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Prevalence of Pregnancy in Polycystic Ovary Syndrome

Completed
Conditions
Polycystic Ovary Syndrome
Registration Number
NCT03157921
Lead Sponsor
Assiut University
Brief Summary

Polycystic ovary syndrome is the most common endocrine disorder in women of reproductive age, with a prevalence of approximately 5-10%. Polycystic ovary syndrome is diagnosed according to Rotterdam criteria by at least two of the following three key features: oligomenorrhea or amenorrhea; clinical and/or biochemical signs of hyperandrogenism; the presence of polycystic ovaries on ultrasound and exclusion of other endocrine disorders including hyperprolactinemia, thyroid dysfunction and congenital adrenal hyperplasia. Polycystic ovary syndrome is also associated with insulin resistance, obesity and disorders of lipid metabolism, as well as infertility, although these findings have not been addressed in the Rotterdam criteria. Polycystic ovary syndrome is the major cause of anovulatory infertility. The recent studies suggest that anovulation resulting from ovarian follicle abnormalities in Polycystic ovary syndrome patients are 2-fold of normal ovaries. Firstly, early follicular growth is excessive, thus women with Polycystic ovary syndrome are characterized by an excessive number of small antral follicles (2- to 3-fold of normal ovaries). Secondly, the selection of one follicle from the increased pool of selectable follicles and its further maturation to a dominant follicle does not occur. This second abnormality in the folliculogenesis can cause menstrual dysfunction presented as oligomenorrhea or amenorrhea. Historically, Polycystic ovary syndrome treatment has not been curative in nature, instead treatments focus on resolution of clinical manifestations of the disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
70
Inclusion Criteria
  • infertile women
  • age from 18 to 40 years
  • poly-cystic ovary syndrome
  • Body mass index 18.5-35 kg/m2
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Exclusion Criteria
  1. Endocrine disorders (cushing syndrome-congenital adrenal hyperplasia)
  2. Systemic disease
  3. Use of oral contraceptive,glucocorticoid and antiandrogen
  4. Use of ovulation induction or dopaminergic agents
  5. Use of antidiabetes, anti obesity drugs
  6. history of tubal or ovarian surgery
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of poly-cystic ovarian syndrome women who will be ovulated3 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Women Health Hospital - Assiut university

🇪🇬

Assiut, Egypt

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