CORRELATION OF OVARIAN ARTERY DOPPLER INDICES WITH ULTRASOUND FINDINGS IN PATIENTS WITH POLYCYSTIC OVARIAN SYNDROME

Abstract

Objective: To assess prevalence of deranged ovarian artery Doppler indices with polycystic ovaries

Material & Method:

This study was conducted at the University of Lahore Teaching Hospital, Lahore, Pakistan, between July 15, 2024, and February 21, 2025, aimed to examine ovarian artery Doppler indices in women with polycystic ovarian syndrome (PCOS). After receiving ethical clearance, 210 patients aged 20-45 years with PCOS were recruited using non-probability sequential sampling. The sample size was calculated with a 95% confidence level, 6% margin of error, and an 85.4% incidence rate of disordered ovarian artery Doppler indices. Written informed consent was obtained from all participants. The study used ultrasound to record Doppler waveforms of ovarian arteries, measuring the Pulsatility Index (PI) and Resistive Index (RI). Abnormal values were considered outside the normal ranges (PI: 2.01–4.30, RI: 0.80–0.95). Data on age, BMI, residence, marital status, PCOS duration, and Doppler indices were collected. Statistical analysis using SPSS version 25.0 included chi-square tests to examine the impact of variables such as age, BMI, marital status, PCOS duration, and residence on abnormal Doppler indices, with a significance level set at a p-value of 0.05.

Results:

The study included 210 patients with a mean age of 35.00 ± 5.00 years, ranging from 20 to 45 years. The majority (53.81%) were in the 20–30 age range. PCOS were present for an average of 3.64 ± 1.59 years, and the mean BMI was 27.33 ± 4.91 kg/m². Among the participants, 20.50% were single and 79.52% were married. In terms of residence, 60% lived in urban areas, while 40% resided in rural areas. Abnormal ovarian artery Doppler values were found in 73.81% of patients. Stratification by BMI revealed that patients with a BMI below 30 kg/m² had a higher incidence of abnormal Doppler indices (P-value = 0.022), with 107 patients showing deranged values. In contrast, 40 patients with a BMI above 30 kg/m² were disordered Doppler indices. Stratification by residence showed no significant difference in Doppler indices between urban and rural patients (P-value = 0.30).

Conclusion:

According to this study, women with polycystic ovarian syndrome have high prevalence of disordered ovarian artery Doppler indices. We thus advise using aberrant ovarian artery Doppler indicators to diagnose polycystic ovarian syndrome early and promptly so that appropriate lifestyle modifications or medication may be taken to lower morbidity.