Brief Answer:
Is there increased stromal echogenicity with large ovaries and follicles?

Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
With reference to your ultrasound findings please find my observations as following

1. no space occupying lesion in uterus

This indicates that there are no tumor like areas in your uterus.

2. midline cavity echo is seen

The cavity of uterus is as showing normal appearance.

3. Endometrial thickness 5.5mm

The endometrial thickness is the central area of the uterus. This changes with the time of your menstrual cycle. This is normal for your age

4. Stromal content is more compared to follicles.

Since the widespread use of transvaginal ultrasound to diagnose polycystic ovary syndrome (PCOS), a cardinal feature has been shown to be the presence of a bright, highly echogenic stroma. However this can also be seen in normal women. The condition polycystic ovaries needs to be diagnosed with other associated ultrasound features like peripherally arranged follicles and increased ovary volumes of more than 10 cc. Clinical features like absence or light periods, male hair growth pattern and increase in weight are also important.

It is important to know the reason for getting ultrasound scan done and other parameters mentioned in ultrasound report like the presence of enlarged ovarian volume and peripherally arranged follicles.

In conclusion stromal echogenicity always requires to be analysed with other features on ultrasound and clinical symptoms to say if its normal or not.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
PCOD should be diagnosed after detailed clinical evaluation

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

Sometimes it might be difficult to confirm PCOD in the absence of important clinical and imaging features. I am sure your doctor will examine you in detail before confirming the diagnosis of PCOD. Many women are wrongly treated for PCOD and you should keep track of your periods regularly and also explain other symptoms that you have.

If it is the first time, such problems like absence of periods and rashes can also result from stress related anxiety in young women of your age.

Though PCOD is primarily a hormone imbalance condition, other similar conditions need to be evaluated. Hormone tests are requested during evaluation for PCOD.

Taking treatment with hormonal pills usually treats PCOD in most women. Please do not worry. Avoid any kind of mental stress and eat healthy. I am sure your doctors will make a diagnosis after detailed clinical evaluation

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
LH/ FSH ratio is increased and in favour of PCOD, also have anemia

Detailed Answer:
Hi
Thanks for writing in with an update.

The lab values are explained below.
1. FSH : 5.02 mIU/ml

FSH is in normal range (Premenopausal Follicular: 3.9-8.8 IU/L Midcycle: 4.5-22.5 IU/L Luteal: 1.8-5.1 IU/L)

2. LH : 12.64 mIU/ml

LH is in normal range (Premenopausal Follicular: 2.1-10.9 IU/L Midcycle: 20.0-100.0 IU/L Luteal: 1.2-12.9 IU/L)

3. Prolactin : 10.28 ng/ml

Prolactin is in normal range (Nonpregnant females: 2 - 29 ng/mL)

4. Testosterone : 5.6 pg/ml

Testosterone is slightly at upper limits if considered as free testosterone.

5. Hemoglobin : 11.6

It should be 12.0 to 15.5 grams per deciliter in females and you have anemia. This can be due to a month of bleeding.

The LH/ FSH ratio is more than 2 in your case and this is in favour of PCOD.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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