COMPARISON OF OVARIAN STROMAL BLOOD FLOW BETWEEN FERTILE WOMEN WITH NORMAL OVARIES AND INFERTILE WOMEN WITHPOLYCYSTIC OVARIAN SYNDROME: A CROSS SECTIONAL ANALYTICAL STUDY
DOI:
https://doi.org/10.71000/b9yw2580Keywords:
Polycystic Ovarian Syndrome, Ultrasound, InfertilityAbstract
Background: Polycystic ovary syndrome (PCOS) is the commonest endocrine disorder in women of reproductive age as this syn- drome may affect 5–10% of premenopausal women (Franks, 1995). Women with this syndrome may present with one, all or any combination of menstrual irregularities, chronic anovulation, infertility, obesity and hyperandrogenism.
Objective: To compare the Doppler indices of ovarian stromal blood flow between fertile women ovaries and infertile women with polycystic ovarian syndrome.
Methodology: A cross sectional analytical study was conducted in 9 months at Radiology Department, Northwest General Hospital & Research Center Hayatabad Peshawar. 60 patients were selected with Convenient sampling technique, fertile married females with age 18-40 and infertile married females with age 18-45 who diagnosed with PCOs included in this study. Patients with any uterine anomaly, any acquired and congenital uterine abnormality, infertility caused by other than PCOS, females taking any medication for fertility were excluded.
Results: The mean of resistive index of right ovarian stromal artery in infertile women was 0.5871 and in fertile it was 0.6069. Their S/D were 0.16880 and 0.14375 respectively. The mean of Pulsatility index of right ovarian stromal artery in infertile was 1.7774 and in fertile it was 2.4483. Their S/D 0.98275 and 1.48435 respectively. The mean of Pulsatility index of left ovarian stromal artery in infertile was 2.3194 and in fertile it was 1.8310. Their S/D 1.84380 and 1.08697 respectively. The mean of peak systolic velocity of left ovarian stromal artery in infertile women was 62.4677 and in fertile it was 65.9207. Their S/D were 13.88571 and 15.41637 respectively. The mean of end diastolic velocity of left ovarian stromal artery in infertile was 15.6032 and in fertile it was 15.0034. Their S/D 2.52514and 3.50443 respectively. The mean of age was 26.6000 and S/D 4.50311. The mean of BMI was 21.1450 and S/D 2.47115.
Conclusion: Fertile females and PCOS women had similar ovarian Doppler flow indices. Normal weight PCOS women had significantly higher ovarian stromal Doppler flow indices than their overweight counterparts.
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