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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Right Ovary Measures 32 X 35 X 20 Mm And 8-9 Follicle Indicate?

Hi I m married and age 31. Yesterday I got my sonography reports. My right ovary measures 32 X 35 X 20 mms volume 11 ml. My left ovary measures 32 X 36 X 25mms volume:15 ml. both ovaries appear enlarged and shows multiple small follicles arranged at the periphery ,approx.8-9 follicles in each cross section. The follicular size is 4-8 mms. There is no evidence of dominant follicle on left side ,Central stroma appears echogenic. No fluid is seen in the P.O.D. Can you please tel me what does it mean and how should it be treated? I had Miscarriage 2 times in 1 years , since last 2 month i didn t have my periods.
Fri, 23 May 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The interpretation of the pelvic sonography is as follows:
The presence of multiple follicles in the ovaries, absence of dominant follicle and absence of fluid in pouch of douglas (POD) suggests a polycystic ovary.
Polycystic ovary is characterised by presence of multiple follicles in the periphery of the ovaries pattern similar to that of a garland or necklace.
Absence of dominant follicle suggests that no follicle has matured in the cycle.
In normal cycles one follicle enlarges becomes dominant and finally ovulates.
Absence of fluid in POD suggests absence of ovulation because POD is filled with fluid in case ovulation occurs.
There is srong possibility of polycystic ovarian syndrome.
You need to consult your gynecologist with report.
Certain investigations - FSH, LH, testosterone levels etc have to be done.
Polycystic ovarian syndrome is characterised by menstrual irregularities which are present in your case also.
Treatment will be instituted once diagnosis is made.

Thanks and take care
Dr Shailja P Wahal
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What Does Right Ovary Measures 32 X 35 X 20 Mm And 8-9 Follicle Indicate?

Hello and welcome to HCM, The interpretation of the pelvic sonography is as follows: The presence of multiple follicles in the ovaries, absence of dominant follicle and absence of fluid in pouch of douglas (POD) suggests a polycystic ovary. Polycystic ovary is characterised by presence of multiple follicles in the periphery of the ovaries pattern similar to that of a garland or necklace. Absence of dominant follicle suggests that no follicle has matured in the cycle. In normal cycles one follicle enlarges becomes dominant and finally ovulates. Absence of fluid in POD suggests absence of ovulation because POD is filled with fluid in case ovulation occurs. There is srong possibility of polycystic ovarian syndrome. You need to consult your gynecologist with report. Certain investigations - FSH, LH, testosterone levels etc have to be done. Polycystic ovarian syndrome is characterised by menstrual irregularities which are present in your case also. Treatment will be instituted once diagnosis is made. Thanks and take care Dr Shailja P Wahal