Can you have PCOS but still have regular periods? My ultrasound just mentioned I have bilateral polycystic ovaries, not PCOS or PCOD. What does that mean?

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Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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Bilateral polycystic ovaries, also known as polycystic ovary syndrome (PCOS), is a hormonal condition that affects the ovaries. It occurs when the ovaries produce too many androgens, which are hormones that prevent follicles from maturing and releasing eggs. This results in the ovaries becoming enlarged and containing many small cysts. PCOS is a common condition that affects women of reproductive age. Symptoms include: Irregular or missed periods Excess hair growth Acne Weight gain Darkening of the skin Skin tags Thinning hair

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Understanding PCOS and Menstrual Regularity
- PCOS can present with regular periods, especially in early or mild cases.
- Regular periods do not rule out PCOS; other symptoms and tests are crucial for diagnosis.
Meaning of Bilateral Polycystic Ovaries on Ultrasound
- 'Bilateral polycystic ovaries' means multiple small follicles in both ovaries on ultrasound.
- This finding alone does not confirm PCOS or PCOD.
Difference Between Polycystic Ovaries and PCOS/PCOD
- Polycystic ovaries can be a normal variant without hormonal imbalance or symptoms.
- PCOS diagnosis requires clinical symptoms, hormonal tests, and ultrasound findings.
Importance of Comprehensive Evaluation
- A full clinical assessment, including symptoms, blood tests, and ultrasound, is needed for diagnosing PCOS.
- A healthcare provider, such as a gynecologist or endocrinologist, can guide diagnosis and management.
Reassurance and Next Steps
- Having polycystic ovaries on ultrasound without symptoms is not necessarily a disease.
- Monitor symptoms and consult a specialist if concerns arise or symptoms develop.

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