* The patient has been diagnosed with PCOS, which is a hormonal disorder that can cause irregular periods, excess hair growth, and acne. She has many of these symptoms of PCOS.
* However, the ultrasound results show that her ovaries are only mildly enlarged and do not have any evidence of multiple small cysts. This means that she does not have PCOD, which is a condition characterized by enlarged ovaries with multiple cysts on ultrasound. Also, the follicles visualized are more 15 to 17 mm. in size.
* The patient's ultrasound results are consistent with a diagnosis of PCOS without PCOD. This means that she has the symptoms of PCOS, but her ovaries do not meet the criteria for PCOD.
* The patient's condition is still considered to be PCOS, and she will need to be treated for the symptoms of the disorder.
* Treatment options for PCOS include lifestyle changes, such as losing weight, eating a healthy diet, and exercising regularly. Medications, such as birth control pills, may also be used to treat the symptoms of PCOS.
* The patient will need to be monitored closely by her doctor to make sure that her condition is being managed properly.
Here are some additional points that could be discussed:
* The patient's age. PCOS is most commonly diagnosed in women in their 20s and 30s, but it can occur at any age.
* The patient's weight. Obesity is a risk factor for PCOS.
* The patient's family history. PCOS can be hereditary.
* The patient's other medical conditions. PCOS can be associated with other conditions, such as diabetes, heart disease, and sleep apnea.
* The patient's goals for treatment. The patient may want to focus on getting pregnant, managing her symptoms, or both.
Prognosis: The prognosis for a woman with PCOS without PCOD is generally good. With proper treatment, most women with this condition are able to manage their symptoms and live normal, healthy lives.
Management: The management of PCOS without PCOD will vary depending on the individual woman's symptoms and goals. Some common treatment options include:
* Lifestyle changes: Lifestyle changes, such as losing weight, eating a healthy diet, and exercising regularly, can help to improve symptoms such as irregular periods, excess hair growth, and acne.
* Medications: Medications, such as birth control pills, may also be used to treat the symptoms of PCOS. In some cases, other medications, such as metformin, may be prescribed to help improve insulin sensitivity and reduce androgen levels.
* Infertility treatment: If a woman with PCOS is trying to get pregnant, she may need to undergo fertility treatment. In some cases, ovulation induction medications or in vitro fertilization (IVF) may be necessary.
It is important for women with PCOS to see their doctor regularly to monitor their condition and make sure that they are receiving the best possible care.
Here are some additional points that could be discussed:
* The patient's weight. Obesity is a risk factor for PCOS.
* The patient's family history. PCOS can be hereditary.
* The patient's other medical conditions. PCOS can be associated with other conditions, such as diabetes, heart disease, and sleep apnea.
* The patient's goals for treatment. The patient may want to focus on getting pregnant, managing her symptoms, or both.
The patient's doctor will need to consider all of these factors when developing a treatment plan.
Transvaginal ultrasound images are shown below:
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