Patient's question:
Trying to conceive for 3 months, I have been experiencing biphasic body temperature and ovulation. My menstrual cycle might be around 38 days (a bit long, but still regular). However, during a transvaginal ultrasound at day 15 of my last menstrual cycle, I was found to have 6 follicles in both ovaries, with only one slightly larger (around 11 mm). The doctor even suspected me of having polycystic ovary syndrome (PCOS). But my hormone test results showed that my testosterone levels were within the normal range. Is this still considered PCOS? Another doctor told me that as long as I ovulate and have no more than 12 follicles, it doesn’t count as PCOS. Whom should I trust?Doctor's answer:
Hello: Polycystic ovary syndrome (PCOS) is a clinical syndrome characterized by high polymorphism, unclear etiology, and complex pathophysiology in endocrine and metabolic disorders. Different patients may exhibit different clinical manifestations. The diagnostic criteria jointly recommended by the Society of Reproductive Medicine are as follows: 1. Persistent anovulation or occasional ovulation; 2. Clinical and/or biochemical indicators suggesting hyperandrogenism, with exclusion of other factors that may lead to hyperandrogenism; 3. Polycystic changes in the ovaries; 4. Diagnosis of PCOS can be made if two of the above three criteria are met. It is recommended that you seek detailed examination in a specialized hospital for a clear diagnosis, symptomatic treatment, and do not miss the best time for treatment. Wishing you good health!