What does bilateral polycystic ovaries mean?

In life, many women suffer from gynecological diseases, and ovarian problems are also relatively complicated in some adult female groups. Some women may develop ovarian lesions. For example, bilateral polycystic ovarian changes are also one of the problems that bother many women, and this situation will affect women's conception. So what does bilateral polycystic ovaries mean?

1. Bilateral polycystic ovary refers to a manifestation of endocrine disorders in women. It is generally caused by abnormal regulation of the hypothalamus-pituitary-ovarian axis, which stops the development of ovarian follicles and results in no dominant follicles. This creates a vicious cycle of excessive estrogen and persistent anovulation, leading to polycystic ovary changes. Under color ultrasound examination, it can be seen that the ovaries are enlarged, the capsule echo is enhanced, the outline is smoother, and one or both ovaries have more than 12 echo-free areas with a diameter of 2-9 cm, arranged in a wheel shape around the edge of the ovary, also known as the necklace sign. Continuous monitoring showed no signs of development of the dominant follicle and ovulation, indicating polycystic changes in the ovaries.

2. Bilateral polycystic ovarian changes can be physiological or pathological. Physiological changes mean that when doing B-ultrasound, you can see that there are more than twelve follicles in the ovaries, ranging in size from two millimeters to nine millimeters. If the menstruation is very regular and there is normal ovulation, and it does not affect pregnancy, then no treatment is required. It is physiological. If polycystic ovary is accompanied by irregular menstruation, infertility or hirsutism, it is polycystic ovary syndrome. This is a lifelong disease and there is no cure. If you want to get pregnant, you need to adjust your endocrine system and induce ovulation.

3. The so-called bilateral ovarian polycystic changes refer to women suffering from polycystic ovary syndrome. The symptoms of bilateral polycystic ovaries mainly include menstrual disorders or even amenorrhea. Many patients with the disease also have high androgen levels and increased prolactin levels. The patients' ovaries are enlarged and have multiple small follicles. Even if ovulation is induced, ovulation disorders or luteinized cysts and thick ovarian walls may occur. This is related to pancreatic islet antagonism. Immune substances may appear around the patients' ovaries, affecting the maturation or discharge of follicles.