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2. Multifollicular or Multicystic Ovary
The term multifollicular or multicystic ovary is applied in the incidence of 6 or more follicles (small sacs containing the ovum), each with a diameter of 4 â€“ 8 mm which can even expand to 10 mm in cases of exception, whereas a normal ovary will show one, at the most two fully developed follicles. The ovary may then be slightly distended. Hormonal changes are not in evidence or are only to be detected by means of endurance or inhibition tests. A clear distinction should be made between this condition and polycystic ovaries, where the patient will also show hormonal changes as well as changes in her metabolism. The term follicular alteration is therefore more appropriate to the changes discussed under this heading. 1. Definition
Multifollicular ovaries are mainly found during phases of hormonal changes such as during puberty or menopause. However, they may occasionally also occur in women taking oral contraceptives (the pill) or after an intro-uterine pessar containing gestagen has been inserted.
Such cases are generally a harmless, passing reaction of the ovary, which usually regresses spontaneously, a sustained condition remaining the exception. It is then sufficient to keep the ovaries under control with ultrasound scans.
As a rule, multifollicular ovaries do not require treatment, the more so as they do not involve any far-reaching changes in hormone levels. There is no influence on the levels of lipids (cholesterol, triglyceride), or the glucose and insulin levels.