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Women with polycystic ovaries and fertility problems: Ultrasound picture of PCOS Polycystic ovary at "PCO" Bowel at "B" 1. Do not release an egg (ovulate) regularly 2. Have ovaries that contain many small cystic structures, about 2-9 mm in diameter
About 14 days after ovulation the woman would be expected to get a period if she is not pregnant The basic difference between polycystic and normal ovaries is that although the polycystic ovaries contain many small antral follicles with eggs in them, the follicles do not develop and mature properly - so there is no ovulation. Since women with polycystic ovaries do not ovulate regularly, they do not get regular menstrual periods
Irregular menstrual cycles, called oligomenorrhea, and sometimes a total lack of periods, referred to by doctors as amenorrhea Gradually worsening of the excess hair growth over the years
Women with polycystic ovaries often have an excess amount of the male hormones testosterone and androstenedione - resulting in high testosterone levels in the blood. Women with PCO and high testosterone can have increased facial and body hair growth - called hirsutism.