RRM Bulletin: Vol. 8

Effects of medications on mucus
The fertility charts of women using fertility awareness based methods (FABMs) is a wonderful tool for seeing changes in life. Mucus quantity and quality, as well as days of mucus, can be seen to diminish with age, stress, weight loss, and strenuous exercise regimens. Dry cycles, or those with very limited mucus, can make it challenging to find optimal timing for days of fertility, and for lab testing or tracking when to start progesterone or other hormonal supplementation.

RRM Bulletin : January 2019 Edition

Comprensive Health Assessments in RRM (CHARRM) : Polycystic Ovaries on Ultrasound – Criteria for diagnosing PCOS as outlined in the Rotterdam criteria and the Androgen Excess PCOS Society require the identification of polycystic ovaries. The most common way of doing this is by use of ultrasound. In hirsute women with normal menstruation, over 90% have polycystic ovaries on ultrasound. [1] Conversely, 20 – 30% of women also show evidence of multiple ovarian cysts. Specific diagnostic criteria thus are required to determine if patients truly have polycystic ovaries. This is often difficult information to ascertain from the write-ups provided by radiologists, unless they are asked specific morphologic questions.

The original criteria as outlined by the Rotterdam group were the presence of 12 or more follicles of 2 -9mm diameter and/or ovarian volume of 10cm 3 in one or both ovaries. Significant advances in imaging, particularly three-dimensional ultrasound, has resulted in some researchers proposing more advanced morphology to better identify these patients