CAN ULTRASOUND SUBSTITUTE LAPAROSCOPY IN DIAGNOSIS OF POLYCYSTIC OVARIAN SYNDROME?

Abstract

Objective : To determine the diagnostic threshold of ultrasound in detecting PCO and to correlate it with clinical, hormonal and laparoscopic findings of polycystic ovarian disease. Study design: Cross sectional study. Setting: Aga Khan University Hospital, Karachi. Duration: From 2004 to 2006 for two years. Outcome measure: Presence of polycystic ovaries on ultrasound. Presence of polycystic ovaries on laparoscopy. Results: The sensitivity of ultrasound in diagnosing PCO is 87.7% and specificity is 99%. The sensitivity and specificity of S. LH S. Prolactin and S. Insulin are 38% and 100%, 13% and 90%, and 68% and 50% respectively Conclusion: This study showed that regarding morphology, ultrasound studies are nearly as informative as laparoscopy. The noninvasive natures of ultrasound makes repeat scans and follow up of ovarian response to therapeutic measure possible. KEY WORDS: Polycystic ovaries, Ultrasound, Laparoscopy.