Does my scan for PCOS/PMOS indicate any cyst?

Question

Hi doctor,

I am a PCOS/PMOS patient. I did not take any ovulation induction agent for this cycle. I went for a scan yesterday and the doctor said I had one follicle, but the follicle was very weird looking for me as most follicles I have seen on scans are well rounded and defined. Please I will like to know is this a follicle or he just measured one of the cysts in my ovaries. And is it too late to take any medication for ovulation induction?

Answer 1

Hello,

Welcome to icliniq.com.

It does not look like a follicle. The hypoechoic shadow does not really even look like an ovary. The shadows are non-specific as I believe this is an abdominal scan because for follicular monitoring transvaginal scan is a must. The picture is not clear though (attachment removed to protect patient identity). On day 12, there is no point starting ovulation induction now. You may start from the next cycle.

Answer 2

Hello,

Welcome back to icliniq.com.

Your AmH levels are within normal limits and hence ovarian reserve is adequate. Even your thyroid, prolactin, FSH and LH are normal but your testosterone levels are high, which indicates production either through steroidogenesis with increased insulin resistance, body fat, obesity (attachment removed to protect patient identity). This would also indicate a possible manifestation of acne, hirsutism and acanthosis nigricans which indicates clinical hyperandrogenism and thus possible PCOS/PMOS (polycystic ovarian syndrome/Polyendocrine metabolic ovarian syndrome). Also, I hope your partner's semen analysis is normal as you are trying for conception. Also, I would request you to get a transvaginal ultrasound if your this cycle or menses are delayed to get a fair opinion on the status of ovaries for PCOD.