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- Title
Polycystic Ovary Syndrome and Its Clinical Predictors among Infertile Women in Bangladesh.
- Authors
Sarker, Gopa; Ullah, Md. Anayet; Akhter, Hasina; Haque, Md. Jawadul; Yusuf, Nahid
- Abstract
Objectives: To estimate the accuracy of oligomenorrhea or amenorrhea, hirsutism and obesity to detect Polycystic Ovary Syndrome (PCOS) among the infertile women. Study design: A cross-sectional comparative study. Methods: A total of 94 infertile women had attended at the Out Patient Department of Obstetrics and Gynaecology, Rajshahi Medical College Hospital, Bangladesh were included in this study. Data were collected by a preformed Data Collection Sheet, which was designed to record the nature of infertility, demographic factors, clinical presentations, anthropometric measurements and biochemical and ultrasonographic findings. Sensitivity, specificity, positive predictive value and negative predictive value of patient's clinical presentations i.e. oligomenorrhea or amenorrhea, hirsutism and body mass index 25 or above were calculated against the diagnosis of PCOS. Multiple logistic regression modeling was used to examine the relationship between patient's clinical presentations and PCOS. Results: Among the cardinal features of PCOS, all the indices of accuracy of hirsutism were at the satisfactory level (> 80%) only to detect PCOS. Logistic regression model showed hirsutism was an important predictor (B = 5.9, p < 0.000) of PCOS while oligomenorrhea or amenorrhea and obesity were not significantly able to predict the PCOS. Conclusion: Presence of hirsutism is the best clinical predictor for the diagnosis of PCOS among the infertile women. The physicians should go to the specific investigations for the diagnosis of PCOS if hirsutism is present avoiding the investigations needed for the other causes of infertility.
- Subjects
BANGLADESH; POLYCYSTIC ovary syndrome; CHI-squared test; COMPARATIVE studies; CONFIDENCE intervals; HYPERTRICHOSIS; INFERTILITY; PREDICTIVE tests; CROSS-sectional method; DIAGNOSIS
- Publication
International Medical Journal, 2015, Vol 22, Issue 3, p159
- ISSN
1341-2051
- Publication type
Article