Color doppler sonographic analysis of uterine and ovarian artery blood flow in women with polycystic ovary syndrome

✍ Scribed by Sebiha Özkan; Birol Vural; Eray Çalışkan; Harika Bodur; Erkan Türköz; Füsun Vural

• Publisher: John Wiley and Sons
• Year: 2007
• Tongue: English
• Weight: 330 KB
• Volume: 35
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.20358

✦ Synopsis

Abstract

Purpose.

To study the blood flow patterns of utero‐ovarian circulation in polycystic ovary syndrome (PCOS) and to assess their relationship with clinical, metabolic, and hormonal data.

Methods.

Forty‐three women with PCOS and 43 age‐matched healthy controls underwent Doppler examination of the utero‐ovarian circulation in the follicular phase. Demographic, hormonal, and metabolic parameters were determined. Student's t‐test, χ^2^‐test, and Spearman correlation test were used for statistical analysis.

Results.

The ovarian artery pulsatility index (PI), resistance index (RI), and SD ratios were significantly lower in PCOS than in controls on the right side (p < 0.001, p = 0.02, p = 0.001, respectively) as well as on the left side (p < 0.001, p < 0.001, p < 0.001, respectively). The uterine artery systolic/diastolic (S/D) ratio was higher on both sides (p = 0.01) and the PI was higher on the left side (p = 0.02) in PCOS than in controls. The right uterine artery PI was positively correlated with luteinizing hormone and hemoglobin (r = 0.417, p = 0.043; r = 0.427, p = 0.033, respectively), the right uterine artery S/D was positively correlated with body mass index (r = 0.479, p = 0.015), and the left uterine artery PI was positively correlated with insulin (r = 0.458, p = 0.021).

Conclusion.

Doppler sonography of the utero‐ovarian circulation may contribute to the evaluation of PCOS patients and a better understanding of the pathophysiology of this syndrome. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007