Could a woman’s missed period indicate PCOS/PMOS?

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Based on the findings, your uterus and both ovaries (adnexal regions) are normal in size and appearance, with no cysts or other abnormalities detected. This means there is no visible sign of ovarian cysts or PCOS (polycystic ovary syndrome) also known as polyendocrine metabolic ovarian syndrome (PMOS) on this scan.

The report also mentions a tiny gallbladder (GB) polyp, which is usually a small and benign finding, not related to your menstrual issue. However, since you have not had your period for over 45 days and have a previous history of long gaps between periods (115 days before using Normens), it is important to look deeper into the cause.

PCOS is not always diagnosed through ultrasound alone. Many women with PCOS can have normal-looking ovaries on ultrasound. The diagnosis depends on other factors such as irregular or absent periods, signs of hormonal imbalance (like acne, excess facial hair, or weight gain), and blood tests showing altered hormone levels (such as increased LH (luteinizing hormone), testosterone, or insulin resistance).

Since your ultrasound is normal, your delayed period could be due to hormonal imbalance, stress, weight changes, thyroid problems, or high prolactin levels.

It is best to consult a gynecologist or endocrinologist for further evaluation. They may recommend blood tests, including LH, FSH (follicle-stimulating hormone), estrogen, progesterone, prolactin, TSH (thyroid-stimulating hormone), testosterone, and insulin levels to identify the exact cause.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.