Polycystic ovaries

Case contributed by Dr J. Ray Ballinger

Presentation

Obese female with amenorrhea for 1.5 years. Unsuccessful at becoming pregnant.

Patient Data

Age: 25 years
Gender: Female
Modality: Ultrasound

The transvaginal ultrasound images show multiple follicles in each ovary, probably in excess of 10 on each side. The ovaries were top normal in size.

Case Discussion

The Stein-Leventhal (polycystic ovarian syndrome) syndrome usually presents as an obese, hirsute female with amenorrhea. Patients require 2 out of 3 Rotterdam criteria for diagnosis.

The ovaries are polycystic are usually 2-3 times larger in volume than normal, but up to 30% will have normal sized ovaries. Multiple follicles between 0.5 - 1.0 cm in diameter are seen in the ovaries. These follicles fail to ovulate and so accumulate in number.

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Case Information

rID: 23638
Case created: 29th Jun 2013
Last edited: 14th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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