The multifollicular ovary, unlike the polycystic one, has fewer cysts, but they tend to be larger. Let’s find out what it is
The multifollicular ovary is often confused with the polycystic ovary, but it has fewer cysts (6 to 10) and they tend to be larger (can reach 10mm). It mainly affects girls during puberty, but can also appear in adulthood. Let’s find out what it is and what it involves in pregnancy.
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Multifollicular ovary: ovulation (acne and hair)
Multifollicular ovary (MFO) is a physiological condition during puberty. Often, in adolescence, the ovaries autonomously resume normal functioning, and the disorder tends to disappear on its own. The multifollicular ovary maintains a normal or slightly increased size, the number of cysts that forms inside it ranges from a minimum of six to a maximum of ten, with a diameter for each cyst ranging from 4 to 10 millimeters, and they are distributed throughout the ovary, not only in the cortical area.
Some of the causes attributed to the formation of cysts can be:
- hyperprolactinemia (excessive production of the hormone prolactin);
- anovulation (menstrual cycle in which the ovary does not release the egg);
- weight loss amenorrhea (amenorrhea is the absence of a menstrual cycle);
- suspension from hormonal contraceptives;
- use of the uterine spiral;
- ovarian hyperstimulation (for example following assisted fertilization therapies).
The multifollicular ovary may also not cause any disturbance and is often an asymptomatic condition. The most common symptom is menstrual irregularity, which can thus cause ailments such as acne and abdominal pain. Another symptom associated with the multifollicular ovary is excessive hair. It is therefore better to contact your doctor, who will assess the situation and recommend any treatments.
Multifollicular ovary: pregnancy research
The multifollicular ovary does not represent an obstacle to pregnancy, it does not cause infertility, such as the polycystic ovary. In cases of normal ovulation, the chances of getting pregnant they are no longer low of patients who do not have a multifollicular ovary; the difference could occur later, as a high number of follicles could increase hormone levels and therefore cause a greater risk of miscarriages in the early stages. With alternating ovulation, therefore not present in all months, the difficulty of conception is certainly greater.
If ovulation does not occur after 3-4 cycles, it may be requested therapy correct to prepare the body for conception. If ovulation does not occur after the prescribed therapy, it is possible to resort to in vitro fertilization or other methods of artificial insemination.
The probability of birth of Gemini it increases significantly during in vitro fertilization, which can therefore cause multiple pregnancies: for this reason, multiple pregnancy with multifollicular ovaries is not uncommon in cases when artificial fertilization is required. In multifollicular ovary situations where ovulation occurs naturally, the chances of having twins are the same as in normal conditions.
As anticipated, the presence of a multifollicular ovary usually does not have negative consequences on fertility of the woman, and neither hinders nor delays the onset of pregnancy. Ovarian cysts, however, must not negatively affect theovulation.
Generally for the multifollicular ovary in the absence of other pathologies, the woman is not prescribed specific treatments, but it is recommended to follow a healthy lifestyle and, if necessary, make some changes to your own diet, which must be low in fat.
To “fix” the anomalies of the period the doctor may also recommend taking the contraceptive pill to regulate hormone production and treat changes in the cycle.
Article sources: Arcispedale Sant’Anna, Unicampania, Veronesi Foundation