Subfertility and Polycystic Ovarian Syndrome in patients Presenting to Gynaecology Outpatients Department of Allama Iqbal Memorial Teaching Hospital, Sialkot

Abstract

Aim: To determine the incidence of polycystic ovarian syndrome in patients of infertility presenting to Gynaecology outpatients department of Allama Iqbal Memorial Teaching Hospital. Sialkot. Study Design: Prospective study. Time and Place of study: Department of Gynaecology; Allama Iqbal Memorial Teaching Hospital, Sialkot. From 1st August 2015 till 31 October 2017. Methods: In a period of 27 months, all patients who attended the infertility clinic of our gynaecology OPD were enrolled. All the patients were managed and detailed history examination followed by relevant investigations carried to reach a definite diagnosis. Patients were classed into two groups Group I with PCO and Group II having causes other than PCO.Patients were managed according to the causes established after investigations. Data was collected and analyzed using SPSS v 20. Results: Total number of patients was 550(100%),out of which 354 patients were of age >21 years and 196 patients had the age <20 years. Polycystic ovaries were a cause of primary infertility in 65% of patients in our study, postoperative adhesions were present in 5% patients, 50% were obese, 80% were anemic & 12% had genital tract abnormalities, chromosomal anomalies were present in 24% of patients, while in 2% patients, etiology could not be established. Conclusions: Polycystic ovaries is a common cause of infertility and it has varied presentations. Its treatment is challenging and close follow up is required for good results.