Patient's question:
I had an ultrasound, and the doctor said I have many follicles, but they are not developing. He advised me to check my hormones for polycystic ovary syndrome (PCOS). How is PCOS diagnosed?Doctor's answer:
1. Ultrasound examination: Bilateral ovarian polycystic enlargement is visible, with thickened capsule and strong echo. Numerous cystic follicles with diameters of 2~7mm are seen under the capsule. The ovarian stroma shows uneven echo, and the endometrium is thickened. It is important to rule out uterine and ovarian tumors, as well as adrenal gland lesions.2. Laparoscopic examination: Bilateral ovaries can be directly observed as polycystically enlarged, with thickened capsules appearing grayish-white.