What is the situation with a 45-day delayed menstruation?

Patient's question:

Because my period was delayed by 45 days, I went to the hospital for a thorough examination. The ultrasound showed bilateral polycystic ovaries. Later, when I had my period, I had a check-up for the six sex hormones. In the first half of the year, in March, the ultrasound was normal, but suddenly seeing this result made me feel a bit lost because I'm only 22 and haven't had children yet. I wonder what condition I'm in. Below are the ultrasound and the six sex hormone test results.

Doctor's answer:

According to your description, based on your ultrasound findings, considering you have polycystic ovary syndrome (PCOS), it is a common complex endocrine and catabolic disorder in women of reproductive age, characterized by chronic anovulation and hyperandrogenism. The main clinical manifestations include irregular menstrual cycles, infertility, hirsutism, and/or acne, making it one of the most common causes of female infertility. There are many causes of PCOS. It is recommended that you undergo a thorough examination at a reputable and large hospital, and then receive treatment based on the specific cause.

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