What Does This Ultrasound Report Indicate?
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..
Need hormonal assessment also.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
PCOD is a condition where in numerous small fluid filled cysts will be located along the edge of each ovary, which affects release of Egg (Ovulation) causing difficulty in getting Pregnant. Also hormonal tests of FSH, LH, Estrogen, Progesterone, Androstenedione, Thyroid hormones are needed. You need to lose weight with diet control and exercise for ovulation to happen. Since there is no ovulation with 200mg clomiphne you need to consult an infertility specialist for a detailed evaluation.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
i ll surely try to reduce my weight. but these days i m getting periods regular i feel..my period dates from april are as follows.april 1st, may 15th, XXXXXXX 20th and july 19th.. was on clomid from 4 to 8 days (200 mg). After coming to US i had become 164 lbs.. now reduced 10 lbs with diet(GM diet). Tested for ovulation .. Ll test further also.. upto how many days i can test for ovulation? wen ll be my ovulation usually?
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..
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
For a height of 5', your weight should be 100-110 lbs. After taking clomid you should start testing for ovulation from day 12 of the period and keep on testing every alternate day till you get a positive test or till day 22. You can also get ovulation studies done to find out about ovulation. Since you have a cycle of around 35 days the ovulation should happen near day 20. Clomid works best if started from day 2 of periods. Do consult your gynecologist regarding proper dosage and schedule.
It is best to get a fresh ultrasound scan done to know the status. Increasing the dose of clomid without proper investigations can cause large cysts to form.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
It can cause hyperstimulation of ovaries.
Detailed Answer:
Yes. Large cysts do form due to hyperstimulation of ovaries. It is better to get the hormonal tests done and ovulation studies to find out about ovulation. You are not able to predict the exact timing of ovulation. The periods are almost regular. Do get ovulation study done in this cycle from day 10 to find out.
Regards.
You are welcome.
Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you the best in whatever you do.
Best regards.
Congrats on getting a positive test.
Detailed Answer:
It can be due to both the reasons. Clomid causes an ovulation. If you get a positive ovulation test without taking clomid then it suggests that your hormonal imbalance and cysts have improved.'
Regards.
I had taken clomid 200 mg on 4th to 8th day of my last period(period started on 19th july ).
Clomid causes ovulation.
Detailed Answer:
Taking clomid causes ovulation even if you have a mild hormonal imbalance or polycysic ovaries.
Regards.