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Missing periods. Sonography test done. No fluid in abdomen and pelvis. Any advice?

Hello doctor ,my age is 26, height is 5 4 and weight is 67 kgs. i missed my periods for 2 months and following is my sonography report : Endometrical echo is 8 mm and in the midline. No focal myometrical lesion seen. No e/o gestational sac .E/O 3-4 neibothian cycts noted in cervix of 5-7mm sizes.Right ovary 3.6x2.4x2.0cm(vol-9.2cc) Left ovary 3.5x2.1x2.0cm(vol-8cc) Both ovaries are bulky and shows multiple peripherally placed follicles of 5-7mm sizes and increased stromal echogenicity.The adnexa are clear.No free fluid seen in the abdomen or pelvis .Please tell me the meaning of this.
Sat, 19 Apr 2014
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OBGYN 's  Response
Hi, your ultrasound findings are suggestive of a condition called Polycystic Ovarian Syndrome. In this condition due to hormonal imbalances the periods are usually irregular and patients often complain of weight gain and subfertility. However, this condition is easily treatable and responds well to medication. Since this syndrome is usually associated with thyroid disorders you also need to get your serum TSH levels checked along with serum prolactin and blood sugar levels.Mainstay of treatment is Metformin tablets and further according to the main concern of patient whether irregular cycles or subfertility. Regular follow up is always required. I would suggest you should consult a gynaec for further investigations, management and follow-up.
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