Doppler Study of Uterine and Ovarian Arteries in Relation to Clinical and Laboratory Findings in Cases of Polycystic Ovarian Syndrome

Abstract

Objectives: To conduct Doppler assessments of ovarian and uterine blood flow, comparing these findings with clinical and laboratory observations in women diagnosed with Polycystic Ovarian Syndrome (PCOS).Study Design: A cross-sectional study.Patients and Methods: This study was conducted involving 107 PCOS-diagnosed women. Clinical examinations, hormonal assays, and transvaginal Doppler assessments of ovarian and uterine arteries were performed. Correlations between body mass index (BMI), hormonal levels, hirsutism, menstrual irregularities, and Doppler indices were analyzed.Results: The patients had an average age of 25.47 years, with a Body Mass Index (BMI) ranging from 22 to 36.4 kg/m². Significant correlations were noted between BMI and ovarian Doppler indices (Resistive Index (RI), Systolic to Diastolic (SD) ratio, and Pulsatility Index (PI)), as well as uterine artery Doppler measurements (RI, PI, and SD ratio). Hormonal levels showed significant correlations with uterine and ovarian sizes, with Luteinizing Hormone (LH) demonstrating positive correlations with uterine size and negative correlations with specific ovarian parameters.Conclusion: The study showed significant correlations between BMI, hormonal levels, hirsutism, menstrual irregularities, and Doppler measurements of uterine and ovarian blood flow in PCOS patients.