Polycystic ovarian syndrome

Case contributed by Dennis Odhiambo Agolah


Irregular periods and history of amenorrhea in a nulliparous young female adult recently diagnosed with PCOS. On treatment and follow-up.

Patient Data

Age: 25 years
Gender: Female

Both ovaries are moderately enlarged and each exhibit evidence of small multiple follicles of almost uniform sizes that are arranged circumferentially and peripherally within their sub-capsular regions (counted at least 12 on the left and 10 on the right) with the follicles bilaterally ranging between 0.51 cm to 0.85 cm in diameters. The right and the left ovaries have mean volumes of 9 cc and 12 cc respectively. The central ovarian echogenic stromal fats is preserved bilaterally.

Case Discussion

Sonographic features compatible with bilateral, mostly symmetrical, polycystic ovarian morphology are depicted via an endocavitary approach sonographically. While the number of follicles is not increased, the background ovarian volume is increased on the left and borderline on the right with the characteristic morphology of central echogenic stroma and peripheral follicles. Current ultrasound features may correspond with effective medical management for polycystic ovarian syndrome. The anteverted, non-gravid uterus and the trilaminar endometrium are unremarkable.

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