Are polycystic ovaries polyfollicular?

Polyfollicular ovary and polycystic ovary are two different ovarian conditions. Although the names are similar, they cannot be confused. Polyfollicular ovary is a physiological phenomenon in which multiple follicles exist in the ovary, while polycystic ovary syndrome (PCOS) is a pathological disease related to endocrine disorders. To distinguish between the two, it is necessary to combine symptoms, hormone levels and imaging examinations.

1 Characteristics and causes of polyfollicular ovary

Polyfollicular ovary refers to the presence of multiple small follicles in the ovaries, which is usually found by ultrasound examination. This is usually a physiological phenomenon, especially common in women of childbearing age. Its formation may be related to factors such as hormone fluctuations, good ovarian reserve or the use of ovulation-inducing drugs. In most cases, it does not cause clinical symptoms and does not require special treatment. If there is no accompanying menstrual disorder, infertility, etc., there is no need to worry.

2 Symptoms and causes of polycystic ovary syndrome

Polycystic ovary syndrome is a complex endocrine and metabolic disorder characterized by ovulation disorders, hyperandrogenism symptoms such as hirsutism and acne, and polycystic ovaries on ultrasound. The causes may include genetic factors and insulin resistance. It has a greater impact on health than polyfollicular ovary and may cause infertility, metabolic syndrome and other problems, so timely intervention is necessary.

3 How to distinguish and treat

Doctors distinguish the two conditions by taking a medical history and doing hormone blood tests and ultrasonography.

Polyfollicular ovaries usually do not require treatment, only regular follow-up monitoring.

Treatment of PCOS depends on the patient's symptoms.

Drug treatment: such as oral contraceptives to regulate menstruation, anti-androgen drugs such as spironolactone to improve symptoms of hirsutism, or metformin to improve insulin resistance.

Lifestyle intervention: A low-sugar, low-fat diet and at least 30 minutes of exercise per day are recommended to help regulate weight and hormone balance.

Fertility treatment: If infertility is a problem, you can use ovulation-inducing drugs such as clomiphene or injectable sex hormones to help ovulation under the guidance of a doctor.

Polyfollicular ovaries and polycystic ovaries are two different concepts. For women of childbearing age, if multiple follicles are found in the ovaries, it is recommended to cooperate with the doctor to check and determine the cause. If accompanied by discomfort or abnormal menstruation, you should seek medical treatment in time for regular treatment to maintain your health and fertility.