IMPLICATIONS OF ULTRASONICALLY DIAGNOSED POLYCYSTIC OVARIES .1. CORRELATIONS WITH BASAL HORMONAL PROFILES

被引:51
作者
GADIR, AA
KHATIM, MS
MOWAFI, RS
ALNASER, HMI
MUHARIB, NS
SHAW, RW
机构
[1] Academic Department of Obstetrics and Gynaecology, Royal Free Hospital, NW3 2QG, London, Pond Street
[2] Department of Biochemistry, Faculty of Medicine, Kuwait University, Safat 13110
[3] Maternity Hospital, Safat
[4] Endocrinology Department, Sabah Hospital, Kuwait
[5] Academic Department of Obstetrics and Gynaecology, Royal Free Hospital, NW3 2QG, London, Pond Street
关键词
POLYCYSTIC OVARIES; POLYCYSTIC OVARIAN DISEASE; ENDOCRINOPATHY; MENSTRUAL DYSFUNCTION; HIRSUTISM;
D O I
10.1093/oxfordjournals.humrep.a137668
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The incidence of ultrasonically diagnosed polycystic ovaries (PCO) was studied in 389 Arab patients with different types of menstrual dysfunction and 100 normal women with regular menstruation. Two-hundred-and-forty-six patients (63.2%) were found to have PCO but only 206 (53.0%) were confirmed as cases of polycystic ovarian disease (PCOD) on endocrine grounds. Polycystic ovaries were diagnosed in 50% of patients with hyperprolactinaemia, 36.4% with hypothyroidism, 23.7% with hypothalamic dysfunction, 100% with adrenal 21-hydroxylase deficiency and in 16.0% of normal women. More women with PCOD presented with oligomenorrhoea or dysfunctional uterine bleeding (77.7%) and hirsutism (72.3%) but obesity had no discriminating value between the groups with different diagnoses. Ultrasonic diagnosis of PCO should be supplemented with an endocrine biochemical assessment to prevent overdiagnosis of PCOD and to exclude other endocrine dysfunctions.
引用
收藏
页码:453 / 457
页数:5
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