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KMID : 0358419930360050695
Korean Journal of Obstetrics and Gynecology
1993 Volume.36 No. 5 p.695 ~ p.699
Correlation of the Ultrasonic PCO-like Multicystic Ovaries with Clinical, Hormonal and Ultrasonic Findings



Abstract
Twenty infertile patients with ultrasonic multicystic ovary were studied and correlated to the clinical and hormonal findings. All sujects were oligomenorrheic or amenorrheic and no hormonal treatment for at least 3 months before the study.
Patients
with hyperprolactinemia or abnormal thyroid function were excluded in this study. Clinical, hormonal and ultrasonic studies were done at random but a few of them at 3~5th menstural cycle day. Twenty patients were classified as polycystic ovaries
(PCO)&
non-PCO group by the arbitrarily made criterias. (PCO group: LH>20mIU/ml and LH/FSH ratio>2.5, non-PCO group: LH<20 mIU/ml and LH/FSH ratio<2.5).
The results showed that in the PCO & non-PCO group the LH level was 31.68¡¾10.61mIU/ml versus 16.83¡¾7.75 mIU/ml (p<0.05), the FSH level was 9.31¡¾3.99mIU/ml versus 13.16¡¾3.01mIU/ml(p<0.05), the testosterone level was 0.73¡¾0.30ng/ml versus
0.45¡¾0.23ng/ml(p<0.05) respectively, but maximum ovarian surface area did not show significant difference between two groups (8.29¡¾2.24cm versus 6.71¡¾1.66cm, p=0.10).
In the diagnosis of PCO with vaginal ultrasonography, ultrasonic ovarian findings(multicysts stromal hyperplasia) must be very useful, but ovaries with multicysts or confluent type cyst do not always mean PCO and vice versa. Therefore, clinical
and
hormonal findings should be taken into account along with the ultrasonic findings to achieve more accurate diagnostic efficiency.
KEYWORD
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