Q: I am a 29 years old married woman weighing 68 kg. After marriage, I started having irregular periods which lasted for three months. A scan was done, which showed uterus of 5.7 x 3.6 x 3.9 cm normal appearing with homogeneous myometrial echoes, nabothian follicle seen in cervix, thickened homogenous endometrium measuring 16 mm, right ovary - 2.5 x 1.4 x 1.9 cm, with large follicle 6 x 5 mm and left ovary - 3.1 x 2.1 x 1.9 cm, with large follicle 6 x 4 mm. Am I suffering from polycystic ovary syndrome (PCOS)? Should I undergo a laparoscopy? Can I conceive?

A:The USG report does not suggest PCOS. But if your periods are infrequent coming after more than 35 days or you have acne and excessive hair growth – then a diagnosis of PCOS is made clinically. You do need to lose weight – at least 5-10 kg. You periods may regularise with weight reduction and also ovulation and therefore conception becomes better. We normally start investigating a couple for infertility if they have not conceived after at least one year of cohabitation. It is not necessary to do a laparoscopy for mere diagnosis of PCOS – an USG and clinical history suffices.