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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Enlarged Ovary And Thick Endometrial Wall Mean?

Hi, I have had abdominal pain for quite some time, emergency room a few times suspected appendicitis (not removed ) colonoscopy numerous tests, doctor only recently started taking me seriously, I am 27 was on depo prover a for 10 years and now copper coil for two years. My recent tests have shown low folic acid, ultrasound enlarged ovary and thick endometrial wall, possibly cysts in ovary but my doctor will not tell me possibilities of what this means?
Sat, 1 Dec 2018
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General & Family Physician,  's  Response
Hi,

Enlarged ovary with thickened endometrium represents Absence of ovulation... the accumulation of no ovulated follicular cysts in ovary causes enlarged ovaries. In the same way, increased estrogen in the blood causes thickened endometrium as it cannot be shed off due to the absence of ovulation... leading to lack of progesterone (which causes ovulation & starts menstruation on depletion of progesterone).

Thus enlarged ovary causes pain in abdomen & thickened endometrium. Treatment of the condition helps in getting normal ovulating periods.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale,
General & Family Physician
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What Does Enlarged Ovary And Thick Endometrial Wall Mean?

Hi, Enlarged ovary with thickened endometrium represents Absence of ovulation... the accumulation of no ovulated follicular cysts in ovary causes enlarged ovaries. In the same way, increased estrogen in the blood causes thickened endometrium as it cannot be shed off due to the absence of ovulation... leading to lack of progesterone (which causes ovulation & starts menstruation on depletion of progesterone). Thus enlarged ovary causes pain in abdomen & thickened endometrium. Treatment of the condition helps in getting normal ovulating periods. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician