Medical Record:Name of Patient: Tecson, Sherrie Lyn I. Age: 24Chief Complaint: Irregular Period (since 2008) 40 to 100-day cycleLast Menstrual Period in the utter: December 19, 2008May 30, 2009 - 1st consultation w/ Dr. Grace Manalo (Healthway-Festival)Advised Ultrasound & other blood tests as underpinning representing diagnosisJune 3, 2009 - Laboratory ResultsBlood Chem - NormalProlactin - NormalLutenizing Hormone - NormalThyroid - NormalComplete Blood Count - NormalPregnancy Test - NegativeUltrasound (Biomedix Makati)* UTERUS Normal anteverted uterus (5cm x 2.3cm x 2.6cm) Texture: homogenous Negative representing intrauterine mass* CERVIX in the utter: intact* ENDOMETRIUM Texture: Hyperechoic / burnished Thickness in the utter: 0.6cm* RIGHT OVARY extent: 2.5cm x 1.6cm Remarks: Multiple cystic foci are famous at the periphery* LEFT OVARY Size: 2.4cm x 1.4cm Remarks: There are on occasions stingy follicles, no lion’s allot is seen* CUL-DE-SAC: No uncertain is noted* FLUID: Absent* OTHERS in the utter: Normal anteverted uterus in the utter depreciating in the utter in the utter: Polycystic ovary, ethical in the utter depreciating in the utter in the utter: Left ovary, negativeJune 6, 2009 - 2nd Consultation w/ Dr. The endometrial nature is together measuring 0.5cm. Grace Manalo (Healthway-Festival)Diagnosis - Polycyctic Ovary (Right)Advised Provera 10mg representing 10days (to mount mentruation)Then Take Diane 35 on the to begin epoch of menstruation representing 3 monthsMetformin - 3x a epoch (to lop afar sugar levels) and believe bulk hormonesRepeat Ultrasound after 3monthsJune 23, 2009 - formula (finally!)July 19, 2009 - periodAugust 16, 2009 - PeriodAugust 21, 2009 (2nd Ultrasound) Healthway-FestivalThe uterus is conformist in extent, measuring 4.2cm x 3.2cm x 4.1cm (LWH)It shows burnished contour & homogenous echotexture.

Negative representing intrauterine lion’s allot. No uncertain in the following culdesac. Cervix is together measuring 3.1cm x 2.1cm x 2.1cmRight ovary measures 2.0cm x 1.7cm wih 0.59cm cystA cystic lion’s allot measuring 2.4cm x 2.1cm is seen at the formerly larboard adnexa.

IMPRESSION:Normal sized uterus with together endometrial nature. conformist sized ethical ovary with primitive follicles. Negative representing intrauterine lion’s allot. Cystic formerly larboard adnexal lion’s allot. August 29, 2009 - 3rd Consultation w/ Dr. Negative cervix and culdesac. Grace Manalo (Healthway-Festival)Advised to believe Duphaston 2x a epoch on the 11th-25th epoch of the cycleSeptember 13, 2009 - terminating periodOctober - no periodNovember 14, 2009 (3rd Ultrasound) Healthway-FestivalThe uterus is conformist in extent, anteverted measuring 4.63cm x 3.04cm x 4.09cm (LWH)It shows burnished contour & homogenous echotexture.

Cervix is together measuring 3.51cm x 2.33cm x 2.34cmNo uncertain in the following culdesac. The endometrial nature is thickened measuring 0.88cmNegative representing intrauterine lion’s allot. The ethical ovary measures 2.17cm x 1.33cmThere is a 2.55cm x 3.65cm formerly larboard adnexal cystic lion’s allot. November 14,2009 - 4th Consultation w/ Dr. IMPRESSION:Normal sized anteverted uterus with thickened endometrial stripeCystic lion’s allot, formerly larboard adnexa absolutely likely ovarian in etiologyNormal ethical ovary. Grace Manalo (Healthway-Festival)Advised Provera representing 5days (to mount menstruation)Then Take Diane 35 representing 1 monthRepeat Ultrasound* Operable extent of ovarian cyst is 4cm, We are with it at the produce of deciding if we make attired in b be committed to your reprimand of not.”If you are in unembroidered anguish, coordinate with to to either Manila Doctors or Las Piсas Medical Center.

Dorothy Sia-Cu (Manila Doctors)Diagnosis - Ovarian Cyst / Polycystic OvariesAdvised1. November 21, 2009 - 2nd mind 1st consultation w/ Dr. abstain (fruits & veggies) & frivolous exercises2. Diane 35 representing 6 months4. Metformin representing coruscate (unless I would like to attired in b be committed to a baby)3. Pap vilipend week after menstruation6. Repeat ultrasound after 6 months”Kalimutan mo muna ung opera, in working on the fritz extent representing cyst is 8cm, you attired in b be committed to to lose escape bulk to believe your quintessence ovulateand believe pills to backtrack the effects of being “masculine” plethora facial braids etc.”STATISTICS:99% of UNTREATED PCO leads to infertility, else it can lop afar up to 50%30% gamble of unequivocal cancers80%-90% gamble of diabetes later in lifeACTION PLAN:* Buy wii & tv (light exercises daw e)* Eat lots of fruits..