Aa
PCOS?
Hello! We have been ttc for over a year now and I'm seeing an RE ( I have endo-severe, and my husband has very poor morphology 2% strict criteria). I went in for an ultrasound today and they said that my ovaries look "borderline" polycystic with 10-20 follicles on each (I'm on day 4 of my cycle). I have regular periods every 30 days, and NO other symptoms whatsoever. Can you make a diagnosis of PCO or PCOS just by ultrasound(this is my second one someone has mentioned this)? If so, If I am making a mature follicle every month is there a benifit to going on metformin as well, or will this further affect my fertility? I have used an OPK a couple of times late in my cycle (the last week of it) and had a positive OPK (LH surge) could that also add to the diagnosis of PCO? thank you for any help!
Thank you so much for your help and answer! I really appreciate your time! They did an LH:FSH ratio, and the LH was too high, they added a testosterone as well (i'm waiting to hear the results) and its on my ultrasound (many follies). Thanks so much again!
MEDICAL PROFESSIONAL
Usually PCOS is diagnosed by the following criteria (from my website):
PCOS can affect 5% of all women and common symptoms include irregular menstrual cycles, increased growth of hair on the body, loss of hair on the head, acne, and weight gain. Based on the 2003 ESHRE/ASRM sponsored Consensus Workshop Group, PCOS is diagnosed in women who meet two of the three following criteria: ovarian dysfunction (not ovulating regularly), hyperandrogenism (increased male type hormones on lab testing or clinically increased hair growth), or polycystic ovaries on ultrasound (ovaries which show multiple small cysts on ultrasound). PCOS is a common cause of infertility and puts women at an increased risk of developing Type 2 diabetes. There is also increased risk of insulin resistance, hypertension, and abnormalities of cholesterol and triglycerides in women with PCOS. Due to these risks, we advise our patients with PCOS to have the complete metabolic assessment with complete lipid panel testing and a two hour glucose tolerance test.
Therefore, just an ultrasound cannot diagnose PCOS.
PCOS can affect 5% of all women and common symptoms include irregular menstrual cycles, increased growth of hair on the body, loss of hair on the head, acne, and weight gain. Based on the 2003 ESHRE/ASRM sponsored Consensus Workshop Group, PCOS is diagnosed in women who meet two of the three following criteria: ovarian dysfunction (not ovulating regularly), hyperandrogenism (increased male type hormones on lab testing or clinically increased hair growth), or polycystic ovaries on ultrasound (ovaries which show multiple small cysts on ultrasound). PCOS is a common cause of infertility and puts women at an increased risk of developing Type 2 diabetes. There is also increased risk of insulin resistance, hypertension, and abnormalities of cholesterol and triglycerides in women with PCOS. Due to these risks, we advise our patients with PCOS to have the complete metabolic assessment with complete lipid panel testing and a two hour glucose tolerance test.
Therefore, just an ultrasound cannot diagnose PCOS.
You are reading content posted in the Integrative Fertility Forum
Many couples are turning to acupuncture to treat infertility. But does it work? We take a closer look.
Does exercise really lower fertility? We take a look at 8 common myths about fertility.
Your guide to safely exercising throughout your 40 weeks.
Learn which foods aren't safe to eat when you're eating for two.
Is your biological clock sounding the alarm? Dr. Elaine Brown explains new advances in egg freezing.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
