PCOS (polycystic Ovarian Syndrome) / Stein Leventhal syndrome Features of PCOD / PCOS Obesity Insulin resistance / hyperinsulinemia Hyperandrogenemia Anovulation Metabolic X syndrome Oligomenorrhea Amenorrhoea Rotterdam / Eshre /Androgen excess Society /ASRM criteria Diagnostic requisites : Any 2 out of 3 Anovulation/ oligo-ovulation Hyperandrogenism: clinical or laboratory evidence of androgen excess Polycystic ovaries on USG (12 or more follicles measuring less than 9 mm or ovarian volume of > 10 mL) In the image shown, ovaries are bulky in size (suggestive of PCOS) and patient has history of oligo ovulation as suggested by delayed cylces and infeility. There are no endometriotic cysts or peritoneal implants ruling out endometriotic cyst The tubes and ovaries show no ovarian cyst or tubo ovarian mass.