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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Infertility Caused By PCOS Be Treated?

I am female 27 years old and hereby i have furnished my lab details bellow and other details continue there after
Sonogram Report on Oct-2010
The uterus is anteverted,and measures 7.6*3.6 cms
The right ovary measures5.2*4.0*2.4 cms(26 cc).
The left ovary measures 4.0*4.0*2.1 cms(17cc).
The post void scan shows95 ml of residual urine.
IMPRESSION: = Polycystic ovaries.
= Thickwalled bladder with signifiant post void residue

Sonogram Report on March 2011
The uterus is anteverted,and measures 8.6*3.0 cms.
.Myometrial echoes are homogeneous.The endometrium is normal.
The right ovary measures 4.5*2.0*4.4. cms(22 cc).
The left ovary measures 5. 4*2.4*4.4 cms(31cc).
The post void scan shows 88cc residual urine
IMPRESSION: = Polycystic ovaries.
= mildly Thickened bladder with significant post void residue
I am 27 years old married by 2010 My first menstrual period is started by July 1999 and married by Aug 2010
I think that I am suffering from fertility issues, I have been trying for a baby for last six months. The breast development with pubic and auxiliary hair pattern is normal.
My height is 165 cm and weight is 55 kg
Waist 30 inches Hip 32 inches
Diet: Normal food as Rice dosasi, Idly , snacks as chips, milk and other normal food, coke, and bakery puffs also.

About my sexual life >> I am masturbated by my husband and lead to orgasm. We can lead the intercourses only two days in half of a month. the important point is “orgasm”. Usually my husband frequently ask about the orgasm but I don’t feel about the stage. Is there any fluid comes from my vagina at the stage in a climax ? I am fully satisfied with sexual desire but I am unable to feel the precious time of exact.
There is a urinating frequency. Sometimes I feel hard to control urinating.
Thanking you doctor, hereby I have framed all my real feelings to your knowledge
I am ready to answer in all further questions…!
Mon, 10 Aug 2015
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Radiologist 's  Response
Hello

Your ultrasound findings may suggests polycystic ovarian disease(PCOD).

Infertility due to PCOD is generally a treatable condition.
PCOD has typical appearance in USG and it is indicated by increase ovarian size,hyperechoic stroma and necklace appearance of cysts arranged in periphery.

PCOD should be confirmed by clinical correlation and biochemical markers like hormonal assay for PCOD.
PCOD is a curable disease and mostly it is treated by medicines.Surgical intervention is required in very few cases.

Other findings like uterus,endometrial thickness is normal.

Thickened urinary bladder wall with significant post void residual urine may be related to chronic UTI.
You need proper clinical examination and routine investigations.
Investigations include routine hemogram,random blood sugar,renal function test,Urine culture and sensitivity.
You may need to take antibiotics based on culture and sensitivity report.
You should drink plenty of water.

Get well soon.
Take Care
Dr.Indu Bhushan
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How Can Infertility Caused By PCOS Be Treated?

Hello Your ultrasound findings may suggests polycystic ovarian disease(PCOD). Infertility due to PCOD is generally a treatable condition. PCOD has typical appearance in USG and it is indicated by increase ovarian size,hyperechoic stroma and necklace appearance of cysts arranged in periphery. PCOD should be confirmed by clinical correlation and biochemical markers like hormonal assay for PCOD. PCOD is a curable disease and mostly it is treated by medicines.Surgical intervention is required in very few cases. Other findings like uterus,endometrial thickness is normal. Thickened urinary bladder wall with significant post void residual urine may be related to chronic UTI. You need proper clinical examination and routine investigations. Investigations include routine hemogram,random blood sugar,renal function test,Urine culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. You should drink plenty of water. Get well soon. Take Care Dr.Indu Bhushan