What is the difference between multifolicular and multicystic ovary?

Expert answer:

Ovaries multifollals are ovaries with normal dimensions, but have a higher number of follicles than healthy ovaries. This is due to a hormonal mismatch; the follicles do not develop and remain in the ovaries. The follicles are less numerous and more organized, and there are less significant hormonal disturbances compared to polycystic ovaries.

The ovaries polycystic, in turn, have increased size, a large number of undeveloped follicles spread irregularly and in most cases (although not a rule), hormonal rates altered. Polycystic ovaries have a much higher number of undeveloped follicles (microcysts), insulin resistance, and an increase in levels of the androgen hormone (male hormone). Polycystic ovaries can be triggered by the inability to produce hormones in the proper proportions, which prevents the follicles from developing synchronized. The reason this happens is still unknown.

An important fact to be quoted is that these problems only require treatment if they are interfering with the menstrual cycle, otherwise only periodic medical follow-up should be done.

In case of suspected polycystic / multicystic ovaries or menstrual delay, a physician (preferably a gynecologist) should be consulted. He will be able to evaluate in detail, through anamnesis and physical examination, what his correct diagnosis is, guide him and prescribe the best treatment.