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Medical implications of ultrasonically detected polycystic ovaries.
Journal of Clinical Ultrasound : JCU 1981 May
Polycystic ovaries are usually manifest on an ultrasound study as symmetrically enlarged ovaries containing numerous tiny cysts. The cysts are difficult to detect with conventional contact B-scanners but are readily detected with high-resolution, real-time sector scanners. The cysts range in diameter form 2 to 6 mm and may be arranged in the periphery of an ovary or throughout the parenchyma. In patients with ultrasonically demonstrated polycystic ovaries (aged 15 to 35 years), there is a spectrum of clinical findings. Half the patients have most of the classic signs and symptoms (hirsutism, menstrual irregularity, and obesity) associated with Stein-Leventhal syndrome. Twenty-five percent have variants of the syndrome. In another 25%, no clinical abnormality is evident at the time of an ultrasound examination.
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