Normal uterine adnexa does not completely rule out polycystic ovary syndrome, and the diagnosis needs to be based on clinical manifestations and sex hormone measurements.
Polycystic ovary syndrome is characterized by hyperandrogenism, anovulation or sporadic ovulation, and polycystic ovarian changes, and may be accompanied by obesity, acne, and insulin resistance.
Polycystic ovary syndrome is usually diagnosed by ultrasound, which indicates that one or both ovaries have 12 follicles with a diameter of 2~9mm or the volume of the ovary is greater than or equal to 10 ml, but this is only one of the diagnostic conditions of the disease.
If the ultrasound examination of the uterus and ovaries are not abnormal, but there are clinical manifestations of hyperandrogenism, such as hirsutism, acne, menstrual disorders, obesity, etc. or hyperandrogenemia.
Sex hormone examination reveals excess androgens, excess estrone, and an increased luteinizing hormone to follicle stimulating hormone ratio greater than 2~3:1, which may be accompanied by elevated blood glucose. Sparse ovulation or anovulation may also be diagnosed.
If the patient has any uncomfortable symptoms, please consult a doctor in time, and actively treat under the guidance of the doctor.