Patient's question:
Hello expert,I have had irregular menstruation since my first period. I also have acne and excessive hair growth.
My ultrasound results show:
Right ovary size: 3.32.43.3 cm, with 3-4 follicles, the largest diameter is 0.8 cm.
Left ovary size: 2.72.13.4 cm, with 4-5 follicles, the largest diameter is 1.2 cm.
Gonadotropin hormone test results:
E2: 43 pg/ml, P: 1.6 ng/ml, T: 0.6 ng/ml, LH: 5 mIU/ml.
Doctor's answer:
Hello, based on your symptoms and test results, the possibility of Polycystic Ovary Syndrome (PCOS) is high. PCOS is one of the main causes of infertility. It is a common endocrine disorder in women, with typical clinical manifestations including: oligomenorrhea, infertility, hirsutism, and obesity. The infertility rate is approximately 75%, with primary infertility being more common.The characteristics of this condition include: anovulation, enlarged ovaries with multiple cysts; polycystic ovaries producing excessive androgens or hormonal imbalances; changes in hormone levels are of great significance to the clinical manifestations and diagnosis of the disease.
Laparoscopic ovarian drilling is the most effective treatment for PCOS, with a postoperative pregnancy rate of over 90%. However, PCOS is often accompanied by uterine septum or endometrial polyps. A definitive diagnosis requires digital dynamic hysterosalpingography with iodized oil or hysteroscopy. If these conditions are present, hysteroscopic septoplasty and polypectomy should be performed, as otherwise, it may lead to habitual abortion.
However, if you are currently only 19 years old and do not have fertility requirements, medication can be used to regulate your menstrual cycle and control androgen symptoms. You can wait until you want to have children and then consider surgery or ovulation induction first. It is correct to follow your doctor's advice on medication.