Frequency Of Ovarian Artery Doppler Indices in Patients of Polycystic Ovarian Syndrome: Ovarian Artery Doppler Indices in Patients of Polycystic Ovarian Syndrome

Zubair  Janan Orakzai; Tabassum Begum; Bakht  Rokhan; Fahmida  Sattar; Fauzia  Rashid; Ayesha  Kamran

doi:10.54393/pbmj.v5i6.549

Authors

Zubair Janan Orakzai Diagnostic Radiology, Bkmc / Mmc, Mardan
Tabassum Begum Diagnostic Radiology, Bkmc / Mmc, Mardan
Bakht Rokhan Saidu Medical College / Saidu Teaching Hospital Saidu Sharif Swat
Fahmida Sattar Gynae/Obs, Seikh Khalifa Bin Zayed Hospital Quetta
Fauzia Rashid HBS General Hospital Islamabad
Ayesha Kamran Sargodha Medical College Dhq Hospital Sargodha

DOI:

https://doi.org/10.54393/pbmj.v5i6.549

Keywords:

Doppler Ultrasound, Polycystic Ovarian Syndrome, Deranged ovarian artery, Doppler indices.

Abstract

Polycystic ovarian syndrome (PCOS) is a common endocrine disorder. It is characterized by changes in Doppler indices of ovarian arteries. These changes are more prominent than the morphological changes of ovary and uterus. Objective: The aim of the analysis was to calculate the percentage of deranged ovarian artery in patients with polycystic ovarian syndrome ovarian patients. Methods: This observational study was conducted on total 225 women of reproductive age ranging between 18-40 years presented with the PCOS at the hospital. The gold standard for diagnosis of deranged ovarian artery in PCOS is transvaginal ultrasound. The Doppler ultrasound helps to calculate the resistive and pulsatility indices of ovarian artery. The pulsatility Index and Resistive Index was calculated and percentage frequency was estimated from the calculated results. Ovarian blood flow is deranged if its indices are above or below the normal range. The resistive index (RI) measured by Doppler imaging was between 0.80 to 0.95 and pulsatility index (PI) range was between 2.01 to 4.30. The data were arranged according to BMI of patients. The age and duration of PCOS were also considered for data stratification. Results: The study showed that about 191 (85%) patients out of 225 with PCOS have deranged ovarian artery Doppler. The range of pulsatility index was between 2.01 to 4.30 while the range of resistive index was between 0.80 to 0.95. The mean duration of PCOS and means age of patient was calculated. It was found that the deranged ovarian blood flow was more common in the women of age 27-5.9 years. 18.4-7.1 months was the mean duration of PCOS. The mean BMI of the patient was 27.2-4.9kg/m².Conclusion: A significant number of women suffering from PCOS have deranged ovarian artery Doppler indices. This study evaluated the putative role of Doppler indices in diagnosis of suspicious PCOS patients.

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