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What Does My Ultrasound Scan Test Report Indicate?

Posted on Mon, 24 Aug 2015

Question: Hi Doctor
I am 29 years old, unmarried woman
Got ultrasound done in March along with pcod panel test. I have hair on chin and went to the skin specialist for laser tx he advised me to get these tests done first.
Pcod panel test reports are normal
All the hormones are within limit and fine
However, my ultrasound showed the following finding. Please suggest me for the same. I am worried about my fertility too
My height is 5.4 and weight is 52 kg

" both ovaries show multiple small peripherally arranged follicles with excess stroma"
Left ovary measures 4.1 x 2.1 x 2.0 volume 9.5
Right ovary measures 3.7 x 2.3 x 2.2 volume
10.5
My average period lenghth is 38 days

Answered by Dr. Shanti Vennam (17 minutes later)

Brief Answer:
Sonogram suggests polycystic ovaries.

Detailed Answer:
Hi,

Thanks for trusting us with your health concern.

Your sonogram findings suggest the presence of polycystic ovaries, typical of PCOD. It is good that your hormone assays are normal. Since you are getting regular cycles, it is also likely that you are ovulating, in which event, fertility remains good.

You also need to test for insulin resistance and if necessary start taking Metformin. This controls insulin resistance and enhances natural ovulation. This can be continued even into pregnancy also.

Your weight should be within a BMI of 19-25. At present, your BMI is 19.69. Please try to maintain this along with healthy diet and regular exercise.

Please do not worry about future fertility. PCOD is such a common problem now-a-days that several treatment modalities with good success rate are available.

Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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

Follow up: Dr. Shanti Vennam (7 minutes later)

But my pcod panel test included insulin tests as well and that was normal, should I still take metformin
Panel test included insulin level too

Answered by Dr. Shanti Vennam (6 minutes later)

Brief Answer:
Your doctor's discretion.

Detailed Answer:
Hello,

Thanks for writing back.

Metformin is a safe and effective drug in PCOD and is often given on an empiric basis in PCOD. It is your consulting doctor's discretion whether to give Metformin with normal levels of insulin.

Hope this helps.

regards,
Shanti.V.

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

Follow up: Dr. Shanti Vennam (24 hours later)

Thanks doctor
Also, I wanted to know, are these changes reversible
Like if I take care, the sonogram might fall to normal as wel

Answered by Dr. Shanti Vennam (4 hours later)

Brief Answer:
Not everything.

Detailed Answer:
Hi,

Thanks for writing back.

With proper management and healthy life style, spontaneous ovulation can be attained in PCOD. The sonogram findings may then change, but, the hair growth is irreversible. You may need to use medication or permanent hair removal methods to get rid of it.

Hope this helps.

regards,
Shanti.V.

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

Follow up: Dr. Shanti Vennam (2 days later)

Sure doctor
Can you suggest me when should I get my ultrasound done next, I got it done in March, should I get it done in September or now?..

Answered by Dr. Shanti Vennam (4 hours later)

Brief Answer:
Can get it done in September.

Detailed Answer:
Hello,

Thanks for writing.

You can get your next sonogram done in September. There is no hard rule but usually follow up is suggested after six months. If possible, you can get a trans-vaginal sonogram for a better view of the uterus and the ovaries, though a good pelvic sonogram also suffices, since you are unmarried.

Hope this helps.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Yogesh D