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Doctor insights on: Ovarian Drilling Pcos

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Could polycystic ovarian syndrome without ovarian cysts?

Could polycystic ovarian syndrome without ovarian cysts?

No.: Ovaries having cysts is part of the syndrome. There are some medical conditions that can mimic some of the symptoms of PCOS, such as metabolic syndrome. A complete history and workup would aid in identifying this. ...Read more

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Dr. Dennis Higginbotham
1,243 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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Ovarian cyst post menopause?

Ovarian cyst post menopause?

Depends: Depends on the size and appearance. Though no radiographic test is perfect. The only way to know what it is for sure is to take it out. See a gyn to determine if this is necessary. ...Read more

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Polycystic ovaries treatment?

Polycystic ovaries treatment?

BCP or Fert Drugs: Pcos is an ovarian dysfunction. If you are not trying to pregnant the treatment of choice is the birth control pill. If you are trying to get pregnant we use fertility drugs, but it varies as to how a patient responds to these medications. The "fertility drug" is actually stimulating the ovary to ovulate.The first drug we use is clomid, (clomiphene) but it has to be used in higher dosages than normal ...Read more

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Can complex ovarian cysts cause polycystic ovarian disease?

Can complex ovarian cysts cause polycystic ovarian disease?

No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...Read more

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Can polycystic ovaries develop into polycystic ovary syndrome?

Can polycystic ovaries develop into polycystic ovary syndrome?

Sort of: Polycystic ovaries is a finding on ultrasound where there are lots of small follicles on the ovaries. Pcos is where you have some combination (depending on which criteria your doctor uses) of pco looking ovaries, ovulation problems and symptoms of producing too much male hormone. Many but not all women with pcos have pco looking ovaries and many women with pco ovaries have the syndrome. ...Read more

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Do functional ovarian cysts prevent ovulation?

Do functional ovarian cysts prevent ovulation?

Yes by definition: By the term "functional" ovarian cyst, you are stating the cyst is producing hormones and is part of a normal menstrual cycle. As a result, ovulation should or has occurred. ...Read more

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Whats polycystic ovarian disease (pcos)?

Whats polycystic ovarian disease (pcos)?

Insulin and ovaries: Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation. ...Read more

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What is pcos polycystic ovary disease?

What is pcos polycystic ovary disease?

Hormonal imbalance: Pcos is caused by high estrogen combined with high Insulin which then transforms estrogen into testosterone. The high estrogen leads to excess growth of follicles and the elevated testosterone leads to abnormal hair growth a low carbohydrate diet is needed. Also iodine deficiency can contribute to this problem. ...Read more

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Does fertilaid cure ovarian cysts and fibroids?

Does fertilaid cure ovarian cysts and fibroids?

No: Fertilaid has not been show scientifically to cure - or even help - with any female reproductive condition, in spite of the banners on their websites. ...Read more

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What is polycystic ovarian syndrome (pcos)?

What is polycystic ovarian syndrome (pcos)?

Dx of exclusion: Pcos is a DX of exclusion where a female has hyperandrogenism and oligo/amenorrhea in the absence of another endocrine disorder like androgen secreting tumor, cushing's syndrome, cah, etc. Most females are Insulin resistant as well. Depending on which criteria you look at, ovarian cysts don't necessarily have to be part of the diagnosis. Pcos is a very old term and somewhat outdated. ...Read more

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Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

PCOS: Pcos is generally best treated by a board certified reproductive endocrinologist. He/she should have gone through special training in the diagnosis and treatment of pcos. ...Read more

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Polycystic ovarian disease ever experience pregnancy?

Polycystic ovarian disease ever experience pregnancy?

Yes!: Many women with pcos do conceive on their own, especially if they are healthy and maintain a proper diet and exercise program. If they need help, our treatments are phenomenally successful! ...Read more

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Are the women with polycystic ovarian syndrome fertile?

PCOS & Fertilty: Pcos is a disorder with infrequent ovulation as a hallmark. Because ovulation occurs at times, some women will get pregnant without help. If you need help with medication then medication is very successful. The success rate is lower than you might think and at ivf we often find poor egg quality as the likely cause. If you are overweight, then get as close to nl as possible. See a fertility doc. ...Read more

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Polycystic ovaries are curable?

No: But controllable with medication and diet. See a reproductive endocrinologist or obgyn to discuss how to control your pcos long term. ...Read more

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Can ovarian cyst cause infertility?

Can ovarian cyst cause infertility?

Yes: Ovarian cysts in Polycystic ovarian syndrome frequently cause infertility. However, cysts are also necessary for fertility since the egg develops in a cyst known as a follicle and another type of cyst, a corpus luteum, produces the progesterone that gets the uterine lining ready for implantation. Hope this helps. ...Read more

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Do ovarian cysts cause late ovulation?

Do ovarian cysts cause late ovulation?

Ovarian cyst: A cyst (follicle) ruptures each month as you ovulate. Sometimes, the follicle (cyst) that contains the egg that you should ovulate grows bigger and the egg inside stops developing. The cyst may rupture and cause pain or discomfort. If not, you may miss your cycle. As you get older, the changes in your cycle may increase then become more irregular. ...Read more

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Polycystic ovarian disease treatment if ttc?

Polycystic ovarian disease treatment if ttc?

Multi fold: Improving ovulation with medication. Also reducing male hormone levels either with Insulin sensitizing agent and potentially with corticosteroids. ...Read more

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Polycystic ovarian disease--is that bad?

Polycystic ovarian disease--is that bad?

Yes: Pcos seems to be lifelong. It is a disorder characterized by menstrual irregularities, reversed ratio of fshto lh, elevated ovarian testosterone production, anovulation, Insulin resistance, higher risk of early uterine cancer, hirsutism and infertility. Weight is typically above normal & involves Insulin resistance & circulating testosterone levels. ...Read more