What Does The Following Ultrasound Report Indicate?

Posted on Mon, 6 Jul 2015

Question: We are trying for baby for past 3 months. My wife has undergone ultrasound as well as trans vaginal scan. The report is attached . Can you explain the problem and suggest us some tips for pregnancy.

Answered by Dr. Deepti Verma (28 minutes later)

Brief Answer:
Likely to be polycystic ovarian disease

Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns.
The ultrasound your wife shows multiple small follicles in left ovary and normal right ovary. However, no dominant follicle is documented even on 14 th day of the cycle, which is highly suggestive of anovulation.
Multiple small follicles in the ovary and absence of ovulation makes the diagnosis of polycystic ovarian disease likely. In this condition, conception is a bit difficult.
The treatment for infertility in PCOD is stepwise and includes ovulation induction drugs, intrauterine insemination and in vitro fertilization as a last resort.
Your wife should also take folic acid tablet daily as taking it in the preconceptional and preconceptional period decreases the risk of congenital anomalies in the fetus.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

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

Follow up: Dr. Deepti Verma (2 hours later)

Thanks for the suggestion doctor. I would appreciate if you let u know the average duration of the treatemrnt for the same.s

Answered by Dr. Deepti Verma (1 hour later)

Brief Answer:
Duration not defined

Detailed Answer:
Hi XXXX, thanks for responding. Average duration of treatment of infertility in PCOS is not defined, however generally 6 months of ovulation induction by drugs is tried before going for intrauterine insemination.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Raju A.T