Polycystic ovaries and infertility: Our experience

Rajashekar, Lavanya; Krishna, Daida; Patil, Madhuri

doi:10.4103/0974-1208.44113

Cited by 42 publications

(27 citation statements)

References 20 publications

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“…Polycystic ovary syndrome (PCOS) is a multifactiorial and polygenic pathology that manifests itself with a wide spectrum of signs and symptoms that are related to the disturbances of reproductive, endocrine, and metabolic functions at various degrees resulting in a heterogenous presentation of the disease [1]. The diagnostic criteria for (PCOS) has undergone several changes in recent years.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular disease risk characteristics of the main polycystic ovary syndrome phenotypes

Dilbaz

Özkaya

Çınar

et al. 2011

Endocr

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The aim of this article was to evaluate the clinical, endocrine, and cardiovascular disease risk profile differences among main polycystic ovary syndrome (PCOS) phenotypes. One hundred and thirty-nine consecutive women were included in the study. Body mass index (BMI), serum follicle stimulating hormone (FSH), luteinizing hormone (LH), progesterone, estradiol, testosterone, dehydroepiandrosterone sulfate, fasting glucose, low density lipoprotein (LDL-C), total cholesterol, high density lipoprotein (HDL-C) high sensitive CRP, c-peptide, insulin, insulin sensitivity and carotid intima thickness were compared among different phenotype groups of PCOS: Group 1-PCO (polycystic ovaries)-anovulation (n = 34), Group 2-Hyperandrogenemia (HA)-anovulation (n = 30), Group 3-HA-PCO (n = 32), and Group 4-HA-PCO-anovulation (n = 43). Statistically significant differences among the different phenotype groups in terms of waist hip ratio, total cholesterol, LH, estradiol, fasting glucose, progesterone, free testosterone, and carotid intima media thickness were observed. The lowest mean CIMT was observed in Group 3, and the highest fasting glucose levels were in Group 4, while the lowest mean free testesterone was measured in Group 1. BMI, LDL-C, and total cholesterol showed significant positive correlations with CIMT (r = 0.411, P = 0.001; r = 0.258, P = 0.006; r = 0.199, P = 0.033). The lowest LDL-C, total cholesterol, and BMI were found in Group 3, but differences were not statistically significant. High-sensitive CRP levels were similar among the groups (P = 0.103). Group 3 PCOS with PCO and hyperandrogenemia phenotype has lower cardiovascular disease risk compared to other phenotypes.

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Section: Introductionmentioning

confidence: 99%

Cardiovascular disease risk characteristics of the main polycystic ovary syndrome phenotypes

Dilbaz

Özkaya

Çınar

et al. 2011

Endocr

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“…In particular, many studies underscore that treatments for assisted conception, and particularly IVF, which is the most studied of these, are a source of stress for the couple who make a great emotional investment in these treatmentssadness, depression, anxiety hopelessness, and anger are common in infertile couples underwent IVF treatment. The emotional distress is particularly great when waiting for treatment outcome, in the case of unsuccessful treatment and in the cycles following the first attempt it also depends on the ability of the couple to cope with this condition [10][11][12][13][14][15][16] .…”

Section: Variablesmentioning

confidence: 99%

Transvaginal Ultrasound Findings Among the Women Presenting with Infertility

Hussain

Das

2018

Chatt Maa Shi Hosp Med Coll J

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Introduction: Infertility is a difficult conditions for the obstetricians to dealwith. Transvaginal ultrasound (TVS) is a investigation that is primarily done to evaluate the cases of infertility cases. The objective of the present study was to document the Transvaginal Scan (TVS) findings in women presenting with infertility in a teaching hospital of Bangladesh. Methods: Subjects were women of reproductive age presenting at the teaching hospital with infertility over a one year period. As part of their management, transvaginal scans was done. TVS was done by the researcher herself and was checked by a second observer. Data was complied and analyzed by SPSS 20. Results: Among the 100 cases regarding anthropometric variables where mean ± SD of age was found 28 ± 6.7 years, weight was 56 ± 12.5 kg, height 1.57 ± 0.76 m and BMI was 24.5 ± 3.6 Kg/m2. Type of infertility revealed 75% cases were primarily infertile and 25% having secondary infertility. Comorbid diseases revealed 6% cases had DM, 4% cases had HTN, 11% cases had PID, 14% patients had thyroid problems. All the 100 cases undergone TVS study where PCO was found among 69(69%) cases, chronic pelvic inflammatory disease 14(14%) fibroids 6(6%) anatomical problems 19(19%) endometrial/cervical polyp 18(18%) free fluid in pelvic/abdominal cavity 7(7%) endometritis 5(5%) endometriosis 4(4%) adenomyosis 5(5%) chocolate cyst 8(8%) tubo-ovarian mass 2(2%) intrauterine and intra pelvic adhesions 2(2%) septate uterus 292%) pelvic abscess 1(1%) and ectopic pregnancy 1(1%). Conclusions: Polycystic Ovaries (PCO) is the major finding in women with infertility in our study. This hitherto poorly recorded pathology should be actively investigated in women representing with these symptoms by the use of TVS.

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“…[9] Polycystic ovary syndrome is one of the most common (15-20%) endocrine disorders in women of childbearing age .It was found that of the 2270 infertility patients attending infertility clinic , 46.50% (1057) had PCOS. [10] 1.2 Objectives Of The Study  To assess the prevalence of Poly Cystic Ovarian Syndrome among women attending Gyne OPD of selected hospital.  To assess the knowledge and practice of women with PCOS regarding Poly Cystic Ovarian Syndrome  To develop a Health Care Package on PCOS and its management.…”

Section: Introductionmentioning

confidence: 99%