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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Showed PCOD. What Are Its Causes, Consequences And Is It Completely Curable?

i am 18 years old.i got a sonogram done on my mother s insistence. it states that my uterus is normal in size,shape and position and is anteverted. endometrium is okay and no wall abnormality. and my cervix and vagina are normal. but my ovaries show echogenic stroma and multiple, tiny peripherally arranged follicles suggestive of polycystic ovaries. and it says i have PCOD . i know its not life threatening but i have a couple of other questions. (1) what causes PCOD? (2) is it completely curable or just can be controlled like diabetes? (3) what are the consequences apart from irregular menses and infertility .
Mon, 25 Jun 2012
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OBGYN 's  Response
Hi Loner stacy,
Welcome to Healthcare Magic,
You did right by obeying your mother. I will try to explain PCOD for you.
Ultrasound appearance of PCOS is found in 20-30% of women. Please note that having Polycystic ovaries on ultrasound is not enough to diagnose PCOD, you have to have some clinical problems as well to make a diagnosis.
PCOD is the most common endocrine disorder in women. Its cause is not fully known but may be multifactorial including genetic predisposition, insulin resistance, elevated ovarian androgen secretion ( hormones) & obesity etc.
Treatment totally depends on your clinical complains & can be curable in women where obesity is the predisposing factor as even a modest weight loss in these women may lead to improvement.
consequences could be acne, excessive body hairs, alopecia, subfertility, menstrual irregularity & even absent periods. ( one or more symptom may be present, having all is not essential)
In addition, these women due to obesity & insulin resistance are prone to dyslipidaemia, ischaemic heart disease & diabetes.
If they remain without periods for long periods their uterus lining may get disturbed & may develop abnormalities.
So, adopting healthy lifestyle, weight loss, early referral to a gynecologist if you have any clinical problem may be helpful to you in the long run. If you don't have any symptoms you just don't need any treatment. Wish you all the best. Take care.
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Ultrasound Showed PCOD. What Are Its Causes, Consequences And Is It Completely Curable?

Hi Loner stacy, Welcome to Healthcare Magic, You did right by obeying your mother. I will try to explain PCOD for you. Ultrasound appearance of PCOS is found in 20-30% of women. Please note that having Polycystic ovaries on ultrasound is not enough to diagnose PCOD, you have to have some clinical problems as well to make a diagnosis. PCOD is the most common endocrine disorder in women. Its cause is not fully known but may be multifactorial including genetic predisposition, insulin resistance, elevated ovarian androgen secretion ( hormones) & obesity etc. Treatment totally depends on your clinical complains & can be curable in women where obesity is the predisposing factor as even a modest weight loss in these women may lead to improvement. consequences could be acne, excessive body hairs, alopecia, subfertility, menstrual irregularity & even absent periods. ( one or more symptom may be present, having all is not essential) In addition, these women due to obesity & insulin resistance are prone to dyslipidaemia, ischaemic heart disease & diabetes. If they remain without periods for long periods their uterus lining may get disturbed & may develop abnormalities. So, adopting healthy lifestyle, weight loss, early referral to a gynecologist if you have any clinical problem may be helpful to you in the long run. If you don t have any symptoms you just don t need any treatment. Wish you all the best. Take care.