A woman aged 35 year with delayed cycles and a history of primary infeility. On laparoscopic examination she has a normal uterus with bilateral enlarged ovaries, normal fallopian tubes, chromotubation shows blue dye spillage. What is the most probable cause?
PCOS (polycystic Ovarian Syndrome) / Stein Leventhal syndrome Features of PCOD / PCOS Obesity Insulin resistance / hyperinsulinemia Hyperandrogenemia Anovulation Metabolic X syndrome Oligomenorrhea Amenorrhoea Rotterdam / Eshre /Androgen excess Society /ASRM criteria Diagnostic requisites : Any 2 out of 3 Anovulation/ oligo-ovulation Hyperandrogenism: clinical or laboratory evidence of androgen excess Polycystic ovaries on USG (12 or more follicles measuring less than 9 mm or ovarian volume of > 10 mL) In the image shown, ovaries are bulky in size (suggestive of PCOS) and patient has history of oligo ovulation as suggested by delayed cylces and infeility. There are no endometriotic cysts or peritoneal implants ruling out endometriotic cyst The tubes and ovaries show no ovarian cyst or tubo ovarian mass.
Endometriosis
PCOS
Ovarian cyst
Tubo Ovarian mass
Polycystic Ovarian Syndrome