Are polycystic changes in both ovaries a sign of endocrine disorder?

Jun 13, 2024 Source: Cainiu Health
Disease description:

I've been married for over two years and haven't become pregnant. I went to the hospital for a checkup, where the doctor performed a gynecological ultrasound and told me that I have bilateral polycystic ovarian changes. Does bilateral polycystic ovarian change mean I have an endocrine disorder?

Doctor's answer (1)
Dr. Zhao Xiaodong
Polycystic changes in both ovaries are closely associated with endocrine disorders. These bilateral ovarian polycystic changes typically manifest as multiple small follicles within the ovaries, a condition often caused by abnormal hormone levels in the body. Elevated androgen levels can inhibit follicular maturation and ovulation, thereby increasing the risk of polycystic alterations. Endocrine disorders refer to conditions in which endocrine glands or cells fail to secrete hormones normally, resulting in hormonal imbalances. Bilateral ovarian polycystic changes represent one specific manifestation of such endocrine dysfunction in the ovaries. Polycystic changes may also be accompanied by other symptoms of endocrine disorders, such as insulin resistance and obesity, which can further exacerbate the degree of hormonal imbalance. Given the close relationship between bilateral ovarian polycystic changes and endocrine disorders, sufficient attention should be paid, and appropriate treatment is necessary.