Open AccessEVALUATION OF PCOS IN OBESE AND NON-OBESE PATIENTS USING TRANSVAGINAL OVARIAN AND UTERINE ARTERY COLOR DOPPLER
Author(s) -
Alka Agrawal,
Vivek Yonati,
Gaurav Bhandari,
Ark Sarkar,
Prakhar Nigam
Publication year - 2021
Publication title -
global journal for research analysis
Language(s) - English
DOI - 10.36106/gjra/9006894
Subject(s) - medicine , uterine artery , infertility , polycystic ovary , population , ovarian artery , gynecology , obesity , insulin resistance , pregnancy , gestation , biology , genetics , environmental health
Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder of premenopausal(1) women affecting approximately 5-10% of female population in their reproductive years . The clinical,biochemical as well as the radiological spectrum of PCOS and their correlations have gained importance over the years owingto complex pathophysiology of this syndrome, which still remains partially understood. Aims & Objectives: To studyhemodynamic changes in ovarian and uterine arteries in PCOS patients using color doppler ultrasound, along with theirclinical and biochemical parameters. A total of 60 patients with clinical history of infertility Methods: (30 obese & 30 non-obese)and 30 control (fertile women) were taken, who underwent transvaginal ultrasound and color doppler scan, and werecorrelated clinically and hormonally. Results: The ovarian artery mean pulsatility index (PI) was observed to be 4.05 in controlgroup and 2.58 among PCOS cases, which is signicantly decreased in cases. Comparing non-obese and obese PCOS cases,the mean ovarian artery PI was found to be 2.65 and 2.51 respectively. The difference was not signicant. In our study, theresistive index (RI) of ovarian artery also showed a signicant decrease among PCOS cases with mean value of 0.62, comparedto 0.9 in the control group. The PI and RI of uterine artery in both obese and non-obese cases were signicantly increased incomparison to control group. Transvaginal colour doppler helps in adequate evaluation of haemodynami Conclusion: cchanges in small vessels of utero-ovarian circulation. It can aid in diagnosis as well as serve as prognostic indicator in patientssuffering from PCOS.