value of transvaginal ultraonography in the diagnosis of polycystic ovary disease

ABSTRACT

Transvaginal ultrasonic examination [TVS] was done to 45 women with the clinical, as well as laboratory, diagnosis of PCOD attending the Infertility Clinic of Sohag University Hospitals and to 30 healthy fertile women attending the Family Planning Clinic who accepted to serve as controls. The idea was to test the ability of TVS to discriminate between normal and polycystic ovaries by putting cut off values to ovarian volume, follicular number and size, as well as stromal echogenicity, and to find the pattern of follicular arrangement in such condition. The mean values [mean +/- SD] for the ovarian volume [ml], follicular number and size [ml] were 12.4 +/- 2.5, 12.3 +/- 2.6 and 3.3 +/- 0.5 for PCOD and 8.9 +/- 1.2, 5.3 +/- 2.2 and 4.9 +/- 0.6 for the controls, respectively, the differences were highly significant [p < 0.001]. Ovarian stromal echogenicity was increased in 91% of PCOD and in 6.7% of controls and the follicles were predominantly subcapsular in 71% of PCOD. TVS is an accurate, simple and safe method for diagnosis of PCOD with adequate precision particularly when more than one parameter is considered together