Fifty female patients at the reproductive age were subjected for evaluation and consultation at the infertility clinic. Their complete histories were recorded and included the type of infertility, duration, patient age, parity, gravity and menstrual abnormalities. For each, a general examination and special gynecological examination including concentration on evidence of Hirsutism, acne and obesity was considered. Blood samples were taken at early follicular phase of menstruation for Radioimmunoassay (RIA) to determine Luteinizing hormone (LH) and follicular stimulating hormone (FSH) levels. Trans-vaginal ultrasound was conducted during early follicular phase of menstrual cycle. Biochemical investigations on patients with PCOS showed that there is a direct relationship between ovarian size and stromal echogenicity. The PCOS presented with secondary infertility of 64%, while, it was 16% in the primary phase. PCOS was recorded more common in urban area (70%), while, it was 30% in rural area. The use of ultrasound is more accurate than biochemical investigations in the diagnosis of PCOS.
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