Which is the Best Test to Detect the Polycystic Ovary?
- 1 August 1988
- journal article
- research article
- Published by Wiley in Australian and New Zealand Journal of Obstetrics and Gynaecology
- Vol. 28 (3) , 221-224
- https://doi.org/10.1111/j.1479-828x.1988.tb01668.x
Abstract
Laparoscopy was used to characterize the ovaries of a group of infertile women. Patients with polycystic ovaries (PCO) were compared with those with normal ovaries. A free androgen index (FAI) greater than 4.5 was 100% specific and sensitive for detecting the PCO in a group of women with oligomenorrhoea. Overall, a biochemical 'screen' consisting of a luteinizing hormone (LH) level greater than 10 U/l, testosterone (T) greater 2.6 nmol/l, sex hormone binding globulin (SHBG) greater than 31 nmol/l or a FAI greater than 4.5 was 89% sensitive and 98% specific for PCO, which is comparable with the reliability of ultrasound for detecting the PCO.Keywords
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