POLYCYSTIC OVARIAN DISEASE

THE DIAGNOSIS AND MANAGEMENT

Abstract

Introduction: Poly Cystic Ovarian Disease (PCOD) is probably one of the most common
endocrinological disorders amongst the women during their reproductive years. Using USG criteria only 20-33% of
apparently healthy women in childbearing period, have been found to have PCOD in population study. Whereas
prevalence of 4-10% in women of reproductive age is commonly reported when the diagnosis is based on clinical,
biochemical and US scan features. Objective:-Diagnosis and management of polycystic ovarian disease. Setting Seyal
Medical Centre, Multan. Duration From January 2002 to December 2003. Material and Methods: Sample size: 200
patients. Results: Most of he patients were in the age group of 21-30 years. The youngest patient was of 17 years and
eldest was of 42 years. Majority of the women were nulliparous or of low parity comprising 92% of cases. The
commonest symptom was menstrual disorder in 168 Patients (84%). Ultrasound is very helpful for diagnosis of POD.
About 80% of patients were diagnosed as PCOD on ultrasound. There is increased level of LH in 72% patients, 8%
have raised prolactin levels. All patients were first treated with clomiphene citrate while surgical treatment is done in
only 30% of cases. GnRH analogue and purified FSH were not used because they are quite expensive. Conclusion:
PCOD is found to be one of the commonest problem in reproductive years of life. Clomiphene citrate is first line
treatment in PCOD for infertility. Laparoscopic drilling has very good results especially in clomiphene resistant cases.