Ovarian ultrasound report from 2016 might have missed something - can anyone help interpret it?

[izzyzb]

Hoping someone might be able to help. I've been curious as to whether i have PCOS for many years but doctors have always told me I don't. I have recently been thinking of getting a full fertility MOT done, and thought I would have a look through my medical files to see what the last pelvic ultrasound reports said and found the report from the last one I had back in 2016. I'm a little shocked at what I'm reading as from what I can tell, the report says that I should have follow-up bloods done (never done) and indicates that at least one ovary seemed polycystic.

Does anyone have a better idea of what this report is saying than I do?

Report as follows:

Recommendations:
Biochemical and hormonal correlation is recommended.

Conclusion:
Arcutate uterus was noted (normal variant). Endometrium is too thin for early proliferative phase. Sonographic appearances of the left ovary are suggestive of left polycystic ovary. The right ovary appears quiescent no follicles were noted within the right ovary on today’s examination.

Technical findings:
Trans-abdominal and transvaginal ultrasound examination performed with patient verbal and written consent. The uterus is anteverted appearing normal in size arcuate in shape normal variant and homogenous in echo pattern measuring 65x39x29mm. No focal fibroids seen.

The endometrium is smooth and regular, however too thin for early proliferative phase measuring 3 to 4 mm in the fundal region (LMP=day 10). No evidence of endometrial polyps seen.

The right ovary measures 1.6 mL and appears quiescent; no follicles were noted within the right ovary on today’s examination.

The left ovary measures 14.3 mL. It appears bulky and contains >12 follicles measuring under 10 mm each suggestive of left polycystic ovary.

Pelvic organs appear mobile and non-tender during the ultrasound examination. There are no adnexal masses present and no free fluid seen in the pelvis.

Sonographic appearances of the left ovary are suggestive of left polycystic ovary.

It appears to say very clearly that there is some evidence of PCOS and they recommend blood tests and investigation into your hormone profile.

How old are you and are you trying to conceive?

It means that the left ovary has the sonographic appearance of being polycystic, but without the symptoms or biochemical markers to go with it then it can’t be diagnosed as such
I’ve attached something from NICE / RCOG which gives the diagnostic criteria

That is the difference between PCO and PCOS. The S indicates that there are symptoms. You can have polycystic ovaries without the accompanying symptoms.

@Cazzovuoi

That is the difference between PCO and PCOS. The S indicates that there are symptoms. You can have polycystic ovaries without the accompanying symptoms.

The S is for syndrome.

Meaning that someone has cysts but also the whole range of other symptoms that can include irregular periods, trouble conceiving, acne, excess body hair, weight gain, etc.

In any case, the report does suggest investigations and if these weren't done, it's negligence and oversight.

Thanks for your reply. I am 32 and not yet although hopefully next year or so. I have an underactive thyroid which is mostly controlled and a family history of difficulties conceiving hence the early concern.

@izzyzb

Thanks for your reply. I am 32 and not yet although hopefully next year or so. I have an underactive thyroid which is mostly controlled and a family history of difficulties conceiving hence the early concern.

I should have mentioned, at the time I did have a lot of the commonly associated symptoms which often contribute to a PCOS diagnosis: overweight, excess facial hair, suspected insulin resistance, acne.

I do however only have 1.5 day long periods which are very regular. Have done for the last 15 years or so.

I think next steps are I'll go back to the GP and might also get a private fertility MOT which includes an internal pelvic ultrasound.

Thanks all!

It might be worth having a blood test to check your ovarian reserves. It's not hugely expensive for that.

I'd look at it all as having a window now of 2-3 years when you need to make some inroads into what is going on and maybe need to bring TTC forward, if you have some issues.

Women can conceive on 1 functioning ovary but if your flow is very light, it suggests that your whole cycle is less than ideal and it's often the progesterone levels after ovulation that affect implantation.

Good luck.

Hello, I’m hoping that someone might see this and put my mind at ease! This was my report and I am worried my ovaries and volume (CC) are too small :(

I’m a 31 year old female