Female patient aged 30 with history of primary infertility of 10 years, one partner (14 years at menarche, first intercourse at age 20.) It is noteworthy that up to 30 years your periods are normal, without periods of amenorrhea or other menstrual disorders. Shows no hirsutism or obesity. Refer a family history of Diabetes Mellitus.
The eco-sonographic examination transvaginal pelvic highlights the presence of three intramural fibroid nodules, hypo-echogenic, located in posterior-lateral right side of uterus (3.3 X 3.1 X 3.1 cm), another of similar sonographic characteristic nodules located in the left horn (2.3 X 2.2 X 1.9 cm) and finally the fibroid nodule located in the posterior uterine body-fundus (2.3 X 2.5 X 1.7 cms) .
Both ovaries look enlarged with presence multiple cysts of small size (immature follicles), scattered throughout the parenchyma, predominantly in peripheral areas (see last two photos). The right ovary measures 3.9 X 3.2 X 1.9 cm and left 4.8 X 4.1 X 2.7 cm.
Diagnosed as a picture of multiple fibroids and polycystic ovaries..