Comparison Uterine And Stromal Ovarian Doppler Flow In Patients With Polycystic Ovary

Abstract

Context: Polycystic ovarian syndrome (PCOS) is prevalent in Kurdistan region/Iraq. Earlier identification of PCOS is essential in proper management. Objective: Comparing women with PCOS to healthy ovulatory fertile women in order to evaluate the Doppler haemodynamic alterations in uterine artery and ovarian artery. Methods: A prospective case control study conducted in two major hospitals located at Erbil city in duration of one year from 1st of February 2024, to 31st of January, 2025 on sample of fifty women with PCOS and another sample of fifty controls. Detection of PCOS was implemented in regard to Rotterdam criteria. Findings: In comparison to controls, women with PCOS had considerably larger ovarian volumes and follicle counts on ultrasonography. Women with PCOS had a considerably lower Doppler right ovarian systolic/diastolic ratio than controls. The pulsatility index of the right and left uterine arteries was markedly elevated in women with PCOS compared to the control group. The mean resistance index of the left uterine artery was considerably elevated in women with PCOS compared to the control group. Conclusions: The polycystic ovarian syndrome can be recognized with the help of colour Doppler ultrasound.