Ultrasonographic and Hormonal Evaluation of Clinically Suspected Cases of Polycystic Ovarian Syndrome

Nikita M. Singh, Deepak Kamat, Parth Patel, Tupe N.B.

Abstract


Polycystic ovarian syndrome (PCOS) is a physiological disorder that causes many negative effects involving a variety of systems in the body, such as the endocrine, metabolic, psychological, and reproductive systems. An individual may present with a variety of reproductive, metabolic, and psychological problems. Method: In this descriptive cross-sectional study, women of reproductive age group (15–35 yrs), presenting with infertility, irregular menstruation, acne, hirsuitism and obesity were included. Consecutive sample method and total 139 patients were included. Detailed history with specific emphasis on history of infertility, age, menstrual history (oligomenorrhoea; regular or irregular menses), and obesity was done. Serum FSH, LH, and LH:FSH ratio levels were estimated. TVS/ TA, increase in number of follicles in ovary (multiple follicles), and increase in ovarian volume were noted. Result: Out of the 139 patients studied at PRH, maximum patients (88.5%) had normal levels of Sr. LH. These normal levels were of follicular and luteal phase. Remaining 16 (11.5%) had increased levels of Sr. LH. Out of the 139 patients studied at PRH, majority (99.3%) of the patients had normal levels of Sr. FSH. These normal levels were of follicular and luteal phase. Only 1(0.7%) patient had decreased level of Sr. FSH. Of the 139 patients studied at PRH with evidence of PCOS, 58 (41.7%) patients had increased ratio of Sr. LH:Sr. FSH (i.e., >2:1). Remaining 81(58.3%) patients had normal ratio. In the present study of 139 patients, 65 patients had exclusive USG findings, 13 (9.4%) patients had exclusive hormonal evidence and 45 patients had combined USG and hormonal evidence. Overall 16 (11.5%) patients had neither of the evidence (although they had clinical features of PCOS). Conclusion: Hormonal evidence of PCOS was present. Of these serums, LH levels were raised in majority of the cases and also raised LH:FSH ratio despite the values of hormones being in normal range. Both, i.e., USG alone and USG combined hormonal, were good evaluators for clinically suspected cases of PCOS.

KEYWORDS: Polycystic ovarian syndrome, Hormonal levels, USG findings, Serum, FSHLH PCOS hyperandrogenism


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