The left ovary shows polycystic changes, which means that due to endocrine disorder, the left ovary does not ovulate for a long time, and the level of luteinizing hormone may increase due to non-ovulation, and the level of follicle stimulating hormone will be lower, which will lead to the growth of multiple follicles in the ovary, but there are only multiple follicles growing in one side of the ovary, which may affect menstruation clinically, or in some cases, it does not affect menstruation. This may affect menstruation, or it may not affect menstruation and may be observed and not treated for the time being. If there are polycystic changes in both ovaries and there are more than 12 follicles in each ovary, only then is polycystic ovary syndrome suspected and further investigations should be performed.