Ovarian stromal echogenicity in women with clomiphene citrate-sensitive and clomiphene citrate-resistant polycystic ovary syndrome.
OBJECTIVE
To compare stromal echogenicity in women with clomiphene citrate (CC)-sensitive and CC-resistant polycystic ovary syndrome (PCOS), and to compare stromal echogenicity before and after laparoscopic ovarian drilling in women with CC-resistant PCOS.


METHODS
Prospective study.


METHODS
University teaching hospital.


METHODS
Twenty-two infertile women.


METHODS
Transvaginal ultrasound examination and laparoscopic ovarian drilling.


METHODS
Ovarian stromal index (ratio of mean ovarian stromal echogenicity to mean echogenicity of the entire ovary).


RESULTS
The mean (+/- SD) ovarian stromal index was 1.26+/-0.27 in the women with CC-sensitive PCOS and 1.22+/-0.11 in the women with CC-resistant PCOS. The ovarian stromal index and ovarian volume of the women with CC-resistant PCOS before and after ovarian drilling were not significantly different.


CONCLUSIONS
There was no difference in the stromal index and ovarian volume between women with CC-sensitive PCOS and women with CC-resistant PCOS. There was no overall difference in the stromal index and ovarian volume in women with CC-resistant PCOS before and after ovarian drilling.
Al-Took
S
S
McGill Reproductive Center, Department of Obstetrics and Gynecology, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Watkin
K
K
Tulandi
T
T
Tan
S L
SL
D000328:Adult; D002996:Clomiphene / Q000627:therapeutic use*; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use*; D006801:Humans; D010053:Ovary / Q000000981:diagnostic imaging* / Q000187:drug effects*; D011085:Polycystic Ovary Syndrome / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D011446:Prospective Studies; D014463:Ultrasonography / Q000379:methods; D014621:Vagina
D005300:Fertility Agents, Female; D002996:Clomiphene