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
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: 18th Sep 2017
System: Gynaecology
Inclusion in quiz mode: Included

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