Pregnancy outcome in women with polycystic ovaries

ABSTRACT

To examine the influence of polycystic overies on pregnancy outcome. This study was performed on sixty women who have sonographic evidence of polycystic ovaries with or without raised luteinizing hormone [LH] to follicle stimulating hormone [FSH] ratio over two years duration using ultrasound and endocrinologcal tests. No significant difference was found in pregnancy rate between women who had raised LHFSH ratio and those who had not [p=Ns], but miscarriage rate differed significantly with higher incidence among those with raised ratio [p=0.018]. for women who have had recurrent spontaneous abortions, there was no significant difference in pregnancy rate [p=NS] between those with raised and normal LHFSH ratio, but showed higher incidence and significant difference in miscarriage rate [[p=0.03] among those with raised ratio. For women with androgenic manifestations, there was no significant difference in pregnancy outcome between those with raised and normal LHFSH ratio. The raised LHFSH ratio characterizing the polycystic ovary syndrome is a significant predictor of pregnancy outcome. Women with raised ratio have increased tendency to miscarriage