The Endometrial Thickness in Infertile Women with Polycystic Ovarian Syndrome

Abstract

Background: The polycystic ovarian syndrome is a common cause of infertility and responsible for many changes in endocrine and metabolic activities with a possible role in changing the endometrial thickness. Objective: To evaluate the effect of endometrial thickness in infertile polycystic ovarian syndrome women on ovulation outcome. Patients and Methods: A case control study was carried out in Gynecology Consultancy Clinic of Al-Zahraa Maternity and Pediatric Hospital in Diyala province through the period from 1st of December 2016 to 30th of November 2017. The study sample was 40 infertile women with polycystic ovarian syndrome on program of ovulation induction and 40 healthy control women. Endometrial thickness was assessed by transvaginal ultrasonography. The ovulation was assessed regularly for each cycle and each woman was followed up for 6 month. Results: The means of endometrial thickness for infertile women with polycystic ovarian syndrome at different periods of menstrual cycle were significantly increased in comparison to controls (p<0.001). There was a highly significant difference in means of endometrial thickness between ovulated and not ovulated infertile polycystic ovarian syndrome women at different menstrual cycle periods (p<0.001). Conclusion: The endometrial thickness of infertile polycystic ovarian syndrome women is clearly higher than healthy controls with a prominent role of endometrial thickness in ovulation among infertile women with polycystic ovarian syndrome.