Identify the structure and the pathology in Abd USG.

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Both the ovaries (rt and Lt ) are seen in the picture (USG) plate , typical of bilateral PCOS. Ovarian enlargement is androgenic, genetic enzyme defect of autosomal dominance. Hypothalamus Pituitary dysfunction leads to increased GnRh secretion & LH pulse frequency. This results in increased LH but normal or low FSH. So LH/FSH ratio is more than 2. Normal is 1:1. Adrenal Component - Exagerated adrenal function due to ACTH leading to elevation of DHEA in 50% PCOS. Insulin Resistance in 50% cases. So GTT is helpful marker.

1.FOLLICLES OF 10 TO12 IN A STATIC STAGE . 2.MORE STROMAL THICKNESS. 3.INCREASED OVARIAN VOLUME. ROTTEDERM CRTERIA FOR PCOD

A classical case of Polycystic ovarian disease

Bilateral PCOD

Typical case of PCOD

Bilateral PCOD..

bilat pcod

multiple follicular cysts " pearl necklace" appearance - PCOS

b/l pcod.

Bilateral pcod

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