Can anyone interpret this ultrasound scan? What could the cause/prognosis be?

Question

The right ovary is large and bulky, with several follicles noted, and measures 32 x 17 x 16mm. The left ovary could not be identified. The patient was in a lot of pain during the pelvic scan.

I don't have a picture - just the notes...

Answer 1

Don't listen to these people, they can't diagnose pcod on yahoo! Th report says the ovary is large and bulky yet the measurements are well within normal limits. Several follicles noted, is a very benign finding, as all patients of child birth age will show follicles on each ovary. Is her pain on the right or left? If you are worried about polycystic ask yourself these two questions, is she overweight? Does she have hair on her face? If the answer is yes they can do a blood test to check for polycystic ovaries. if not just have a follow up us in a month or two to see if the so called "enlargement" of the right ovary goes down.

Answer 2

PCOS (Polycystic Ovarian Syndrome).
This is a condition where there are many follicles (also called follicular cysts) found in the ovary. The left ovary is probably not identified due to the fact that the right ovary is enlarged resulting from the follicles.
I've been diagnosed with an ovarian cyst in my left ovary.And whenever I have an ultrasound scan, the technician has difficulty in finding the right ovary because of the cyst in the left ovary and I find it very painful also and my doc owes it to the cyst.
Women with ovarian cysts are advised laparascopy to get the cysts removed and have them check for malignancy. But that is not the case with PCOS, they know that it is not malignant. Birth control pills to control ovulation is one option. But that depends on your age and desire to have children.
Don't worry much, your doc will guide you in the right direction. I educated myself too much when I was first diagnosed with a cyst and that only resulted in more anxiety, but now I am okay, Im able to do other things besides worrying.I was given a chance to try and become pregnant within 6 months, 5 months have passed, no luck so far. So next month either Im pregnant or having a lap to remove it and start trying for a baby after 3 months.

Answer 3

polycystic ovary syndrome i have it hunnie and i think u may only have one ovary from ur notes above,

all u can do is take these notes 2 ur GP And ask him for his prognosis,

if u need info on ploysystic ovary syndrome this should help.
What is Polycystic Ovarian Syndrome (PCOS)?
PCOS is a health problem that can affect a woman’s menstrual cycle, fertility, hormones, insulin production, heart, blood vessels, and appearance. Women with PCOS have these characteristics:

high levels of male hormones, also called androgens
an irregular or no menstrual cycle
may or may not have many small cysts in their ovaries. Cysts are fluid-filled sacs.
PCOS is the most common hormonal reproductive problem in women of childbearing age.

How many women have Polycystic Ovarian Syndrome (PCOS)?
An estimated five to 10 percent of women of childbearing age have PCOS.

What causes Polycystic Ovarian Syndrome (PCOS)?
No one knows the exact cause of PCOS. Women with PCOS frequently have a mother or sister with PCOS. But there is not yet enough evidence to say there is a genetic link to this disorder. Many women with PCOS have a weight problem. So researchers are looking at the relationship between PCOS and the body’s ability to make insulin. Insulin is a hormone that regulates the change of sugar, starches, and other food into energy for the body’s use or for storage. Since some women with PCOS make too much insulin, it’s possible that the ovaries react by making too many male hormones, called androgens. This can lead to acne, excessive hair growth, weight gain, and ovulation problems.

Why do women with Polycystic Ovarian Syndrome (PCOS) have trouble with their menstrual cycle?
The ovaries are two small organs, one on each side of a woman's uterus. A woman's ovaries have follicles, which are tiny sacs filled with liquid that hold the eggs. These sacs are also called cysts. Each month about 20 eggs start to mature, but usually only one becomes dominant. As the one egg grows, the follicle accumulates fluid in it. When that egg matures, the follicle breaks open to release the egg so it can travel through the fallopian tube for fertilization. When the single egg leaves the follicle, ovulation takes place.

In women with PCOS, the ovary doesn't make all of the hormones it needs for any of the eggs to fully mature. They may start to grow and accumulate fluid. But no one egg becomes large enough. Instead, some may remain as cysts. Since no egg matures or is released, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman’s menstrual cycle is irregular or absent. Also, the cysts produce male hormones, which continue to prevent ovulation.

Answer 4

Ovarian Cyst

Answer 5

Difficult without actually seeing the pic...could you give a link to it?