SONOGRAPHIC FEATURES OF STRUCTURE AND FUNCTION OF OVARIES IN POLYCYSTIC OVARY SYNDROME

F.I. Kulikova; R.Ya. Abdullaiev; V.G. Karpenko; T.S. Golovko; A.G. Kyrychenko; T.V. Leshcheva; M.A. Dovhal; N.V. Tomakh; D.P. Leshchev

doi:10.34921/amj.2025.1.012

Authors

F.I. Kulikova Dnipropetrovsk Regional Clinical Hospital
R.Ya. Abdullaiev Kharkiv National Medical University
V.G. Karpenko Kharkiv National Medical University
T.S. Golovko National Cancer Institute
A.G. Kyrychenko Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine
T.V. Leshcheva Dnipro Institute of Medicine and Public Health
M.A. Dovhal Dnipro Institute of Medicine and Public Health
N.V. Tomakh Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine
D.P. Leshchev Dnipro Institute of Medicine and Public Health

DOI:

https://doi.org/10.34921/amj.2025.1.012

Keywords:

reproductive age, cyclic changes of endocervix, ultrasonography

Abstract

The article presents the results of duplex scanning of structural and functional changes in the ovaries in women with polycystic ovary syndrome (PCOS). For this purpose, 124 patients aged 18 to 27 years were included in the study. Their ovarian volume exceeded 10 cm3, the number of follicles measuring 2-9 mm on one sonographic section was more than 12 pieces. During dynamic observation, 92 women with the absence of a maturing follicle and the presence of an irregular menstrual cycle were included in group I (PCOS). And group II (multifollicular ovaries - MFO) was composed of 32 women who had a maturing or dominant follicle in the middle of the follicular phase, but ovulation did not occur. 28 women with a normal menstrual cycle made up the control group.
Comparison of duplex scanning results showed that among women of group I (PCOS) compared to group II (MFO), the volume of ovaries is more than 14 cm3, the number of follicles on one sonographic section is more than 15 pieces, and increased vascularization of the ovarian stroma are found significantly more often. In the second group, the appearance of a maturing or dominant follicle indicates that the multifollicularity of the ovaries is functional in nature, and this is not classic polycystic disease.