Can B-ultrasound detect polycystic ovary syndrome?

B-ultrasound can assist in the diagnosis of polycystic ovary syndrome. The diagnosis of polycystic ovary syndrome requires a comprehensive judgment based on clinical manifestations, hormone level testing and imaging examinations. B-ultrasound can observe polycystic changes in the ovaries, but it is not the only basis.

If multiple small follicles are found in one or both ovaries during B-ultrasound examination, usually more than 12 with a diameter of 2-9 mm, and the ovarian volume increases by more than 10 ml, it may indicate polycystic ovary-like changes. These findings, when combined with symptoms of hyperandrogenism such as oligomenorrhea, acne, and hirsutism, can improve diagnostic accuracy. However, some normal women of childbearing age may also have similar ultrasound findings, and physiological changes need to be ruled out.

In a few cases, B-ultrasound may not be able to clearly display the ovarian structure, such as when the patient has severe intestinal gas interference, poor penetration due to obesity, or the ovarian position is abnormal. At this time, laboratory tests such as anti-Mullerian hormone testing and testosterone levels need to be combined. For adolescent girls, B-ultrasound diagnostic criteria are more stringent and careful evaluation is required to avoid overdiagnosis.

It is recommended that women with symptoms such as menstrual disorders and infertility seek medical treatment as soon as possible and complete six sex hormones, glucose tolerance test and other examinations under the guidance of a doctor. In daily life, you need to maintain a regular schedule, control your weight, and avoid high-sugar and high-fat diets to help improve insulin resistance and endocrine disorders.