#628 CASE SUMMARY
Fertility Ultrasound
Infertility
Poor Ovarian Reserve
Follicular Study
IVF in Bangalore
Privacy Protected Case Summary
Hypoplastic Uterus and Small/Streak Ovary: What Fertility Test Results Mean for a 21-Year-Old
About the Couple
Patient Age:
21
Location:
Bengaluru, Karnataka, India
Duration of Infertility:
<no_data>
Key Clinical Finding:
Ultrasound reported hypoplastic uterus (uterus LS 4.1 cm, AP 1.7 cm, TS 2.6 cm) with endometrial thickness 3.6 mm; right ovary small/reduced (0.1 x 0.6 cm; streak ovary) and left ovary not visualized. Diagnoses also included fatty liver. Labs included OGCT 127 mg/dl, TSH 1.77 µIU/ml, prolactin 4.12 ng/ml, and 25-OH vitamin D 24.2 ng/ml.
Report Type:
<no_data>
Expert Interpretation
Based on the provided report data, the main fertility-related findings are a hypoplastic uterus and a small (streak) right ovary with non-visualisation of the left ovary on ultrasound. This pattern can suggest reduced reproductive organ development and limited visualization of ovarian tissue, which is why MRI pelvis was recommended for further evaluation. Additional lab values shown include normal-range OGCT (127 mg/dl within the stated 70–150 range), TSH 1.77 µIU/ml within the stated 0.30–5.5 range, and prolactin 4.12 ng/ml (female reference range not provided). Vitamin D (25-OH) is 24.2 ng/ml, which falls within the insufficiency range if using the provided thresholds (21–29 ng/ml). Because many report fields and doctor notes are marked <no_data>, this interpretation is limited to the explicit measurements and the stated recommendation for MRI pelvis.
Previous Consultation
Treating Surgeon and Hospital
Dr. SAVITHA,
<no_data>
Treating Surgeon and Hospital
Ref. By: Dr. SAVITHA (from lab reports),
<no_data>
Treating Surgeon and Hospital
DR. NARENDRA.H.C,
Radiologist
Treating Surgeon and Hospital
DR. MAHIMA ANAND,
Radiologist
Treating Surgeon and Hospital
Lab Technologist / Lab Technician,
<no_data>
Treating Surgeon and Hospital
Pathologist,
<no_data>
Key Findings From the Report
Hypoplastic uterus on ultrasound:
PARAMETER
FINDING
Abdomino-pelvic ultrasonography - Uterus
Hypoplastic uterus; uterus measures LS 4.1 cm, AP 1.7 cm, TS 2.6 cm
Abdomino-pelvic ultrasonography - Endometrial thickness
3.6 mm
Uterus described as hypoplastic with measurements LS 4.1 cm, AP 1.7 cm, TS 2.6 cm; endometrial thickness 3.6 mm.
Ovarian findings: small right ovary and left ovary not visualized:
PARAMETER
FINDING
Abdomino-pelvic ultrasonography - Right ovary
0.1 x 0.6 cm; reduced in size
Abdomino-pelvic ultrasonography - Left ovary
Not visualized
Diagnosis (from report)
Small right ovary (streak ovary) and non visualisation left ovary – suggested MRI pelvis for further evaluation.
Right ovary reduced in size (0.1 x 0.6 cm; streak ovary). Left ovary not visualized. MRI pelvis suggested for further evaluation.
Fatty liver on ultrasound:
PARAMETER
FINDING
Abdomino-pelvic ultrasonography - Liver
Normal in shape and size; shows diffuse fatty infiltration
Abdomino-pelvic ultrasonography - Hepatic and portal vein radicals/ intraphepatic biliary duct dilatation
No evidence of any focal lesion or intraphepatic biliary duct dilatation; hepatic and portal vein radicals are normal
Liver noted to have diffuse fatty infiltration; no focal lesion reported.
Metabolic and endocrine screening results:
PARAMETER
FINDING
Oral Glucose Challenge Test (O.G.C.T)
127 mg/dl (reference range 70 - 150 mg/dl)
Thyroid Stimulating Hormone (T.S.H)
1.77 µIU/ml (reference range 0.30 - 5.5 µIU/ml)
Prolactin (Serum)
4.12 ng/ml (female reference range not provided)
OGCT 127 mg/dl within the provided reference range; TSH 1.77 µIU/ml within the provided reference range; prolactin 4.12 ng/ml (reference range not provided).
Vitamin D level:
PARAMETER
FINDING
25-OH Vitamin D (Total)
24.2 ng/ml
Provided threshold
Insufficiency threshold reference range 21–29 ng/ml
25-OH Vitamin D total is 24.2 ng/ml. Using the provided thresholds, this corresponds to insufficiency (21–29 ng/ml).
Questions Patients Often Ask
What does a hypoplastic uterus mean for fertility?
Your ultrasound described a hypoplastic uterus (smaller than typical measurements). This can be associated with fertility challenges, but the exact impact depends on the full clinical history and further evaluation.
Why was an MRI pelvis suggested?
Your report notes a small (streak) right ovary and non-visualisation of the left ovary on ultrasound. MRI pelvis was suggested to better evaluate the pelvis and clarify ovarian anatomy.
How do the blood tests (TSH, prolactin, OGCT) relate to fertility?
The provided results show OGCT 127 mg/dl within the stated reference range and TSH 1.77 µIU/ml within the stated reference range. Prolactin is 4.12 ng/ml, but the female reference range was not provided, so interpretation is limited to the measured value.
Is the vitamin D level (24.2 ng/ml) concerning?
Your 25-OH vitamin D total is 24.2 ng/ml. With the thresholds provided in the report, this fits the vitamin D insufficiency range (21–29 ng/ml). Your clinician may recommend supplementation based on your overall situation.
What other ultrasound findings were noted?
The ultrasound also reported fatty liver with diffuse fatty infiltration, while other abdominal organs described (e.g., gall bladder, pancreas, spleen, kidneys, urinary bladder) were largely normal in the report text.
What This Means for the Patient
- Your report’s main fertility-related findings are a hypoplastic uterus and unusual ovarian findings (small right ovary and left ovary not seen on ultrasound).
- Because the left ovary was not visualized and the right ovary is small, MRI pelvis was recommended to get a clearer picture of ovarian/pelvic anatomy.
- Several hormone/metabolic screening tests are within the stated reference ranges (OGCT and TSH), which can be reassuring for those specific measurements.
- Vitamin D is 24.2 ng/ml, which matches insufficiency using the thresholds provided in your report; discussing vitamin D optimization may be part of care.
- Many fields and doctor notes were marked <no_data>, so your clinician’s full assessment and any additional tests will be important to interpret these results for your specific fertility plan.
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