her doc obsevred rise in bbt temprature and thought of ovulation and sent her for scan without periods.

Answered by Dr. Dr. Rakhi Tayal (16 minutes later)

Brief Answer:
No ovulation seen.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have seen all the attached reports. The first report shows a follicle of 6mm on day 14- not suggestive of ovulation. The second report shows a 7mm x 10mm follicle in one ovary but a cyst - hemorrhagic in the other ovary. Both the reports are not suggestive of any ovulation. She needs proper allopathic medicines to induce ovulation.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Rakhi Tayal (13 minutes later)

thanks doc for an early response. actually her doc is saying that this report is good in comparison with the last one. do you see any merit in her belief? my wife has improper cycle and her doc has concluded now that she is having her periods omce in a two months. last periods she had in XXXXXXX from 3rd to 9th. and taking that auyrvedic fertility medicine from first day of period till entire XXXXXXX last scan which dif was in during periods. but this time without period.

Answered by Dr. Dr. Rakhi Tayal (3 hours later)

Brief Answer:
No improvement seen.

Detailed Answer:
Hello.
Thanks for writing again.
The second report does not show an improvement in the condition of ovaries. The presence of hemorrhagic cyst is not a good sign and interferes with normal egg formation. An increase in follicle size from 6mm to 1 cm also does not suggest an impending ovulation as there were no periods prior to it.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rakhi Tayal (45 hours later)

hi doc, thanks for response. just last thing that is there any benifit of taking fertility medicines with cyst available. or we should cure the cyst frst.

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
Normal ovary can ovulate.

Detailed Answer:
Hello.
Her one ovary is normal. The normal ovary can have normal ovulation with the help of medicines. The cyst will also decrease once she will start having regular periods. The fertility medicines can be given only when her regular periods are restored.
Regards.

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. Nagamani Ng