Can ultrasound detect ovarian dysplasia? Five examination methods can confirm the diagnosis

Ovary is an important part of women, and we should pay attention to reasonable maintenance at ordinary times, especially for ovarian diseases, but also for ovarian dysplasia.

What is ovarian dysplasia

Congenital ovarian hypoplasia, also known as Turner's syndrome, is a disease caused by congenital sex chromosome abnormalities. Ovarian dysplasia includes unilateral ovarian insufficiency, bilateral ovarian insufficiency, redundant ovaries, ectopic ovaries and ovarian fission.

Symptoms of ovarian dysplasia

1. Ovarian hypoplasia: one of the manifestations of ovarian dysplasia. Primary ovarian hypoplasia mostly occurs in women with sex chromosome abnormalities, 45K is the most common, both of which are bilateral. The ovaries are slender, pale white, hard and rope shaped, with other deformities. Unilateral ovarian underdevelopment, often accompanied by ipsilateral fallopian tubes, kidney deficiency, and the affected side may have a single horn uterus.

2. Ovarian ectopia: The ovaries are obstructed during development and still remain in the embryonic position, not descending to the pelvis, higher than the normal ovarian position, located near the renal pole or in the retroperitoneal tissue gap, resulting in poor ovarian development. If it drops, it can be in the inguinal hernia sac. All ectopic ovaries are prone to tumors and should be removed.

3. Excess ovaries: Third ovaries, except for bilateral ovaries, are extremely rare in individuals with third ovaries. They are likely to be far from normal ovaries and are not related to the nearby pelvic infundibulum ligament or uterine ovarian ligament. During the embryonic stage, renal apical abnormalities may occur, and the third ovary is derived from this basis of normal separation. Accompanied by cystic teratoma and mucinous cystadenoma, occasional discovery of the third ovary and accessory ovary should be the same as ectopic ovarian tissue, meaning removal.

Examination of ovarian dysplasia

1. Endocrine hormone examination: FSH and LH levels significantly increase, E2 levels significantly decrease, reaching the level of menopause. Diagnosis needs to be made after three examinations. Blood PRL is normal.

2. Vaginal exfoliated cells: Low estrogen levels, with the appearance of underlying cells or predominantly low-level cells.

3. Ultrasound examination: The ovaries are small and normal in size without premature ovarian failure, while those with multiple small follicles have no responsive ovaries or polycystic ovary syndrome.

4. Laparoscopic examination: In patients with premature ovarian failure, the ovaries are small, atrophic, and the follicles are not obvious. Under the microscope, no primordial follicles are observed, and ovarian interstitial fibrosis is observed. Anti ovarian antibodies can be found in the ovaries. Unreactive ovarian syndrome shows normal ovarian size, with multiple small follicles visible to the naked eye and microscope. Anti follicular membrane cells, anti granulocytes, and anti FSH antibodies can be found in ovarian tissue.