Evaluating the value of sonographic criteria for polycystic ovary compared to endocrine profile

ABSTRACT

To evaluate the reliability of using transvaginal sonography criteria and Doppler examination for diagnosis of polycystic ovarian disease compared to hormonal profile of these cases. prospective controlled trial. Kasr El-Aini Hospital. Participants and Seventy eight women were enrolled in the present study. Forty eight of them were infertile women shown to have elevated LH/FSH ratio [Group I]. Group II included 30 apparently normal parous women nonhirsute, non obese, with normal menstrual rhythm. Detailed assessment of the ovary for all cases was done using transvaginal ultrasonogmphy and Doppler examination and the following was recorded ovarian volume, stromal width, number of follicles, and peak stromal blood flow velocity. The mean ovarian volume in the study group [13.4] was significantly higher than mean ovarian ' volume in the control group [7.8] [P <0.05]. The mean number of follicles in the study group [11.2] was significantly higher than that of the control group [4.3] [P <0.05]. The mean stromal width in the study group [16.3mm] was also significantly higher than that of the control group [8.8mm] [P <0.05]. Peak stromnl blood flow velocity also showed significant difference between both groups [9.6 vs 6,6 [cm/s]]. Increased stromal width showed the highest sensitivity amongst all the ultrasonographic morphological criteria. Transvaginal ultrasonography is a valuable tool for diagnosis of FCO. Stromal width as a single test appears to be the most favorable screening test to predict endocrine abnormalities characteristic for PCOS