HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does "peripherally Follicles Located Bilaterally" Mean?

default
Posted on Wed, 15 Oct 2014
Question: Hello. My ultrasound showed Peripherally Follicles located bilaterally. No free fluid in cul de sac. Uterus Demonstrates 4 mm Endometirum.
I am not sure what this means. I was surprised as I get monthly periods that last 3-4 days and my cycle is between 28 and 35 days.

Thanks XXXXXXX
doctor
Answered by Dr. Som Biswas (9 minutes later)
Brief Answer:
It is mostly normal

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

It is mostly normal as no free fluid and ET = 4 mm are normal.

The peripheral bilateral follicles can be a sign of early mild PCOD but not necessarily so.

Normally PCOD should have more than 12 follicles in each ovary of at least 2-9 mm each.

What do you mean by estrogen dominance ? Do you have reports of your estrogen levels.

If you are asymptomatic with regular periods there is nothing to worry about as of now.



Feel free to consult me directly
http://bit.ly/drsombiswas


Regards

Dr. Som Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Som Biswas (16 minutes later)
Hello

In regards to estrogen dominance I have had test done to show I have very high estrogen and extremely low progesterone. I also have had elevated prolactin levels ranging from 29 to 46. I have had a 60lb weight gain that dieting and exercise have not fixed. My fasting glucose and insulin are normal. I do have acne but it is mostly on my back. My thyroid is normal. I show a slight iodine deficiency as well. My coristol was high at 729 nmol/l for am and 327 nmol/l pm. I am also severly vitamin d deficient of 16 nmol/l
all these combined is PCOD a possibility?
doctor
Answered by Dr. Som Biswas (5 minutes later)
Brief Answer:
Sounds more like a hyperprolactinemia

Detailed Answer:
Dear XXXXXXX ,

It sounds less like PCOD but more like a hyperprolactinemia ( due to a prolactin tumor).

A prolacitin tumor produces high prolactin, high cortisol, can cause acne due to that, and can cause weight gain. It can also cause estrogen dominance.

I will suggest that you get an MRI of the prolactin gland to see if something is wrong.

Follow up with the reports to me.

Regards

Dr. Som Biswas M.D.
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. Yogesh D
doctor
Answered by
Dr.
Dr. Som Biswas

OBGYN

Practicing since :2007

Answered : 965 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does "peripherally Follicles Located Bilaterally" Mean?

Brief Answer: It is mostly normal Detailed Answer: Hi, Thank you for your query. I can understand your concerns. It is mostly normal as no free fluid and ET = 4 mm are normal. The peripheral bilateral follicles can be a sign of early mild PCOD but not necessarily so. Normally PCOD should have more than 12 follicles in each ovary of at least 2-9 mm each. What do you mean by estrogen dominance ? Do you have reports of your estrogen levels. If you are asymptomatic with regular periods there is nothing to worry about as of now. Feel free to consult me directly http://bit.ly/drsombiswas Regards Dr. Som Biswas M.D. XXXXXXX