OP18.07: Assessing correlation between ovarian and stromal volumes and fasting and postprandial insulin levels in PCOS patients

Nagori, CB; Panchal, Saminder

doi:10.1002/uog.5816

Cited by 1 publication

(1 citation statement)

References 2 publications

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“…It is the stromal volume that can be best correlated with fasting insulin levels followed by ovarian volumes and AFC. 25 A similar study has also been done earlier. Study by Pache et al has shown that the degree of insulin resistance can be correlated with ovarian volume and stromal echogenecity.…”

Section: Ov Volume Right Leftsupporting

confidence: 54%

Baseline Scan and Ultrasound Diagnosis of PCOS

Nagori¹

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Success of any assisted reproductive technology is dependent on selection of correct stimulation protocol. This is based on prestimulation assessment of female to assess ovarian response and reserve. But, this assessment can also be done by ultrasound scan on 2nd to 3rd day of menstrual cycle, named as 'baseline scan'. This scan is done to categorize ovary into one of the four types: Normal ovaries, low reserve ovaries, poorly responding ovaries and polycystic ovaries. Patients with polycystic ovarian syndrome have variable pictures of ovaries on ultrasound. Understanding the evolution of polycystic ovarian syndrome can explain these variations. Moreover, ultrasound findings can also be correlated with the biochemical and hormonal derangements. This scan also predicts the ovarian reserve and response that can guide to decide the stimulation protocols for ART. This scan includes the use of b mode, Doppler and 3D ultrasound with 3D power Doppler. It consists of assessing ovarian size, antral follicle count (AFC), stromal echogenecity and stromal flow chiefly. Dose calculation is chiefly done based on ovarian volume, AFC and stromal flow.

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Section: Ov Volume Right Leftsupporting

confidence: 54%