Abstract

1. To assess the sonographic features of both ovaries and endometrium in female patients of reproductive age group with clinical profile of polycystic ovarian syndrome using transabdominal ultrasonography (transvaginal ultrasound wherever possible). 2.To determine the association between sonographic features of both ovaries and endometrium with biochemical profile of the patients (wherever possible). Material and methods: A minimum of 100 patients referred from Obstetrics and Gynaecology Department to the Department of Radiodiagnosis and Imaging, Government Medical College, Amritsar with clinical suspicion of features of polycystic ovarian syndrome for pelvic ultrasonography in a period of two years were subjected for the study. Results: Among 100 patients with clinical suspicion of polycystic ovarian syndrome 70 % of the patients were under 25 years and 73 % were unmarried. Oligomenorrhea was the main complaint in most of the patients and overweight & obesity in 63% of the patients followed by hirsutism (43%) and subfertility (27%). Follicles equal to or more than 12 per ovary was observed in 67% of the patients and 64% had ovarian volume ≥10 cc. 91% of the patients had 2-9 mm follicles. Echogenic stroma was observed in 97% of the patients and 38% showed ≥10mm stromal thickness. Ovarian features on ultrasonography were well correlated with biochemical profile. BMI ≥25kg/m2 and raised free testosterone were good predictor of polycystic ovaries. Conclusions: The sonological ovarian and endometrial features in patients with clinical suspicion of polycystic ovarian syndrome correlated well with clinical and biochemical profile in statistically significant number.

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