We see lots of patients who are misdiagnosed as having PCO (polycystic ovarian disease), and this is partly because lots of sonographers aren't good at making the diagnosis properly.
When they see a few ovarian follicles on an ultrasound scan, they interpret these as being small cysts, and any time they see a few cysts in the ovaries, they say that the patient has PCO.

This is completely incorrect because there are very strict criteria laid down for how to make a diagnosis of PCO on an ultrasound scan. The antral follicle count needs to be high; the ovaries need to be large, and the ovarian stroma needs to be increased. Unfortunately, while many gynaecologists are aware of these criteria, many sonographers haven't learned these.
This is why lots of patients who just have a few isolated ovarian cysts are being misdiagnosed as PCO, when in fact what they actually have is a poor ovarian reserve!
The incorrect diagnosis results in incorrect treatment and results in their losing precious time. This actually ends up reducing their fertility even further, which is such a tragedy!
Make sure your doctor understands the importance of checking ovarian volume, ovarian stroma and antral follicle counts when doing an ultrasound scan.

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