How are the sizes of both ovaries considered normal?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? How should the size of both ovaries be considered normal?

Doctor's answer:

The general measurement of an ovary includes three diameters, with the maximum diameter being 4.0 cm. This means that the size of your ovary is normal. To diagnose polycystic ovary syndrome (PCOS), the following conditions must be met:
1. Obesity.
2. Enlarged ovarian volume, and both ovaries must be enlarged.
3. Multiple follicles visible within the ovaries, with diameters of approximately 1.0 cm. However, at least 10 follicles must be seen in a single ultrasound image.
4. Endocrine disorders, the most common symptom of which is irregular menstruation. Additionally, you should have your sex hormone levels checked at the laboratory.

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