Objective: To study the role of color Doppler as diagnostic criteria in PCOS.
Material & Method: The present study was a 6 month prospective randomized open parallel group comparative study in which efficacy of color Doppler as a diagnostic criterion in PCOS was evaluated. The present study was conducted in the Department of Obstetrics and gynaecology, Govt. Medical college, Rajindra Hospital, Patiala on 50 PCOS and 20 Non PCOS patients attending the OPD.PCOS patients were assessed for BMI, FBS, FSH values and LH values Ultrasonography machine Philips En Visor was used for color Doppler in post menstrual phase of menstrual cycle through transabdominal route. PI and RI was calculated electronically by ultrasonography machine.
Results: The mean age of presentation was 22.94 ±2.91 and 24.45±2.06 in PCOS and NON PCOS groups respectively.100% patients presented with menstrual irregularity in PCOS group and 15% in NON PCOS group. In PCOS group 64%, 96% and 3% patients presented with hirsutism, polycystic ovaries on usg and infertility respectively while 10% had hirsutism and none had polycystic ovaries on usg and infertility in NON PCOS group. In both groups difference between clinical presentation was significant. Mean BMI of PCOS group was 26.00 ± 3.55 and in NON PCOS group mean BMI was 23.24 ± 2.24 and the difference was significant. Mean value of FSH, LH and LH/FSH was 7.71±2.49, 19.78± 8.61 and 2.67±1.04 respectively in PCOS group. Mean RI of uterine artery in PCOS group and NON PCOS group was 0.86 ± 0.092 and 0.73 ± 0.097 respectively. The difference was highly significant. Mean PI of ovarian artery in PCOS group and NON PCOS group was 1.29 ± 0.84 and 1.46 ± 0.51 respectively. The difference was significant. Mean RI of ovarian artery in PCOS group and NON PCOS group was 0.75 ± 0.24 and 0.78 ± 0.26 respectively. The difference was significant.
Conclusion: The color Doppler ultrasonography can be used as a diagnostic criteria in suspected cases of PCOS.