THE ROLE OF OVARIAN BIOPSY IN THE DIAGNOSIS OF POLYCYSTIC OVARY SYNDROME

Dr. Mais Hassan*

ABSTRACT

This study was included 48 patients who have Polycystic ovary syndrome depending on the standard of Rotterdam, in the presence of infertility (initial or secondary) with another of the criteria for this syndrome diagnosed according to Rotterdam. We prepare patients for laparoscopy in the fifth day of the next menstrual cycle, ovarian biopsy was taken and sent for histological study.
• The histological manifestations that have been reached:
The existence of expanding cystic follicles 76.60%, primary follicles gathered by 82.98%
Absence of a luteum or albicantia corpus 80.85%, A dense fibrous capsule by 85.11%
The absence of development follicles by 87.23%, The thickness of the theca 70.21%, Presence the luteum cells within the follicular theca by 12.77%.
• The results of the histological study of ovarian biopsy was:
• Fibrosis Ovary of 4.25%, Polycystic Ovary 76.59%, doubt Polycystic ovary by 4.25%, Endomitriosis by 4.25%, ovary failure 2.12%, ovary cyst 8.51%.
• Accompanied by ovarian biopsy and Ultrasound Appearance in the diagnosis of polycystic ovary syndrome 77.78%.
• Ovarian biopsy coincided with positive hormonal examination in the diagnosis of PCOS 72.22%.
• Comparison between the three methods used in the diagnosis of polycystic ovary syndrome using the average test and determine the value of the impact, we find that the best method and most accurate in the diagnosis of PCOS is ovarian biopsy with high impact value (0.910) then ultrasound and finally hormonal analysis.

Keywords: Biopsy, diagnosis, polycystic ovary.