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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Pelvic Scan Report Indicate?

My question is.I went for a pelvic scan and I was told I have polysitic ovaries.WC I went to see my doctor and he place me on drug.so I went back for the scan.and was told both ovaries appear slightly large.seen with developing follicles.the dominant follicle in the right ovary measures 1.42cm*1.40cm.pls can I conceive with DAT
Thu, 13 Oct 2016
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Neurologist,  's  Response
Hello! Polycystic ovarian syndrome is a condition due to abnormalities in the androgen hormones metabolism, which results in an impaired hormonal balance. The diagnosis is made by clinical evaluation, laboratory screening and radiological tests.
Women that has this condition present with menstrual disorders (oligomenorrhea or amenorrhea) that in general dates since the menarche (first period) and infertility. Other symptoms are hyperandrogenism that include hirsutism (abnormal growth of hair in body and face, in male pattern) and increase in muscle mass and clitoromegaly, obesity, diabetes, sleep apnea.
Laboratry screening should include hormones and their precursors measuring in blood and urine. Since the hormone metabolism is controlled by the hipotalamic - pituitary - ovarian axis, hormones controlled from this axis should be checked (testosterone, TSH, thyroxine, prolactine, cortisol, FSH and LH etc)
In the imaging tests ultrasound examination (intravaginal) and MRI should reveal enlarged ovaries and multiple cysts on them. The diagnosis is made if there are over 12 cysts per ovary.
The treatment include changes in lifestyle like diet and weight loss, physical activity, medication like oral contraceptive agents, antiandrogens (spironolactone etc), oral hypoglicemic etc. Surgery is also indicated in some cases.
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What Does This Pelvic Scan Report Indicate?

Hello! Polycystic ovarian syndrome is a condition due to abnormalities in the androgen hormones metabolism, which results in an impaired hormonal balance. The diagnosis is made by clinical evaluation, laboratory screening and radiological tests. Women that has this condition present with menstrual disorders (oligomenorrhea or amenorrhea) that in general dates since the menarche (first period) and infertility. Other symptoms are hyperandrogenism that include hirsutism (abnormal growth of hair in body and face, in male pattern) and increase in muscle mass and clitoromegaly, obesity, diabetes, sleep apnea. Laboratry screening should include hormones and their precursors measuring in blood and urine. Since the hormone metabolism is controlled by the hipotalamic - pituitary - ovarian axis, hormones controlled from this axis should be checked (testosterone, TSH, thyroxine, prolactine, cortisol, FSH and LH etc) In the imaging tests ultrasound examination (intravaginal) and MRI should reveal enlarged ovaries and multiple cysts on them. The diagnosis is made if there are over 12 cysts per ovary. The treatment include changes in lifestyle like diet and weight loss, physical activity, medication like oral contraceptive agents, antiandrogens (spironolactone etc), oral hypoglicemic etc. Surgery is also indicated in some cases. I hope i have been of help