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What Does This Ultrasound Report Suggest?

Posted on Mon, 24 Aug 2015

Question: Hi, I have got irregular periods from 2012, done with ultrasound in 2013. reports says that
uterus: retroverted. normal in size, shape & echogenecity.
uterine size: 6.4 * 3.2 * 3.3 cms
endometrial echoes are normal
endometrial thickness is 7.5 mm
right ovary(RO) : bulky in size.small hemorrhagic cyst noted measuring 1.7 * 1.8 * 1.4 cms.polycystic morphalogy noted.
Left ovary (LO) : normal in size.polycystic morphology noted
RO: 3.8 * 3.0 * 2.0 cms, volume 12.4 ml
LO: 3.0*2.4*1.7 cms, volume 6.6 ml..
no free fluid
no adenexal lesion seen
impression: polycystic morphology in both d ovaries, small hemorhagic cyst in RO..
I m trying to conceive.. I m on metformin from many days. at present 500 mg 3 times a day.. Also from 4 cycles taking clomid starting with 50mg,next 100 mg, 150 mg n this time with 200 mg. Still notable to ovulate. Is this really a problem with d above all details to conceive. I m really worried.. I am overweight also..I m 29+. started getting my periods regularly now.. but not ovulating.. plz suggest me something.. Thanks alot in advance sir/madam

Answered by Dr. Rakesh Madhyastha (35 minutes later)

Brief Answer:
Ovulation

Detailed Answer:
Hello

Thanks for the query

It is known that people with polycystic ovaries have difficulty in conceiving. You are on the right treatment for it and you must continue. However what is more important is that must lose weight. Studies have shown that chances of conceiving increases as the person loses weight. You are only 29 and there are good chances of you getting pregnant. Many of my patients have conceived and are now happy.
I also suggest Yoga and meditation as adjunct treatment while trying to conceive

I hope I was of help, if you have any further queries please get back to me

Regards

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

Follow up: Dr. Rakesh Madhyastha (5 hours later)

Hello, thanks for ur reply.. How many lbs/kgs i need to reduce in order conceive? now i m 5 feet and 154 lbs.. any other alternate ways to get conceive..I am taking daily 1500 mg metformin+multivitamin tablets.. I was on clomid on 22nd to 26th of july month. tested with clearblue easy ovulation kit from 2 days but got the result negative. I was expecting the ovulation since my doctor prescibed 200 mg clomid... plz reply.. thank u..

Answered by Dr. Rakesh Madhyastha (18 hours later)

Brief Answer:
PCOD

Detailed Answer:
Hello

Thanks for getting back. I am sorry for the short delay in my reply, I was on call at my hospital.
Your ideal body weight would be around 40 to 54 kgs. At times Clomid take about 4-6 weeks to act, so thats about 2-3 months. Please continue the therapy you are on right now.
I must also add here that you can get yourself a follicular scan, it is a scan done to see for any active follicles, it used to accurately predict ovulation

Regards

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

Follow up: Dr. Rakesh Madhyastha (3 hours later)

Thanks for ur reply.. can u recommend ant diet so that i can reduce weight?

The above report which i sent is scanned in may 2013.. Is there any chances of reducing cysts by this time? I m on metformin since last october 2013.. before that i have not taken any treatment..Thank u sir.

Answered by Dr. Rakesh Madhyastha (13 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello

Thanks for getting back

You will need an another scan to know the status of your cysts.

When it comes to diet here is what I recommend

1. It is very important to be focused and determined to lose weight
2. Avoid sugar and fat by all means
3 Exercise everyday without fail. Make it part of your day
4. Drink lots of water

I know the above diet plan is very basic, it will help if you meet a dietitian for a more comprehensive one

regards

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

Follow up: Dr. Rakesh Madhyastha (25 hours later)

About scan, doctor said it ll not go completely. so no need of scan..

Answered by Dr. Rakesh Madhyastha (21 hours later)

Brief Answer:
Correct decision

Detailed Answer:
Hello

I am extremely sorry for the delay. I agree with your doctor that there might not be much change in the scan. However he can help your with follicular study of the ovaries to see for ovulation. Enquire about it.

Regards

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

Follow up: Dr. Rakesh Madhyastha (15 hours later)

ok sure, i ll ask.. thank u..

Answered by Dr. Rakesh Madhyastha (4 hours later)

Brief Answer:
Regards

Detailed Answer:
Hello

I am happy I was of help

I wish you all the very best

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

Follow up: Dr. Rakesh Madhyastha (4 days later)

hi sir, i got my ovulation test positive.. I had tested yesterday morning (5th aug morning, US timings).. I am very happy anyways.. can u plz tel is my cysts reduced or is it bcoz of clomid tablets i got ovulation?

Answered by Dr. Rakesh Madhyastha (3 hours later)

Brief Answer:
Clomid tablet

Detailed Answer:
Hello

Thanks for getting back, I am extremely happy for you and my hearty congratulations. The ovulation is because of Clomid tablet. I wish you all the very best.

Regards

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

Follow up: Dr. Rakesh Madhyastha (1 minute later)

Thank u sir..

Answered by Dr. Rakesh Madhyastha (36 minutes later)

Brief Answer:
regards

Detailed Answer:
You are most welcome

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