Polycystic Ovaries? Here's Why It Might Not Be PCOS"

When it comes to diagnosing Polycystic Ovary Syndrome (PCOS), it's important to know that an ultrasound alone is not enough.

Polycystic ovaries — meaning ovaries with lots of follicles — can be a completely normal finding. In fact, if you're under 25, it's quite common to have many follicles simply because you have more eggs at that stage of life. Follicles are also constantly growing and being reabsorbed, so the appearance of the ovaries can naturally change month to month, depending on whether or not you've ovulated.

An ultrasound might show polycystic ovaries if:

• You haven't ovulated recently (which can happen even in perfectly healthy cycles)

• You have hypothalamic amenorrhea or high prolactin levels.

• You have endometriosis

• You have PCOS

  
  

PCOS itself is a whole-body hormonal condition, not just something that affects the ovaries. It is characterised by high androgen (male hormone) levels, irregular or absent periods, and needs a thorough assessment to rule out other causes of these symptoms.

In short, seeing polycystic ovaries on an ultrasound does not automatically mean you have PCOS. A proper diagnosis should always include a complete clinical and hormonal assessment.

✨ If you're unsure about your symptoms or want personalised support, I'm here to help. Click below to book a PCOS support call with me.

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