Polycystic Ovarian Syndrome (PCOS) is a prevalent disorder of women of the reproductive age. An accurate assessment of ovarian morphology and other related characteristics is necessary for the diagnosis and treatment. Pelvic ultrasonography is essential for evaluating ovarian features and excluding other disorders. The objective of this research was to examine the function of pelvic ultrasonography in assessing individuals with PCOS, with a specific emphasis on its ability to accurately diagnose the condition and its clinical significance. The research included 150 individuals and all the patients have undergone pelvic ultrasonography over two years. Of 150 patients, 75% of them were below the age of 25, of which 72% of them were unmarried. The primary concern reported by the most of patients was oligomenorrhea, followed by overweight or obesity. 46% of patients reported hirsutism, while subfertility was reported in only 26%. 64% of the patients had follicles numbering 12 or more per ovary, whereas 64% had an ovarian volume equal to or more than 10.0 cc. The study found that 93% of the patients had follicles measuring between 3-9 mm. 97% of the patients had echogenic stroma, while 38% had a stromal thickness of 10 mm or more. A body mass index equal to or more than 25 kg/m2, together with elevated levels of free testosterone, were shown to be reliable indicators of polycystic ovaries. Sonological characteristics of the ovaries in addition to the endometrium in a patient with the suspected polycystic ovarian disorder were strongly associated with their clinical and biological profile.
Key words: BMI, Endometrial thickness, Pelvic ultrasound, Polycystic ovarian syndrome, Testosterone
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