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Ultrasound Showing Both Ovaries Are Having Small Follicles In Peripheral Part. What Does It Mean?

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Posted on Thu, 26 Dec 2013
Question: i am not having periods since july and then i suffered from jaundice from 22nd august and after consulting the dr and taking the medicine i got periods on 22nd october and again i missed mine periods in november...i got mine ultrasound...and it says that "BOTH THE OVARIES ARE HAVING SMALL FOLLICLES IN PERIPHERAL PART"...kindly tel me what does it mean...is there any serious problem...do reply...i m getting tensed.
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Answered by Dr. Aarti Abraham (45 minutes later)
Brief Answer: PCOD LIKELY, TREATMENT OUTLINED. Detailed Answer: Hello Thanks for writing to us with your health concern. Your ultrasound report is highly suggestive of PCOD ( polycystic ovarian disease ). THis is a condition characterized by basic underlying hormonal imbalance. Due to this hormonal imbalance, the ovary gets studded with multiple small follicles ( cysts ). However, none of them will mature every month to form a dominant follicle, that ovulates. Hence, there is erratic ovulation and irregular menstruation. There is no actual cure for the condition, but it can be controlled to a great extent. FIrstly , weight loss and lifestyle management ( if you are overweight / underactive ) is the main key. Even a 5 % loss in body weight will lead to regular cycles in many women. Next, drugs like Metformin are generally prescribed to improve symptoms. ALongwith an ultrasound scan, you should have the following investigations - FSH, LH on day 2 of cycles. TSH, Prolactin, Oral glucose tolerance test. DHEAS, serum free testosterone. Lipid profile Fasting serum insulin. Follicular monitoring ( if fertility is an issue and you wish to conceive ). In order to conceive, many women require drugs ( like Clomiphene citrate ) to achieve ovulation induction and pregnancy. IN general, PCOD is a very common disease affecting women of reproductive age group. Please get thoroughly investigated for the same. For menstrual regularity, often cyclical hormone therapy is prescribed to have regular periods. All the best. Please feel free to ask for further clarifications.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Aarti Abraham

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Practicing since :1998

Answered : 6004 Questions

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Ultrasound Showing Both Ovaries Are Having Small Follicles In Peripheral Part. What Does It Mean?

Brief Answer: PCOD LIKELY, TREATMENT OUTLINED. Detailed Answer: Hello Thanks for writing to us with your health concern. Your ultrasound report is highly suggestive of PCOD ( polycystic ovarian disease ). THis is a condition characterized by basic underlying hormonal imbalance. Due to this hormonal imbalance, the ovary gets studded with multiple small follicles ( cysts ). However, none of them will mature every month to form a dominant follicle, that ovulates. Hence, there is erratic ovulation and irregular menstruation. There is no actual cure for the condition, but it can be controlled to a great extent. FIrstly , weight loss and lifestyle management ( if you are overweight / underactive ) is the main key. Even a 5 % loss in body weight will lead to regular cycles in many women. Next, drugs like Metformin are generally prescribed to improve symptoms. ALongwith an ultrasound scan, you should have the following investigations - FSH, LH on day 2 of cycles. TSH, Prolactin, Oral glucose tolerance test. DHEAS, serum free testosterone. Lipid profile Fasting serum insulin. Follicular monitoring ( if fertility is an issue and you wish to conceive ). In order to conceive, many women require drugs ( like Clomiphene citrate ) to achieve ovulation induction and pregnancy. IN general, PCOD is a very common disease affecting women of reproductive age group. Please get thoroughly investigated for the same. For menstrual regularity, often cyclical hormone therapy is prescribed to have regular periods. All the best. Please feel free to ask for further clarifications.