Hormonal profile of patients having micropolykystic ovary with echographic diagnostics

Abstract

Background: Micropolycystic ovarian syndrome (PCOS) is a condition that has a clinical and biological polymorphism, neither constant nor specific, that has given it a consensual definition. In practice, biological assays are very little carried out in our regions and the diagnosis of sopk is based on the ultrasound criterion, the appearance of which is neither specific nor pathognomonic, as is clinical and biology. The objective of this work was to establish the hormonal profile of patients diagnosed sopk on ultrasound in our country. We performed a descriptive retrospective study of 56 patients in Abidjan who met the ultrasound sopk criteria and had a minimum hormonal balance (FSH and LH). RESULTS: The mean age was 30.17 years and 35.71% of the patients were obese. The main reasons for consultation were infertility (90%) and irregularity of the oligo-amenorrhea type cycle (80.35%). The hormonal balance was not always complete, the anti-mullerian hormone (AMH) having never been performed and testosterone in only seven patients. However, we noted 21.42% elevation of LH, normal FSH in 89.28%, inversion of LH / FSH in 53.58%, elevation of E2 in 27.27%, and Hyperprolactinemia in 37.5%. CONCLUSION: Due to the heterogeneity of the clinical symptoms, the non-constancy of the hormonal disorders and the non-specificity of the ultrasound, it appears that for the time being there is no single marker to clearly define this disease complex. Hence the interest for practitioners to have a precise diagnostic strategy, before any suspicious ultrasound of sopk.