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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Pelvic Ultrasound Scan Report Indicate?

Hello Doctor, I am 36 yrs old and having irregular period. So i decided to go and see a Gynecologist last year. I have been told to do PELVIC ULTRASOUND and found to have POLYCYSTIC LEFT OVARY. Left ovary enlarge. Contains multiple peripheral follicles and a prominent stroma. Ovarian volume 10.7cm3. No free fluid in the cul de sac. I was using Diane 35 & Metformin drug for 3 months. My Question: Do i need to go back to the doctor because the problem of irregular period is continuing? My last period was on 11/04/2015. Thanks for your advise
Fri, 17 Jul 2015
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General & Family Physician,  's  Response
Thank you for asking Healthcare majic.
My name is Dr Ehsan Ullah &
I have gone through your query.

First of all, the diagnosis of Polycystic ovary is made when the patient has a dozen or more foci /follicles in atleast one ovary...

The management of this condition in younger patients is

-Hormonal Contraceptives
&
- Metformin

to deal with the hormonal problems due to
hyperaldosteronism (a disorder in which the adrenal gland located above the kidney releases too much of the hormone aldosterone into the blood)

your main concern is irregular periods

For menstrual abnormalities and hirsutism/acne, hormonal contraceptives are first-line treatment

and which you are already using in the formof Diane 35 but still problemis persistant.

Yes, you should visit your Physician for the follow up and he / she may do further work to role out and exclude all other causes of menstrual irregularities.

Hope this may help you. Let me know if anything not clear.
Thanks.
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What Does My Pelvic Ultrasound Scan Report Indicate?

Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. First of all, the diagnosis of Polycystic ovary is made when the patient has a dozen or more foci /follicles in atleast one ovary... The management of this condition in younger patients is -Hormonal Contraceptives & - Metformin to deal with the hormonal problems due to hyperaldosteronism (a disorder in which the adrenal gland located above the kidney releases too much of the hormone aldosterone into the blood) your main concern is irregular periods For menstrual abnormalities and hirsutism/acne, hormonal contraceptives are first-line treatment and which you are already using in the formof Diane 35 but still problemis persistant. Yes, you should visit your Physician for the follow up and he / she may do further work to role out and exclude all other causes of menstrual irregularities. Hope this may help you. Let me know if anything not clear. Thanks.