Hearing your doctor say the words "bilateral polycystic ovaries" can feel like a sudden, confusing storm cloud on your fertility journey. Your mind immediately races: What does "polycystic" mean? Do I have cysts? Is it dangerous? Does this mean I can't get pregnant?
Take a deep breath. You are not alone in this, and this finding is far more common than you might think.
At New World Fertility, we believe that clarity is the first step toward confidence. A diagnosis is just a starting point, not a final destination. Our mission is to demystify the medical jargon and give you a clear, compassionate, and hopeful path forward.
Let's break down what "bilateral polycystic ovaries" really means, separate fact from fiction, and explore how it might—or might not—affect your fertility.
Table of Contents
What Does "Bilateral Polycystic Ovaries" Actually Mean?
The Most Important Question: Is It PCO or PCOS?
How Does PCOS Actually Affect Fertility? (The Real Culprit)
Beyond Fertility: Other Signs of PCOS
The Good News: A Clear Path to Pregnancy with Polycystic Ovaries
Finding Your Partner in Fertility at New World Fertility
What Does "Bilateral Polycystic Ovaries" Actually Mean?
Let's start by translating the medical-speak.
Bilateral: This simply means "on both sides." So, it involves both of your ovaries.
Polycystic: This is the most misleading part of the name. It translates to "many cysts."
Here is the crucial truth: Polycystic ovaries are not covered in cysts.
What your doctor saw on the ultrasound are actually antral follicles—small, fluid-filled sacs that each contain an immature egg. Every woman has them. The difference is that in polycystic-appearing ovaries, there are more of them than average (typically 12 or more on a single ovary), often arranged around the outside like a "string of pearls."
These are not the large, painful, or dangerous cysts (like ovarian dermoids or endometriomas) that sometimes require surgical removal. They are simply resting follicles that haven't received the right hormonal signals to grow and ovulate.
So, "bilateral polycystic ovaries" is just an ultrasound description of what your ovaries look like. It is not, by itself, a disease.
The Most Important Question: Is It PCO or PCOS?
This is, without a doubt, the most critical distinction to make, and it's the source of most confusion.
Having Polycystic Ovaries (PCO) is not the same as having Polycystic Ovary Syndrome (PCOS).
PCO (Polycystic Ovaries): This is simply the ultrasound finding we just discussed. A significant number of women (up to 25%) have PCO on an ultrasound, have perfectly regular periods, and have no trouble conceiving. It's just their normal anatomy.
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