A correlation of clinical, hormonal and ultrasonography features of polycystic ovarian syndrome among adolescent and reproductive age group women attending OPD in Navodaya medical college

Authors

  • Rita D. Department of Obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, India
  • Geethanjali M. P. Department of Obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, India
  • Kappu Shanthi Reddy Department of Obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231921

Keywords:

Hirsutism, Polycystic ovarian syndrome, Obesity, Oligomenorrhoea

Abstract

Background: Polycystic ovarian syndrome is the most common complex endocrine disorder in women of reproductive age. It is characterized by an array of clinical, endocrinal and metabolic manifestation. Aim of this study was to examine the correlation between clinical, hormonal and ultrasonography features in women diagnosed as polycystic ovarian syndrome.

Methods: A cross sectional study of 100 reproductive age group women who had irregular cycles and polycystic ovarian morphology on ultrasound. Data about the menstrual history and anthropometric measurements were collected. Clinical observations were like hirsuitism and acanthosis nigricans was noted.

Results: In all 100 PCOS women were studied and analysed. The mean age was 24.27(±5.64), mean BMI was 26(±4.8). Among the PCOS women 82% had oligo menorrhoea, 38% had hirsuitism and LH:FSH ratio deranged in 37% cases. The association between women having oligomenorrhoea and obesity with PCO morphology on scan was statistically significant.

Conclusions: Young women who are diagnosed as dysregulated PCO are at a high risk to develop PCOD and long term sequel such as diabetes, hypertension and infertility. Lifestyle modification is advisable for managing symptoms and preventing long term complications and have a quality life.

References

Hugh TS, Lubna P, Emre S. Speroff`s Clinical Gynecologic Endocrinology and Infertility. 9th Edition. Lippincott Williams & Wilkins (LWW); 2019:953-85.

Dipankar B, Kumar MS, Satinath M, Mamata P. Clinical correlation with biochemical status in polycystic ovarian syndrome. J Obstet Gynecol India. 2005;55(1):67-71.

Malhotra N, Kumar P, Malhotra J, Bora NM, Mittal P. Jeffcoate-s Principles of Gynaecology. 8th Ed. Jaypee Brothers Medical Publishers Pvt. Limited; 2014:384-93.

Stein IF, Leventhal ML. Amenorrhoea associated with bilateral polycystic ovaries. Am J Obstet Gynecol. 1935;29(2):181-91.

Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long term health risks related to PCOS. 2003;81(1):19-25.

RCOG. Polycystic ovary syndrome, 2022. Available at: https://rcog.org.uk/media/q5ijt5ur/pi_pcos_update-2022.pdf. Accessed on 08 February 2022.

Muralidhara KD, Adhikari PM, Muralidhara DV. A study on the clinical, biochemical and hormonal profile of polycystic ovary syndrome patients attending tertiary care hospital. Indian J Basic Appl Med Res. 2015;4(3):227-36.

Ramanand SJ, Ghongane BB, Ramanand JB, Patwardhan MH, Ghanghas RR, Jain SS. Clinical characteristics of polycystic ovary syndrome in Indian women. Indian J Endocrinol Metab. 2013;17(1):138-45.

Spandana JC, Shetty PKK. A study on the clinical, biochemical and hormonal profile of polycystic ovary syndrome patients attending tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6:1986-92.

Thangavelu M, Godla UR, Godi S, Paul SF, Maddaly R. A case-controlled comparative hospital-based study on the clinical, biochemical, hormonal, and gynecological parameters in polycystic ovary syndrome. Indian J Pharm Sci. 2017;79(4):608-16.

Najem F, Elmehdawi R, Swalem A. Clinical and biochemical characteristics of polycystic ovary syndrome in Benghazi- Libya; a retrospective study. Libyan J Med. 2008;3(2):71-4.

Downloads

Published

2023-06-28

Issue

Section

Original Research Articles