Hi doctor, My niece aged 14 years weighs 60 kg. Recently her monthly cycles are not proper and she is having heavy pain at times in a day in her lower area. Recently we consulted a gynecologist and recommended to go for ultrasound scan of whole abdomen. In the scan report under ovaries section it was mentioned as RO 16 x 12 cm and LO 4.3 x 1.4 cm. Both ovaries show multiple cysts measuring 6 x 6 cm noted 10 to 15 in number in periphery with echogenic stroma. Cystic lesion noted in RO measuring 16 x 11 cm. No septa, solid or nodules detected. Please suggest me how to come out of this problem. Is there any medicine or exercise required which help us more and bring happiness in her life?
Hi. I went through your query. I am really sorry to know your niece is suffering from stomach and irregular cycles. I understand it can be a very annoying problem. By the ultrasound report that you have given here, it seems your niece has PCOS (polycystic ovarian syndrome). It usually presents with irregular cycles and excessive weight problems. Other problems which also may be seen are acne, pimples, dark pigmentation on certain areas like neck and in between fingers, excessive hair on face, chin and other body parts, etc. To confirm her diagnosis you get a serum LH (luteinizing hormone) or FSH (follicle stimulating hormone) done. If ratio is of nearly 2:1 or greater it confirms that she has PCOS. PCOS is a very common but complex hormonal problem. She would really need to work hard to lose weight. As weight loss itself would help her achieve normal regular menstruation. Also I suggest you get a thyroid function test done because PCOS is also many times associated with thyroid problems. For the issue of painful and irregular cycles, it would be a good idea to put her on regular low dose hormone pills for three months and watch her response. It should help her out. For further information consult an obstetrician and gynaecologist online -->