Question 1

I have acne issues since 2013 and recently I was diagnosed with PCOS. My report says right ovary 33.6x15.5x30.0 mm volume 8.18 cc and left ovary 30.6x24.1x30.9 mm volume 11.9 cc. Ovaries are mildly enlarged and show an increase in stromal echogenicity and thickness. Multiple small similar sized follicles are seen in both. How serious is this issue and should I go for medication or can it be managed by lifestyle changes?

Question 2

I am sharing my ultrasound report and would like your advice on which treatment I should consider. The report mentions that my uterus is bulky in size (81x72x56 mm) and anterverted in position, with a central endometrial echo and an endometrial thickness of 9 mm. It shows multiple well defined hypoechoic fibroid lesions, 3 measuring F1 is 39x35x32 mm (right wall intramural, F2 is 19x16x14 mm ( posterior subserosal ), F3 F2 is 24x20x18mm ( anterior subserosal). Cervix is normal. The right ovary measures 27x24x19 mm (volume 6.7 cc) and the left ovary measures 25x22x16 mm (volume 5.81 cc). No free fluid is seen in the pelvis. Please let me know what this report suggests and what treatment options I should consider.

Question 3

I have attached my recent medical report for your reference. I am currently taking Divery 10 mg tablets, prescribed to help induce my periods, and today is the last (5th) day of the course. However, I still have not gotten my period. Along with this, I am experiencing several other symptoms including full body pain, hair fall, mood swings, irritability, lack of focus, weakness, morning dizziness (especially on days I do not exercise), and muscle pain throughout the day.

I want to conceive. My report says both ovaries are bulky in volume with a PCO pattern, and there are multiple small follicles seen with central echogenic parenchyma. The right ovary volume is 23 ml, and the left is 13 ml. Can I get pregnant or not, and is this a serious issue?

Yes, many women with PCO pattern conceive with proper treatment. A healthy lifestyle, tracking ovulation, and possible medications can support conception. Eat less carbs, exercise well. And the doctor may start hormonal therapy, which might help in getting pregnant

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