Re: ultrasound diagnosis of polycystic ovaries

From: Fazeel (fazeel@atd.hazara.net.pk)
Thu Mar 21 13:15:19 2002


I think serial ovulation monitoring also needs to be done to tell that these polycystic ovaries are "anovulatory" as well, the usual cause of infertility or sub-fertility. In PCO the dominant follicle may not appear. I've also noticed many of these women also having fatty livers, family history of diabetes and hypertension. Male pattern infraumbilical/pubic hair....besides other points already mentioned like...multiple follicles of about same size around 6 mmms, arranged in periphery and central increased stromal tissue. fazeel

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of An. EuUiico IeeieeaUeco Sent: Thursday, March 21, 2002 12:54 AM To: Multiple recipients of list ULTRASOUND Subject: Re: ultrasound diagnosis of polycystic ovaries

Thank you for reply. Your name -Terry J DuBose- is very familiar to me. I often visit your excellent website. Several months ago, your reports on fetal mild ventriculomegaly were be very useful for such a case. Really, I beleived that you are a physician. I am an obstetrician-gynecologist with interestimg in fetal medicine as well as in reproduction. Regarding our recent subject, I very soon see on ultrasound ovaries that look like your description, but they have normal size (length<35mm), normal stroma and the patient has regular cycle and no sign of hyperadrogonadism. Others has several 'atretic' follicles larger in size as usual (7-8mm). How I could say them? My question still exist. What exactly I must see, to write that a woman has either 'normal' or polycystic ovaries in my report.

Best wishes from Greece

Dr. Yiannis Nickolidakis

>----- Original Message -----
From: "Terry J DuBose" <tjdubose@juno.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.medispecialty.com> Sent: Wednesday, March 20, 2002 6:23 AM Subject: Re: ultrasound diagnosis of polycystic ovaries

> Dr. Nickolidakis, I am not a physician, but I am a sonographer who has
> seen a few "polycystic ovaries". I think polycystic ovaries
> (Stein-Leventhal Syndrome) is not clearly defined from a sonographic
> perspective. The cases I have seen that were clearly polycystic also
had > a diagnostic component that included the clinical and medical history,
> often (in our population) with a Mediterranean ethnicity. Most often
> slightly overweight, somewhat hirsute, and ovaries that were slightly
> large, but with distinct, clear margins, and uniform, small cysts (2-3
> mm) completely surrounding the periphery. Usually infertile.
>
> There are probably intermediate types. interesting question. Why do
you > ask? I hope we get a wide response, it will be instructive.
>
> Peace, Terry J DuBose, M.S., RDMS
> Little Rock, Arkansas USA
>
> --------------------------------------------------
>
> --------------------------------------------------
> On Tue, 19 Mar 2002 14:32:42 -0600 nickolidakis@geneticsunit.gr
> --------------------------------------------------
(Yiannis > Nickolidakis) writes:
> > What does the term "polycystic ovaries" mean?
> > Are any certain creteria for the ultrasonographic term?
> > Are any intermediate types?
> >
> > All the above are my questions to all the phycisians to find out a
> > certain diagnosis for polycystic ovaries. How many follicles, at
> > what
> > size and at which position must be seen? How long dimentions must
> > the
> > ovaries have? How much wide must the stroma be? Have the polycystic
> > ovaries been diagnosed regardless the PCOs symptoms?
> >
>




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