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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Ultrasound Findings Suggest About Chances Of Conception?

i AM AN INDIAN LADY OF AGE 27 AND MARRIED SEVEN MONTHS BACK.EXPECTING AN ISSUE BUT THERE IS NO IMROVEMENT AND I AM HAVING A SONOGRAM REPORT FOR YOUR KNOWLEGE.PLEASE TELL ME IS THERE ANY PROBLEM..? SONOGRAM REPORT DATE 19/03/11 Name ; Vijayasundari (age 27) WHOLE ABDOMEN 1.The liver is normal in size and shows uniform echotexture with no focal abnormality. 2.The gall bladder is normal sized and smooth walled and contains no calculus. 3.There is no intra or extra hepatic biliary ductal dilatation. 4.The pancreas shows a normal configuration and achotexture. 5.The pancreatic duct is normal. 6.The portal vein and the IVC are normal. 7.The spleen is normal. 8.There is no free or loculated peritoneal fluid. 9.No para aortic lymphadenopathy is seen. 10.No abnormality is seen in the region of the adrenal glands. 11.The right Kidney measures 10.3*4.1 cms. 12.The left Kidney measures 11.3*4.6cms. 13.Both Kidneys are normal in size,shape and position.Cortical echoes are normal bilaterally.There is no calculus or calyceal dilatation. 14.The ureters are not dilated. 15The bladder wall is mildly thickened (4mm) .There is no intravesical mass or calculus. 16.The uterus is anteverted,and measures 8.6*3.0 cms. 17.Myometrial echoes are homogeneous.The endometrium is normal. 18.The right ovary measures 4.5*2.0*4.4. cms(22 cc). 19The left ovary measures 5. 4*2.4*4.4 cms(31cc). 20.Both ovaries are enlarged and show multiple,small,peripheral cysts. 21.Parametria are free. 22.Iliac fossae are normal. 23.The post void scan shows 88cc residual urine. IMPRESSION: = Polycystic ovaries. = mildly Thickened bladder with significant post void residue
Thu, 7 Aug 2014
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General & Family Physician,  's  Response
Hello
As clearly mentioned in the ultrasound report that you are having Poly Cystic Ovarian Disease ( PCOD or PCOS) .
Since you are having pcod and I want to explain few things about PCOD.
Please read it carefully:
Signs & symptoms:
1 Androgen excess manifesting acne & hirsutism.
2 Menstrual irregularities , dysfunctional uterine bleeding or amenorrhea.
3 Obesity with glucose intolerance.
4 Alteration in LH/FSH ratio.
5 Elevated serum testosterone and androstenedione levels.
6 Ultrasound findings suggestive of atretric follicle with increased stroma ( as these findings present in your ultrasound report.
Sometimes few endocrine disorders are also associated , these are Cushing's syndrome, hyperthyroidism, hypothyroidism, adrenal hyperplasia.
You are not getting pregnancy after marriage of 7 months .
Pcod is the main cause of this .
In my opinion first of all consult a "GYNECOLOGIST " and get his opinion and treatment for PCOD .
In your bladder residue of urine is more but this is non-specific , so need not to worry.
Hope this will help you.
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What Does Ultrasound Findings Suggest About Chances Of Conception?

Hello As clearly mentioned in the ultrasound report that you are having Poly Cystic Ovarian Disease ( PCOD or PCOS) . Since you are having pcod and I want to explain few things about PCOD. Please read it carefully: Signs & symptoms: 1 Androgen excess manifesting acne & hirsutism. 2 Menstrual irregularities , dysfunctional uterine bleeding or amenorrhea. 3 Obesity with glucose intolerance. 4 Alteration in LH/FSH ratio. 5 Elevated serum testosterone and androstenedione levels. 6 Ultrasound findings suggestive of atretric follicle with increased stroma ( as these findings present in your ultrasound report. Sometimes few endocrine disorders are also associated , these are Cushing s syndrome, hyperthyroidism, hypothyroidism, adrenal hyperplasia. You are not getting pregnancy after marriage of 7 months . Pcod is the main cause of this . In my opinion first of all consult a GYNECOLOGIST and get his opinion and treatment for PCOD . In your bladder residue of urine is more but this is non-specific , so need not to worry. Hope this will help you.