Significance of Ovarian Stromal Blood Flow Measurement Between Fertile Women with Normal Ovaries and Primary Infertile Women with Polycystic Ovary Syndrome.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Background: Polycystic ovary syndrome is the commonest endocrine disorder in women of reproductive age as this syndrome affect about 5-10% of premenopausal women. Objective : To determine Doppler flow changes within ovarian stroma in women with polycystic ovary syndrome and compare the ovarian stromal blood flow and serum LH,FSH concentration in fertile women with normal ovaries and primary in fertile women with polycystic ovary syndrome . Method : Samples of women who will attend to our gynecologic clinic in Elwyia maternity teaching hospital in Baghdad/Iraq ,from beginning of March to end of September 2014. Fifty cases of fertile women with normal ovaries control group and fifty cases of study group .Primary infertile women with PCOS confirmed by clinical examination ,investigation ( Day 2-4 FSH,LH) and transvaginal Doppler ultrasound to determine total antral ( AFC) ,total ovarian volume ,total ovarian vascularzatian index (VI) ,flow index (FI) and vascularization flow index (VFI). Results: The frequency and percentage of amenorrhea, hirsutism and infertility were increased among overweight PCOS patient . Patient with PCOS showed significantly higher serum LH concentration ,but serum FSH was significantly lower in PCOS than normal groups. Mean serum LH was significantly higher in overweight than normal weight PCOS patient . Fertile centrals and PCOS women has similar total ovarian VI/FI/VFI after controlling the age of women .PCOS women had significantly higher total AFC, total ovarian volume than fertile controls. Total ovarian VI/FI/VFI were significantly higher in normal weight ( BMI < 25Kg/m2 ) PCOS than their overweight (BMI ≥ 25 Kg/m2 ). Conclusion : Fertile controls and PCOS women had similar total stromal ovarian 3D power Doppler indices ( VI/VF/VFI) .Normal weight PCOS women had significantly higher total ovarian 3D power Doppler indices than their overweight counter parts.
Authors and Affiliations
Inas Taha A. Hamad, Sana Abdulhasan Khalaf, Ikhlas Daram Blawa
Keywords
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- EP ID EP375575
- DOI 10.9790/0853-1706014549.
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