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Can You Have PCOS Without Ovarian Cysts on Ultrasound?

ovary

Polycystic ovary syndrome (PCOS) is often misunderstood. A common myth is that ovarian cysts must be present to confirm a diagnosis. In reality, you can have PCOS without any cysts appearing on an ultrasound.

At Sirona Women’s Health in Brisbane, our all-female GP team offers expert, compassionate care for women with hormonal concerns, including PCOS, whether or not cysts are visible.

What Is PCOS?

PCOS is a hormonal condition that affects up to 1 in 10 women of reproductive age. It disrupts ovulation and can lead to symptoms such as irregular periods, acne, excess facial or body hair, and challenges with weight or fertility.

Diagnosis is made using the Rotterdam criteria, which require at least two of the following:

  • Irregular or absent menstrual periods
  • Signs of excess androgens (e.g. acne, unwanted facial or body hair, or elevated testosterone)
  • Polycystic-appearing ovaries on ultrasound

This means ovarian cysts are not required for a diagnosis. You can still be diagnosed with PCOS if you have irregular periods and signs of androgen excess, even if your ultrasound appears normal.

Why Might There Be No Cysts on Ultrasound?

There are several reasons why someone with PCOS might not have visible cysts:

Hormonal Imbalance Without Structural Changes

The core issue in PCOS is hormonal. Ovulation may still be disrupted even without physical signs like cysts on imaging.

Variation in Ovarian Appearance

The number and appearance of ovarian follicles can vary between individuals and even from cycle to cycle. Some women naturally do not form many follicles, while others may fall just below the diagnostic threshold.

Ultrasound Limitations

Ultrasound quality, timing of the scan, and technician expertise can all impact whether or not cysts are identified. Transvaginal scans are typically more sensitive than abdominal ultrasounds.

What Should You Do If You Suspect PCOS but No Cysts Are Found?

If you experience any of the following, speak to your GP:

  • Irregular or missed periods
  • Acne, unwanted hair growth, or hair thinning
  • Difficulty managing weight
  • Fatigue, low mood, or fertility concerns

Your doctor may order blood tests to evaluate hormone levels, insulin resistance, and thyroid function. Even in the absence of ovarian cysts, these tests can help confirm or rule out PCOS.

It’s also important to exclude other causes of similar symptoms, such as thyroid dysfunction, high prolactin, or hypothalamic amenorrhoea.

When to Seek Help

You don’t need to wait for a formal diagnosis to get support. PCOS can affect your physical, emotional, and reproductive health, whether or not you have cysts. If you notice:

  • Menstrual irregularity
  • Signs of hormonal imbalance
  • Persistent fatigue or weight gain
  • Difficulty conceiving

 

…it’s time to speak with a GP.

Managing PCOS Without Ovarian Cysts

Management is tailored to your symptoms and goals. Treatment may include:

  • Lifestyle changes, low-GI diets, strength-based exercise, and sleep support
  • Hormonal therapies, such as the oral contraceptive pill or anti-androgen medications
  • Insulin-sensitising agents (e.g. metformin)
  • Nutritional supplements targeted to your hormonal profile

At Sirona Women’s Health in Brisbane, our experienced GPs provide personalised, holistic care to help you manage symptoms and feel your best, regardless of what shows up on your scan.

Get Personalised PCOS Management

If you’re experiencing signs of PCOS but your ultrasound shows no cysts, you’re not alone and your symptoms are still real and worth investigating. PCOS looks different for every woman, and a clear diagnosis is the first step toward feeling better.

At Sirona Women’s Health in Brisbane, our experienced female GPs are here to listen, provide clarity, and tailor a plan that works for your body and goals.Book your consultation online or contact our friendly team today to get started.

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At Sirona Women’s Health, we’re dedicated to providing you with the personalised, high-quality care you deserve. Our experienced all-female clinic, serving Annerley and the Greater Brisbane area, is ready to listen, support, and empower you through every stage of your healthcare journey.

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What we do

INTRODUCTION

This privacy policy is to provide information to you, our patient, on how your personal information (which includes your health information) is collected and used within our practice, and the circumstances in which we may share it with third parties. Our obligations are set under the Privacy Act 1988.

WHAT IS PRIVACY?

As an individual, the Privacy Act grants you enhanced authority over the management of your personal data. Under the Privacy Act, you have the right to:

  • Understand the purpose behind the collection of your personal data, its intended use, and who will have access to it.
  • Opt not to disclose your identity or to use an alias in specific situations.
  • Request access to your personal data, including health information.
  • Cease receiving unsolicited direct marketing communications.
  • Request correction of any inaccuracies in your personal information.
  • Lodge a complaint against an organization or agency covered by the Privacy Act if you believe they have mishandled your personal information.

WHY AND WHEN YOUR CONSENT IS NECESSARY

By becoming a patient at our practice, you grant consent for our general practitioners and practice personnel to access and utilize your personal data to deliver optimal healthcare services. Access to your personal information will be restricted to staff members who require it for your care. Should there arise a necessity to utilize your information for purposes beyond healthcare provision, we will obtain your explicit consent beforehand.

HOW CAN YOU LODGE A PRIVACY RELATED COMPLAINT AND HOW THE COMPLAINT WILL BE HANDLED AT OUR PRACTICE

We treat privacy-related complaints and concerns with utmost seriousness. We encourage you to communicate any privacy issues you may have in written form. Subsequently, we will endeavor to address and resolve them in accordance with our established resolution procedure. Complaints can be forwarded to our Practice Manager delivered to 1/720 Ipswich Road, Annerley 4103. You may also wish to have a confidential chat with our Practice Manager beforehand. Our Practice Manager can be reached by phoning our practice during business hours – Monday – Friday. All complaints are likely to be responded to and actioned within 2 business days.

WHY DO WE COLLECT, USE, HOLD AND SHARE YOUR PERSONAL INFORMATION

To deliver healthcare services effectively, our practice requires the collection of your personal information. Our primary objective in collecting, utilizing, storing, and managing your personal data is to oversee your healthcare needs. Additionally, we employ this information for associated business activities, including financial transactions, practice evaluations, accreditation processes, and operational functions such as staff training.

DEALING WITH OUT PRACTICE ANONYMOUSLY

You possess the right to engage with us anonymously or under a pseudonym, unless such actions are deemed impractical, or unless legal obligations or authorizations necessitate interaction solely with identified individuals.

WHAT TYPES OF INFORMATION DO WE COLLECT?

Your doctor relies on information regarding your past and present health to deliver quality care. Data pertaining to your health, medical history, or anticipated medical treatments is termed “personal health information” if it enables someone to identify you.

Our practice adheres to the Guidelines on Privacy in the Private Health Sector outlined by the Office of the Federal Privacy Commissioner. This commitment ensures the confidentiality and security of your personal health information.

We maintain a documented policy outlining the handling of your personal health information, which is accessible to all patients for review.

The information we collect encompasses:

  • Names, date of birth, addresses, and contact details
  • Medical details including medical history, medications, allergies, adverse events, immunizations, social history, family history, and risk factors
  • Medicare number (where available) for identification and claiming purposes
  • Healthcare identifiers
  • Health fund details

HOW WE COLLECT YOUR PERSONAL HEALTH INFORMATION

Our practice may gather your personal information through various channels:

  • During your initial appointment, our staff will collect your personal and demographic details as part of the registration process.
  • Throughout the provision of medical services, we may gather additional personal information.
  • Your personal information may also be obtained when you interact with us via our website, email, SMS, telephone calls, online appointments, or social media.
  • In certain situations, personal information may be sourced from other avenues, as it may not always be feasible or reasonable to collect it directly from you. This may involve information obtained from your guardian or responsible person, other healthcare providers involved in your care (such as specialists, allied health professionals, hospitals, community health services, pathology, and diagnostic imaging services), as well as pertinent information from your health fund, Medicare, or the Department of Veterans’ Affairs when necessary.

PRIVACY AND ELECTRONIC COMMUNICATIONS

Our practice frequently receives communications via email, however in order to adhere to Australian Privacy Principals and ensure a more efficient and reliable service for our patients, we have transitioned away from email as our primary form of communication.

It’s important to note that our practice also does not engage in communication with patients via social media. We have implemented a social media policy to ensure adherence to professional standards. If you would like a copy of this policy, please inform our reception staff.

Our patients are still able to submit non-urgent enquiries via email or via our website however depending on the nature of the enquiry, should expect a 2 day turn around. For more urgent matters, we encourage our patients to phone our Practice during business hours – Monday-Friday.

Privacy is a priority for us, even on our website. Here’s how we ensure your privacy is respected:

  • Secure Connection: Our website is encrypted to protect your data when you interact with us online.
  • Limited Data Collection: We only collect necessary personal information on our website, and we’re transparent about what we collect and why.
  • Data Protection Measures: We employ robust security measures to safeguard any information you provide on our website from unauthorized access or misuse.
  • Third-Party Policies: If our website uses third-party services (like analytics or social media plugins), we ensure they also prioritize user privacy.
  • Cookie Policy: We inform you about our use of cookies and give you options to manage your preferences.
  • Clear Communication: We’re upfront about our privacy practices and provide easy-to-understand

WHERE WE STORE AND PROTECT PERSONAL HEALTH INFORMATION

This practice utilizes electronic records for efficient management of patient information. Any physical documents such as specialist letters, X-rays, CT scans, and pathology results received via post are securely stored away from public view until they are scanned into our computer system. Once the necessary actions have been taken, these documents are securely destroyed following appropriate protocols.

To ensure the security of personal health information, our practice implements various measures including screen savers, passwords, anti-viral software, firewalls, regular data backups, and maintenance routines.

Your doctor is committed to maintaining the integrity of your medical record, ensuring that it is:

  • Accurate, comprehensive, well-organized, and legible
  • Up-to-date
  • Sufficiently informative for another healthcare provider to deliver care
  • Free of offensive or irrelevant remarks
  • Includes a summary of your care
  • Can be used, with your permission, to remind you of follow-up appointments, checkups, and reviews

Your doctor will only collect information that is pertinent to your medical care. If you have any concerns or questions regarding the information being requested, don’t hesitate to ask your doctor for clarification.

WHEN, WHY AND WITH WHOM DO WE SHARE YOUR PERSONAL HEALTH INFORMATION

We occasionally share your personal information in the following circumstances:

  • With third parties collaborating with our practice for business purposes, such as accreditation agencies or information technology providers. These third parties are obligated to adhere to the Australian Privacy Principles (APPs) and our privacy policy.
  • With other healthcare providers involved in your care.
  • When required or authorized by law, such as in response to court subpoenas.
  • In situations where it is necessary to mitigate or prevent a serious threat to a patient’s life, health, or safety, or to public health or safety, or when obtaining the patient’s consent is impractical.
  • To aid in locating a missing person or to establish, exercise, or defend a legal claim.
  • For confidential dispute resolution processes.
  • When statutory requirements mandate sharing certain personal information, such as mandatory notification of certain diseases.
  • As part of providing medical services, including through electronic transfer of prescriptions and My Health Record.
  • When booking appointments online via Hotdoc.

Access to your information is restricted to individuals who require it for legitimate purposes. Outside of providing medical services or as outlined in this policy, our practice will not share personal information with any third party without your written consent.

We will not disclose your personal information to entities outside Australia (except under exceptional circumstances permitted by law) without your written consent. Our practice will refrain from using your personal information for direct marketing of our goods or services without your explicit consent. If you do consent, you retain the right to opt out of direct marketing at any time by notifying our practice in writing.

Your personal information may be utilized by our practice to enhance the quality of services we offer through research and analysis of patient data. We may provide de-identified data to other organizations to improve population health outcomes. This information is securely stored within Australia, and patients cannot be individually identified. If you prefer not to have your information included, please inform our reception staff.

HOW YOU CAN ACCESS AND CORRECT YOUR PERSONAL HEALTH INFORMATION

You have the right to access the information contained in your medical record. We believe that sharing information fosters good communication between you and your doctor, promoting optimal healthcare.

Upon request, your doctor can provide you with an accurate and up-to-date summary of your care, such as when you are relocating and transitioning to a new healthcare provider. Feel free to ask your doctor for a summary of your care for any reason. If you request access to your full medical record or a summary, your doctor may need to redact any information provided by others on a confidential basis.

Your doctor must also consider the potential risk of physical or mental harm to you or others that could arise from disclosing your health information. While there are circumstances where access may be denied, you will be informed of the reasons if this occurs. In most cases, your doctor will gladly provide a thorough explanation of the health summary or medical record provided. Please note that a small but reasonable administration fee may be charged for such access, as well as the time spent with your doctor.

If you discover that the information in your record is inaccurate, incomplete, or outdated, our practice will take reasonable steps to rectify it. We may periodically ask you to confirm that your personal information held by our practice is correct and current. Additionally, you can request corrections or updates to your information by submitting written requests to our practice via email.

We do not recommend erasing information from your record, as this may lead to incomplete documentation.

POLICY REVIEW STATEMENT

This privacy policy undergoes regular review to ensure alignment with any changes that may arise. A copy of the most recent version of the privacy policy will always be accessible at the reception desk for your reference.

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Please write your details as they appear on your Medicare Card.
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Are you of Aboriginal or Torres Straight Islander decent?
Sirona Women’s Health acknowledge the Traditional Owners and Custodians of the lands on which we work and pay our respects to Indigenous Elders past, present and emerging.
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Do you consent to Sirona Women’s Health sending you SMS reminders for your upcoming appointments/clinical reminders?
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I acknowledge that I have read and comprehend the practice privacy brochure (copy found on our website).
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