A study to identify and assess the sonological features in patients with clinical features of polycystic ovarian syndrome

Abstract

Background and Objectives: Polycystic ovarian syndrome is a heterogeneous endocrine disorder affecting women of reproductive age group characterized by a combination of polycystic ovarian morphology, clinical features and biochemical indices. The objective of this study was to identify the sonological features of ovaries and endometrium. Methodology: Pelvic ultrasonography was performed in the patients clinically suspected of having polycystic ovarian syndrome. Previously established cases of polycystic ovarian syndrome and patients with any other known health problems were excluded. Statistical analysis included only those patients having complete data. Results: The age range of 60 patients with clinically suspected polycystic ovary syndrome was 15 to 35 years. The mean age distribution was 26 years. Majority (66.67%) of the patients were below 25 years. Majority (70%) of the patients were unmarried. Most(70%) of the patients showed more than 12 follicles per ovary and peripheral arrangement of the follicles was the most common finding in these patients and it was observed in all. Maximum number (83.33%) of the patients showed 2-9mm follicles.≥ 10cc volume was observed in 62% of the patients. Volume range was 7cc to 24cc. 37 % had stromal thickness more than 10mm. Stromal thickness range was 7mm to 14mm. In 98.33 % of the ovaries stroma appeared echogenic. Conclusion: The sonological ovarian features in patients with clinical suspicion of polycystic ovarian syndrome correlated well with clinical features