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Question

Diagnostic criteria for PCOD are:
1. Oligo/amenorrohoea
2. Hyperandrogenism
3. Polycystic ovaries on ultrasound
Which of the above are correct?

The correct answer is
1, 2 and 3

PCOD Diagnostic Criteria Explained

Polycystic Ovarian Disease (PCOD), often known as Polycystic Ovary Syndrome (PCOS), is diagnosed based on specific clinical and imaging findings.

Key Diagnostic Features

The primary diagnostic criteria generally include:

  • Oligo/amenorrohoea: Irregular menstrual cycles or absence of periods, indicating infrequent or absent ovulation.
  • Hyperandrogenism: Clinical signs (like hirsutism, acne) or laboratory evidence of elevated androgen levels.
  • Polycystic ovaries on ultrasound: Ovaries exhibiting specific features on ultrasound, such as a higher number of small follicles (12+) or increased ovarian volume.

Confirming PCOD Diagnosis

Established diagnostic guidelines, like the Rotterdam criteria, require the presence of at least two of these three features, provided other conditions mimicking these signs are excluded.

Therefore, oligo/amenorrohoea, hyperandrogenism, and polycystic ovaries on ultrasound are all correct components of the PCOD diagnostic criteria.

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Important Questions from Physiology of Menstruation & Fertilization

  1. Implantation of a fertilised ovum occurs on which day following fertilisation?
  2. Withdrawal bleeding following administration of progesterone in a case of secondary amenorrhea indicates all EXCEPT:
  3. An 18 year old unmarried girl comes with complaints of heavy, prolonged bleeding during menses. Which among the following investigations is NOT usually advised?

  4. Which one of the following is true about Basal body temperature?
    1. Biphasic pattern
    2. Increase in the level of progesterone and norepinephrine
    3. Temperature falls by $0.5^{\circ}C$ after ovulation
    4. It can predict ovulation precisely
    Select the correct answer using the code given below:
  5. Consider the following statements regarding infertility:
    1. Endometrial biopsy provides information regarding ovulatory factor
    2. Both tubal and peritoneal factors can be assessed at laparoscopy
    3. Unexplained infertility may be due to luteal phase defect
    Which of the statements given above is/are correct?
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